Payment overview · 2025
General Payments
15 reported records · 7 companies
Healthcare provider profile · identity verified
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · PALM SPRINGS, FL · NPI 1316533433
Verified facts
CMS Open Payments records show Ramon Gonzalez received $351.63 in general payments during 2025 across 15 reported records.
Exact Sciences Corporation accounted for 49.3% 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.
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 19 claims for Trelegy Ellipta by this doctor in 2024.
Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Jardiance by this doctor in 2024.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 30 claims for Eliquis by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
15 reported records · 7 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $173.23 | 49.3% | 7 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $48.80 | 13.9% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $30.12 | 8.6% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $28.95 | 8.2% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $28.87 | 8.2% | 1 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $26.20 | 7.5% | 1 | 2025 |
| Kowa Pharmaceuticals America, Inc. | Unresolved — no canonical attribution shown | $15.46 | 4.4% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $351.63 | 15 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $86.73 | 4 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $86.50 | 3 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $31.46 | 2 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $30.12 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $30.12 | 1 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $28.95 | 1 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $28.95 | 1 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $28.95 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $28.87 | 1 | 2025 |
Source payment records
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| TZIELD Normalized: tzield |
Biological | SANOFI-AVENTIS U.S. LLC | $26.20 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $17.34 | 1 | 2025 |
Source payment records
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| ZORYVE Normalized: zoryve |
Drug | Kowa Pharmaceuticals America, Inc. | $15.46 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 19 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
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 |
|---|---|---|---|---|---|---|
| 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 |
19 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
37 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
30 | 11 |
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 259 | 124 |
| Metformin Hcl | Metformin Hcl | 153 | 73 |
| Amlodipine Besylate | Amlodipine Besylate | 133 | 59 |
| Omeprazole | Omeprazole | 114 | 58 |
| Losartan Potassium | Losartan Potassium | 109 | 55 |
| Fluticasone Propionate | Fluticasone Propionate | 103 | 69 |
| Lisinopril | Lisinopril | 101 | 53 |
| Levothyroxine Sodium | Levothyroxine Sodium | 94 | 39 |
| Glipizide | Glipizide | 84 | 39 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 78 | 36 |
| Methylprednisolone | Methylprednisolone | 78 | 63 |
| Azithromycin | Azithromycin | 74 | 59 |
| Gabapentin | Gabapentin | 71 | 33 |
| Hydrochlorothiazide | Hydrochlorothiazide | 64 | 37 |
| Alendronate Sodium | Alendronate Sodium | 57 | 29 |
| Meloxicam | Meloxicam | 57 | 22 |
| Methocarbamol | Methocarbamol | 54 | 38 |
| Carvedilol | Carvedilol | 53 | 19 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 51 | 25 |
| Enalapril Maleate | Enalapril Maleate | 47 | 15 |
| Montelukast Sodium | Montelukast Sodium | 44 | 21 |
| Metoprolol Tartrate | Metoprolol Tartrate | 43 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 43 | 27 |
| Simvastatin | Simvastatin | 43 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 39 | 23 |
| Furosemide | Furosemide | 38 | 15 |
| Jardiance | Empagliflozin | 37 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 37 | 18 |
| Diclofenac Sodium | Diclofenac Sodium | 32 | 18 |
| Eliquis | Apixaban | 30 | 11 |
| Oxybutynin Chloride | Oxybutynin Chloride | 30 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 27 | 16 |
| Ibuprofen | Ibuprofen | 27 | 22 |
| Januvia | Sitagliptin Phosphate | 27 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 27 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 27 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 25 | 13 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 24 | suppressed |
| Allopurinol | Allopurinol | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 19 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 19 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 18 | suppressed |
| Prednisone | Prednisone | 18 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 16 | suppressed |
| Famotidine | Famotidine | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | 13 |
| Levetiracetam | Levetiracetam | 15 | suppressed |
| Amoxicillin | Amoxicillin | 14 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 13 |
| Clobetasol Propionate | Clobetasol Propionate | 14 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 14 | 12 |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Hydrocortisone | Hydrocortisone | 13 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 12 | suppressed |
| Ozempic | Semaglutide | 12 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 12 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 11 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 11 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 11 | suppressed |
| Timolol Maleate | Timolol Maleate | 11 | suppressed |
| Tradjenta | Linagliptin | 11 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 11 | suppressed |
| Valsartan | Valsartan | 11 | suppressed |
| Xarelto | Rivaroxaban | 11 | suppressed |
Timeline
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 | $351.63 · 15 records | Exact Sciences Corporation | ABRYSVO, AIRSUPRA, COMIRNATY, Cologuard Collection Kit, FARXIGA, MOUNJARO, PREVNAR 20, TRELEGY ELLIPTA, TZIELD, The Cologuard Plus Collection Kit, ZEPBOUND, ZORYVE | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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