Payment overview · 2025
General Payments
$957.47
29 reported records · 11 companies
Healthcare provider profile · identity verified
Sara Rynski
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · OREGON, OH · NPI 1306564414
Verified facts
What the public records show
CMS Open Payments records show Sara Rynski received $957.47 in general payments during 2025 across 29 reported records.
ABBVIE INC. accounted for 36.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Trelegy Ellipta.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Farxiga by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Symbicort by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Jardiance by this doctor in 2024.
GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Trelegy Ellipta 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $353.71 | 36.9% | 11 | 2025 |
| Sequel Med Tech, LLC | Unresolved — no canonical attribution shown | $189.72 | 19.8% | 2 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $125.00 | 13.1% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $68.32 | 7.1% | 4 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $55.77 | 5.8% | 3 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $35.49 | 3.7% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $34.04 | 3.6% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $27.19 | 2.8% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $24.53 | 2.6% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $23.19 | 2.4% | 1 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $20.51 | 2.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $957.47 | 29 |
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 |
|---|---|---|---|---|---|
| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $319.89 | 10 | 2025 |
Source payment records
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| TWIIST Normalized: twiist |
Device | Sequel Med Tech, LLC | $189.72 | 2 | 2025 |
Source payment records
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| XYWAV Normalized: xywav |
Drug | JAZZ PHARMACEUTICALS INC. | $125.00 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $68.32 | 4 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $35.49 | 2 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $34.04 | 2 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $33.82 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $27.19 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $27.19 | 1 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $24.53 | 1 | 2025 |
Source payment records
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| UNITHROID Normalized: unithroid |
Drug | Amneal Pharmaceuticals LLC | $20.51 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $13.69 | 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 |
|---|---|---|---|---|---|---|
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 21 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
25 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
19 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
13 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
21 | 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 | 141 | 78 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 125 | 51 |
| Amlodipine Besylate | Amlodipine Besylate | 122 | 62 |
| Lisinopril | Lisinopril | 105 | 57 |
| Gabapentin | Gabapentin | 97 | 37 |
| Omeprazole | Omeprazole | 81 | 42 |
| Metformin Hcl | Metformin Hcl | 76 | 39 |
| Metoprolol Succinate | Metoprolol Succinate | 75 | 31 |
| Pantoprazole Sodium | Pantoprazole Sodium | 64 | 27 |
| Losartan Potassium | Losartan Potassium | 54 | 30 |
| Ibuprofen | Ibuprofen | 53 | 26 |
| Levothyroxine Sodium | Levothyroxine Sodium | 53 | 28 |
| Hydrochlorothiazide | Hydrochlorothiazide | 51 | 23 |
| Furosemide | Furosemide | 46 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 43 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 42 | 22 |
| Montelukast Sodium | Montelukast Sodium | 41 | 17 |
| Potassium Chloride | Potassium Chloride | 40 | 20 |
| Tizanidine Hcl | Tizanidine Hcl | 39 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 38 | 25 |
| Januvia | Sitagliptin Phosphate | 38 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 37 | 16 |
| Trazodone Hcl | Trazodone Hcl | 37 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 36 | suppressed |
| Prednisone | Prednisone | 36 | 30 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 32 | 17 |
| Quetiapine Fumarate | Quetiapine Fumarate | 32 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 30 | 15 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 27 | 25 |
| Famotidine | Famotidine | 27 | 16 |
| Buspirone Hcl | Buspirone Hcl | 26 | 14 |
| Simvastatin | Simvastatin | 26 | 14 |
| Farxiga | Dapagliflozin Propanediol | 25 | suppressed |
| Spironolactone | Spironolactone | 25 | suppressed |
| Trulicity | Dulaglutide | 25 | suppressed |
| Baclofen | Baclofen | 23 | suppressed |
| Glipizide | Glipizide | 23 | 16 |
| Pravastatin Sodium | Pravastatin Sodium | 23 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 22 | suppressed |
| Alprazolam | Alprazolam | 21 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 21 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 21 | suppressed |
| Carvedilol | Carvedilol | 20 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 20 | suppressed |
| Meloxicam | Meloxicam | 20 | 14 |
| Tramadol Hcl | Tramadol Hcl | 20 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 20 | suppressed |
| Eliquis | Apixaban | 19 | suppressed |
| Entresto | Sacubitril/Valsartan | 19 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 19 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 19 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 19 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 19 | 14 |
| Spiriva Handihaler | Tiotropium Bromide | 18 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | 15 |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Azithromycin | Azithromycin | 17 | 16 |
| Clonazepam | Clonazepam | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 14 |
| Lorazepam | Lorazepam | 16 | suppressed |
| Topiramate | Topiramate | 16 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 16 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 15 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 14 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 14 | suppressed |
| Ezetimibe | Ezetimibe | 14 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Nystatin | Nystatin | 14 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 13 | suppressed |
| Bumetanide | Bumetanide | 13 | suppressed |
| Cephalexin | Cephalexin | 13 | 12 |
| Glimepiride | Glimepiride | 13 | suppressed |
| Jardiance | Empagliflozin | 13 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 12 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 12 | suppressed |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Valsartan | Valsartan | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 11 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 11 | suppressed |
| Naproxen | Naproxen | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Ondansetron Odt | Ondansetron | 11 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 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 | $957.47 · 29 records | ABBVIE INC. | AIRSUPRA, AREXVY, CAPLYTA, GEMTESA, TRELEGY ELLIPTA, TWIIST, The Cologuard Plus Collection Kit, UBRELVY, UNITHROID, VRAYLAR, Wegovy, XYWAV | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Trelegy Ellipta play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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