Payment overview · 2025
General Payments
$14.77
1 reported records · 1 companies
Healthcare provider profile · identity verified
Mark Real, M.D
Allopathic & Osteopathic Physicians|Internal Medicine · LIMERICK, PA · NPI 1295871598
Verified facts
What the public records show
CMS Open Payments records show Mark Real, M.D received $14.77 in general payments during 2025 across 1 reported records.
Salix Pharmaceuticals, a division of Bausch Health US, LLC 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 |
|---|---|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $14.77 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $14.77 | 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 |
|---|---|---|---|---|---|
| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $14.77 | 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 | 1111 | 302 |
| Amlodipine Besylate | Amlodipine Besylate | 556 | 167 |
| Losartan Potassium | Losartan Potassium | 545 | 145 |
| Levothyroxine Sodium | Levothyroxine Sodium | 544 | 138 |
| Lisinopril | Lisinopril | 524 | 151 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 347 | 105 |
| Alprazolam | Alprazolam | 327 | 51 |
| Lorazepam | Lorazepam | 325 | 66 |
| Metformin Hcl | Metformin Hcl | 317 | 93 |
| Metoprolol Succinate | Metoprolol Succinate | 304 | 96 |
| Eliquis | Apixaban | 244 | 47 |
| Pantoprazole Sodium | Pantoprazole Sodium | 239 | 65 |
| Gabapentin | Gabapentin | 235 | 60 |
| Simvastatin | Simvastatin | 225 | 63 |
| Metoprolol Tartrate | Metoprolol Tartrate | 222 | 62 |
| Omeprazole | Omeprazole | 213 | 60 |
| Furosemide | Furosemide | 212 | 59 |
| Hydrochlorothiazide | Hydrochlorothiazide | 187 | 52 |
| Ezetimibe | Ezetimibe | 177 | 49 |
| Tamsulosin Hcl | Tamsulosin Hcl | 175 | 49 |
| Sertraline Hcl | Sertraline Hcl | 156 | 44 |
| Trazodone Hcl | Trazodone Hcl | 138 | 35 |
| Prednisone | Prednisone | 134 | 77 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 129 | 45 |
| Famotidine | Famotidine | 125 | 38 |
| Pravastatin Sodium | Pravastatin Sodium | 110 | 28 |
| Carvedilol | Carvedilol | 109 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 100 | 34 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 96 | 27 |
| Hydralazine Hcl | Hydralazine Hcl | 93 | 25 |
| Glimepiride | Glimepiride | 92 | 28 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 89 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 87 | 24 |
| Zolpidem Tartrate | Zolpidem Tartrate | 86 | 16 |
| Allopurinol | Allopurinol | 85 | 26 |
| Synthroid | Levothyroxine Sodium | 78 | 19 |
| Atenolol | Atenolol | 75 | 22 |
| Pioglitazone Hcl | Pioglitazone Hcl | 75 | 19 |
| Glipizide | Glipizide | 74 | 24 |
| Temazepam | Temazepam | 74 | 15 |
| Xarelto | Rivaroxaban | 74 | 16 |
| Paroxetine Hcl | Paroxetine Hcl | 71 | 25 |
| Valsartan | Valsartan | 69 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 67 | 22 |
| Meloxicam | Meloxicam | 63 | 17 |
| Clonazepam | Clonazepam | 62 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 61 | 23 |
| Glipizide Er | Glipizide | 60 | 20 |
| Azithromycin | Azithromycin | 59 | 52 |
| Spironolactone | Spironolactone | 58 | 14 |
| Jardiance | Empagliflozin | 57 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 56 | 41 |
| Montelukast Sodium | Montelukast Sodium | 56 | 17 |
| Risperidone | Risperidone | 56 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 55 | 16 |
| Finasteride | Finasteride | 53 | 12 |
| Januvia | Sitagliptin Phosphate | 53 | 16 |
| Oxycodone Hcl | Oxycodone Hcl | 53 | 12 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 49 | 12 |
| Carbamazepine | Carbamazepine | 48 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 48 | 11 |
| Oxybutynin Chloride | Oxybutynin Chloride | 47 | 16 |
| Myrbetriq | Mirabegron | 46 | suppressed |
| Amoxicillin | Amoxicillin | 42 | 35 |
| Potassium Chloride | Potassium Chloride | 42 | 11 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 42 | 11 |
| Alendronate Sodium | Alendronate Sodium | 41 | 11 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 41 | 12 |
| Bupropion Hcl Sr | Bupropion Hcl | 37 | suppressed |
| Lovastatin | Lovastatin | 37 | suppressed |
| Ozempic | Semaglutide | 36 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 36 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 35 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 34 | 23 |
| Tizanidine Hcl | Tizanidine Hcl | 34 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 34 | 16 |
| Donepezil Hcl | Donepezil Hcl | 33 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 33 | suppressed |
| Levetiracetam | Levetiracetam | 33 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 33 | 12 |
| Trulicity | Dulaglutide | 33 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 32 | suppressed |
| Baclofen | Baclofen | 31 | suppressed |
| Hydrocortisone | Hydrocortisone | 31 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 30 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 30 | suppressed |
| Digoxin | Digoxin | 29 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 29 | suppressed |
| Fenofibrate | Fenofibrate | 29 | suppressed |
| Fluconazole | Fluconazole | 29 | 11 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 29 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 28 | suppressed |
| Olanzapine | Olanzapine | 28 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 28 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 28 | suppressed |
| Mirtazapine | Mirtazapine | 27 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 26 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Diazepam | Diazepam | 26 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 26 | suppressed |
| Cephalexin | Cephalexin | 25 | 14 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 25 | suppressed |
| Ibuprofen | Ibuprofen | 25 | suppressed |
| Nystatin | Nystatin | 25 | 12 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 17 |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 24 | suppressed |
| Sucralfate | Sucralfate | 24 | suppressed |
| Topiramate | Topiramate | 24 | suppressed |
| Telmisartan | Telmisartan | 23 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 22 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 22 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 21 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 21 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 21 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 21 | 16 |
| Symbicort | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Tiadylt Er | Diltiazem Hcl | 21 | suppressed |
| Aripiprazole | Aripiprazole | 20 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 20 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 20 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 19 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 19 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 18 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 18 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 17 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 17 | 14 |
| Metoclopramide Hcl | Metoclopramide Hcl | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | suppressed |
| Colchicine | Colchicine | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 16 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 16 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 15 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 14 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 14 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | suppressed |
| Vascepa | Icosapent Ethyl | 14 | suppressed |
| Verapamil Er | Verapamil Hcl | 14 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | 11 |
| Benztropine Mesylate | Benztropine Mesylate | 13 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 13 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 13 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 13 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 13 | suppressed |
| Klor-Con M20 | Potassium Chloride | 13 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 13 | suppressed |
| Memantine Hcl | Memantine Hcl | 13 | suppressed |
| Zonisamide | Zonisamide | 13 | suppressed |
| Amantadine | Amantadine Hcl | 12 | suppressed |
| Calcitriol | Calcitriol | 12 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 12 | suppressed |
| Fluphenazine Hcl | Fluphenazine Hcl | 12 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Scopolamine | Scopolamine | 12 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 12 | suppressed |
| Verapamil Sr | Verapamil Hcl | 12 | suppressed |
| Bupropion Xl | Bupropion Hcl | 11 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 11 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Spiriva Handihaler | Tiotropium Bromide | 11 | suppressed |
| Trimethoprim | Trimethoprim | 11 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 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 | $14.77 · 1 records | Salix Pharmaceuticals, a division of Bausch Health US, LLC | XIFAXAN | — | — |
| 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