Payment overview · 2025
General Payments
$58.38
3 reported records · 2 companies
Healthcare provider profile · identity verified
Vaishali Karnik, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SEYMOUR, IN · NPI 1295263564
Verified facts
What the public records show
CMS Open Payments records show Vaishali Karnik, MD received $58.38 in general payments during 2025 across 3 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 51.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Vraylar.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Linzess by this doctor in 2024.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Vraylar by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $30.23 | 51.8% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $28.15 | 48.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $58.38 | 3 |
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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $30.23 | 2 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $28.15 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| VRAYLAR vraylar |
2025 | Vraylar | 2024 | 15 Beneficiary count suppressed |
exact normalized | Medicare Part D |
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
21 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | VRAYLAR open payments reported associated product |
CMS Open Payments — General Payments 377741 supporting records · 62704 recipient NPIs · example record 1201352550 |
Vraylar · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
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 | 279 | 73 |
| Gabapentin | Gabapentin | 269 | 49 |
| Lisinopril | Lisinopril | 204 | 59 |
| Metformin Hcl | Metformin Hcl | 197 | 47 |
| Ozempic | Semaglutide | 156 | 26 |
| Omeprazole | Omeprazole | 149 | 38 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 129 | 49 |
| Pantoprazole Sodium | Pantoprazole Sodium | 129 | 30 |
| Duloxetine Hcl | Duloxetine Hcl | 120 | 24 |
| Montelukast Sodium | Montelukast Sodium | 112 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 103 | 26 |
| Levothyroxine Sodium | Levothyroxine Sodium | 102 | 28 |
| Losartan Potassium | Losartan Potassium | 101 | 29 |
| Furosemide | Furosemide | 96 | 26 |
| Pregabalin | Pregabalin | 95 | 16 |
| Buspirone Hcl | Buspirone Hcl | 87 | 24 |
| Amlodipine Besylate | Amlodipine Besylate | 86 | 23 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 85 | 22 |
| Trazodone Hcl | Trazodone Hcl | 81 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 79 | 23 |
| Jardiance | Empagliflozin | 77 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 76 | 21 |
| Topiramate | Topiramate | 73 | 17 |
| Tizanidine Hcl | Tizanidine Hcl | 66 | 16 |
| Sertraline Hcl | Sertraline Hcl | 60 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 56 | 20 |
| Ropinirole Hcl | Ropinirole Hcl | 52 | 17 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 46 | 13 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 45 | 15 |
| Prednisone | Prednisone | 45 | 18 |
| Glipizide Er | Glipizide | 44 | suppressed |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 43 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 43 | 12 |
| Azithromycin | Azithromycin | 42 | 32 |
| Chlorthalidone | Chlorthalidone | 39 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 39 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 39 | 18 |
| Bupropion Xl | Bupropion Hcl | 38 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 38 | suppressed |
| Eliquis | Apixaban | 38 | 11 |
| Potassium Chloride | Potassium Chloride | 36 | suppressed |
| Famotidine | Famotidine | 35 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 34 | suppressed |
| Eszopiclone | Eszopiclone | 34 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 34 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 33 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 32 | suppressed |
| Meloxicam | Meloxicam | 30 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 29 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 29 | suppressed |
| Trulicity | Dulaglutide | 29 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 28 | suppressed |
| Baclofen | Baclofen | 27 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 26 | suppressed |
| Fenofibrate | Fenofibrate | 25 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 24 | suppressed |
| Ezetimibe | Ezetimibe | 24 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | suppressed |
| Myrbetriq | Mirabegron | 23 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 23 | suppressed |
| Simvastatin | Simvastatin | 23 | suppressed |
| Xarelto | Rivaroxaban | 23 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 22 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 21 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 21 | suppressed |
| Linzess | Linaclotide | 21 | suppressed |
| Methocarbamol | Methocarbamol | 21 | suppressed |
| Allopurinol | Allopurinol | 20 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 19 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 19 | suppressed |
| Clonazepam | Clonazepam | 18 | suppressed |
| Ondansetron Odt | Ondansetron | 18 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 17 | suppressed |
| Loperamide | Loperamide Hcl | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 11 |
| Vilazodone Hcl | Vilazodone Hcl | 17 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 12 |
| Atenolol | Atenolol | 16 | suppressed |
| Celecoxib | Celecoxib | 16 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 16 | suppressed |
| Januvia | Sitagliptin Phosphate | 16 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 16 | suppressed |
| Xifaxan | Rifaximin | 16 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 15 | suppressed |
| Fluconazole | Fluconazole | 15 | suppressed |
| Glimepiride | Glimepiride | 15 | suppressed |
| Lidocaine | Lidocaine | 15 | suppressed |
| Nystatin | Nystatin | 15 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 15 | suppressed |
| Vraylar | Cariprazine Hcl | 15 | suppressed |
| Amoxicillin | Amoxicillin | 14 | 13 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 14 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 14 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 14 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 14 | suppressed |
| Carvedilol | Carvedilol | 13 | suppressed |
| Lactulose | Lactulose | 13 | suppressed |
| Nadolol | Nadolol | 13 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | suppressed |
| Vascepa | Icosapent Ethyl | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 12 | suppressed |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 12 | suppressed |
| Spironolactone | Spironolactone | 12 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 12 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 11 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 11 | suppressed |
| Hydrocortisone | Hydrocortisone | 11 | suppressed |
| Metronidazole | Metronidazole | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 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 | $58.38 · 3 records | Otsuka America Pharmaceutical, Inc. | REXULTI, VRAYLAR | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Vraylar play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- 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