Payment overview · 2025
General Payments
$20.62
1 reported records · 1 companies
Healthcare provider profile · identity verified
Ambika Mishra
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · EULESS, TX · NPI 1316582794
Verified facts
What the public records show
CMS Open Payments records show Ambika Mishra received $20.62 in general payments during 2025 across 1 reported records.
Novo Nordisk Inc accounted for 100.0% of that reported general-payment amount.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 126 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $20.62 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $20.62 | 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
Payment records were found, but the reported records did not identify a specific associated product for this analysis.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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 |
|---|---|---|---|---|---|---|
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
126 | 33 |
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 | 155 | 67 |
| Ozempic | Semaglutide | 126 | 33 |
| Metoprolol Succinate | Metoprolol Succinate | 104 | 43 |
| Amlodipine Besylate | Amlodipine Besylate | 100 | 37 |
| Gabapentin | Gabapentin | 91 | 36 |
| Clonidine Hcl | Clonidine Hcl | 88 | 33 |
| Nifedipine Er | Nifedipine | 84 | 28 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 80 | 31 |
| Furosemide | Furosemide | 79 | 27 |
| Mounjaro | Tirzepatide | 78 | 17 |
| Lisinopril | Lisinopril | 67 | 33 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 61 | suppressed |
| Alprazolam | Alprazolam | 60 | 12 |
| Metformin Hcl | Metformin Hcl | 57 | 23 |
| Levothyroxine Sodium | Levothyroxine Sodium | 52 | 18 |
| Simvastatin | Simvastatin | 45 | 16 |
| Losartan Potassium | Losartan Potassium | 42 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 40 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 39 | 15 |
| Metoprolol Tartrate | Metoprolol Tartrate | 38 | 18 |
| Hydralazine Hcl | Hydralazine Hcl | 37 | 16 |
| Potassium Chloride | Potassium Chloride | 37 | 15 |
| Tradjenta | Linagliptin | 36 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 34 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 34 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 34 | 13 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 31 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 30 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 30 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 29 | 12 |
| Carvedilol | Carvedilol | 25 | 11 |
| Donepezil Hcl | Donepezil Hcl | 25 | suppressed |
| Ibuprofen | Ibuprofen | 25 | 20 |
| Jardiance | Empagliflozin | 25 | 13 |
| Azithromycin | Azithromycin | 24 | 22 |
| Ondansetron Hcl | Ondansetron Hcl | 24 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 23 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 22 | suppressed |
| Linzess | Linaclotide | 22 | suppressed |
| Meloxicam | Meloxicam | 21 | suppressed |
| Omeprazole | Omeprazole | 21 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 21 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 20 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 20 | suppressed |
| Pregabalin | Pregabalin | 20 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 19 | suppressed |
| Lorazepam | Lorazepam | 19 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 18 | suppressed |
| Eliquis | Apixaban | 18 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 17 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 17 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 16 | suppressed |
| Lidocaine | Lidocaine | 16 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 16 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 15 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 15 | suppressed |
| Famotidine | Famotidine | 14 | suppressed |
| Colchicine | Colchicine | 13 | suppressed |
| Ezetimibe | Ezetimibe | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Mirtazapine | Mirtazapine | 13 | suppressed |
| Spironolactone | Spironolactone | 13 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Hydrocortisone | Hydrocortisone | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Trulicity | Dulaglutide | 12 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 11 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 11 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 11 | suppressed |
| Telmisartan | Telmisartan | 11 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 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 | $20.62 · 1 records | Novo Nordisk Inc | — | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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