Payment overview · 2025
General Payments
$19.03
1 reported records · 1 companies
Healthcare provider profile · identity verified
Sandra L. Worrell, MD
Allopathic & Osteopathic Physicians|Family Medicine · WEST BURLINGTON, IA · NPI 1285841775
Verified facts
What the public records show
CMS Open Payments records show Sandra L. Worrell, MD received $19.03 in general payments during 2025 across 1 reported records.
VERTEX PHARMACEUTICALS INCORPORATED accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $19.03 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $19.03 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $19.03 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 671 | 187 |
| Levothyroxine Sodium | Levothyroxine Sodium | 529 | 119 |
| Amlodipine Besylate | Amlodipine Besylate | 327 | 88 |
| Omeprazole | Omeprazole | 323 | 84 |
| Lisinopril | Lisinopril | 318 | 102 |
| Gabapentin | Gabapentin | 219 | 56 |
| Metoprolol Succinate | Metoprolol Succinate | 207 | 52 |
| Pantoprazole Sodium | Pantoprazole Sodium | 191 | 49 |
| Losartan Potassium | Losartan Potassium | 190 | 53 |
| Famotidine | Famotidine | 189 | 53 |
| Furosemide | Furosemide | 172 | 49 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 171 | 46 |
| Metformin Hcl | Metformin Hcl | 169 | 49 |
| Montelukast Sodium | Montelukast Sodium | 168 | 50 |
| Potassium Chloride | Potassium Chloride | 166 | 47 |
| Alendronate Sodium | Alendronate Sodium | 162 | 51 |
| Simvastatin | Simvastatin | 158 | 38 |
| Metoprolol Tartrate | Metoprolol Tartrate | 132 | 31 |
| Clopidogrel | Clopidogrel Bisulfate | 112 | 30 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 111 | 40 |
| Metformin Hcl Er | Metformin Hcl | 108 | 33 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 100 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 96 | 31 |
| Pregabalin | Pregabalin | 96 | 19 |
| Trazodone Hcl | Trazodone Hcl | 96 | 28 |
| Fluoxetine Hcl | Fluoxetine Hcl | 91 | 26 |
| Warfarin Sodium | Warfarin Sodium | 89 | 13 |
| Duloxetine Hcl | Duloxetine Hcl | 86 | 22 |
| Ezetimibe | Ezetimibe | 83 | 24 |
| Sertraline Hcl | Sertraline Hcl | 83 | 23 |
| Tramadol Hcl | Tramadol Hcl | 79 | 25 |
| Ropinirole Hcl | Ropinirole Hcl | 76 | 16 |
| Bupropion Xl | Bupropion Hcl | 70 | 21 |
| Eliquis | Apixaban | 66 | 18 |
| Pravastatin Sodium | Pravastatin Sodium | 66 | 17 |
| Alprazolam | Alprazolam | 64 | 18 |
| Spironolactone | Spironolactone | 64 | 17 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 62 | 13 |
| Glipizide | Glipizide | 61 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 60 | 14 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 58 | 18 |
| Fenofibrate | Fenofibrate Nanocrystallized | 56 | 20 |
| Meloxicam | Meloxicam | 56 | 20 |
| Tamsulosin Hcl | Tamsulosin Hcl | 56 | 22 |
| Prednisone | Prednisone | 53 | 43 |
| Atenolol | Atenolol | 52 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 52 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 52 | 31 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 51 | 12 |
| Sucralfate | Sucralfate | 51 | suppressed |
| Allopurinol | Allopurinol | 50 | 16 |
| Oxybutynin Chloride | Oxybutynin Chloride | 50 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 48 | 13 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 48 | 16 |
| Glimepiride | Glimepiride | 46 | 18 |
| Amitriptyline Hcl | Amitriptyline Hcl | 44 | 15 |
| Topiramate | Topiramate | 44 | 11 |
| Jardiance | Empagliflozin | 43 | 11 |
| Celecoxib | Celecoxib | 42 | 15 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 42 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 40 | 34 |
| Ozempic | Semaglutide | 40 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 39 | 19 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 39 | 30 |
| Pioglitazone Hcl | Pioglitazone Hcl | 37 | suppressed |
| Carvedilol | Carvedilol | 36 | 11 |
| Chlorthalidone | Chlorthalidone | 36 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 35 | 13 |
| Ventolin Hfa | Albuterol Sulfate | 35 | 17 |
| Baclofen | Baclofen | 31 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 31 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 31 | 14 |
| Clonazepam | Clonazepam | 30 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 30 | 17 |
| Finasteride | Finasteride | 29 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 28 | suppressed |
| Lorazepam | Lorazepam | 28 | suppressed |
| Carbamazepine | Carbamazepine | 27 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 25 | suppressed |
| Azithromycin | Azithromycin | 24 | 22 |
| Divalproex Sodium | Divalproex Sodium | 24 | suppressed |
| Lamotrigine | Lamotrigine | 24 | suppressed |
| Mirtazapine | Mirtazapine | 24 | suppressed |
| Acyclovir | Acyclovir | 23 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 22 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 23 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 23 | 17 |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 22 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 22 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 22 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Glipizide Er | Glipizide | 21 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Trulicity | Dulaglutide | 21 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 20 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 19 | suppressed |
| Digoxin | Digoxin | 19 | suppressed |
| Ondansetron Odt | Ondansetron | 19 | 12 |
| Enalapril Maleate | Enalapril Maleate | 18 | suppressed |
| Methylprednisolone | Methylprednisolone | 18 | 18 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 18 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 17 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 17 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 16 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 16 | suppressed |
| Lacosamide | Lacosamide | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Myrbetriq | Mirabegron | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 16 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 15 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 15 | suppressed |
| Valsartan | Valsartan | 15 | suppressed |
| Fenofibrate | Fenofibrate | 14 | suppressed |
| Gemfibrozil | Gemfibrozil | 14 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Aripiprazole | Aripiprazole | 13 | suppressed |
| Brilinta | Ticagrelor | 13 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 13 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Irbesartan | Irbesartan | 13 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 13 | suppressed |
| Rybelsus | Semaglutide | 13 | suppressed |
| Xarelto | Rivaroxaban | 13 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 12 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 12 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 12 | 11 |
| Desmopressin Acetate | Desmopressin Acetate | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 11 | suppressed |
| Cholestyramine Light | Cholestyramine | 11 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 11 | suppressed |
| Latanoprost | Latanoprost | 11 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 11 | suppressed |
| Minocycline Hcl | Minocycline Hcl | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Naproxen | Naproxen | 11 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $19.03 · 1 records | VERTEX PHARMACEUTICALS INCORPORATED | JOURNAVX | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error