Payment overview · 2025
General Payments
$83.91
3 reported records · 2 companies
Healthcare provider profile · identity verified
George S Afram, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SAINT CLAIR SHORES, MI · NPI 1356499800
Verified facts
What the public records show
CMS Open Payments records show George S Afram, MD received $83.91 in general payments during 2025 across 3 reported records.
Novo Nordisk Inc accounted for 52.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 55 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 | $44.20 | 52.7% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $39.71 | 47.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $83.91 | 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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $44.20 | 2 | 2025 |
Source payment records
|
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $44.20 | 2 | 2025 |
Source payment records
|
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| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $39.71 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 55 | 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 |
|---|---|---|---|---|---|---|
| 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 |
55 | 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
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 641 | 185 |
| Amlodipine Besylate | Amlodipine Besylate | 499 | 138 |
| Levothyroxine Sodium | Levothyroxine Sodium | 470 | 135 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 325 | 98 |
| Simvastatin | Simvastatin | 283 | 80 |
| Losartan Potassium | Losartan Potassium | 272 | 75 |
| Omeprazole | Omeprazole | 261 | 80 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 258 | 77 |
| Lisinopril | Lisinopril | 237 | 71 |
| Metformin Hcl | Metformin Hcl | 230 | 67 |
| Pioglitazone Hcl | Pioglitazone Hcl | 221 | 69 |
| Metoprolol Tartrate | Metoprolol Tartrate | 189 | 56 |
| Metoprolol Succinate | Metoprolol Succinate | 178 | 59 |
| Alprazolam | Alprazolam | 169 | 46 |
| Donepezil Hcl | Donepezil Hcl | 159 | 43 |
| Prednisone | Prednisone | 152 | 121 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 129 | 37 |
| Pantoprazole Sodium | Pantoprazole Sodium | 127 | 40 |
| Azithromycin | Azithromycin | 124 | 101 |
| Tamsulosin Hcl | Tamsulosin Hcl | 120 | 40 |
| Carvedilol | Carvedilol | 116 | 34 |
| Eliquis | Apixaban | 98 | 31 |
| Zolpidem Tartrate | Zolpidem Tartrate | 98 | 25 |
| Allopurinol | Allopurinol | 95 | 30 |
| Tramadol Hcl | Tramadol Hcl | 92 | 22 |
| Furosemide | Furosemide | 90 | 34 |
| Gabapentin | Gabapentin | 90 | 33 |
| Meloxicam | Meloxicam | 88 | 34 |
| Alendronate Sodium | Alendronate Sodium | 86 | 27 |
| Pravastatin Sodium | Pravastatin Sodium | 85 | 24 |
| Glimepiride | Glimepiride | 76 | 21 |
| Escitalopram Oxalate | Escitalopram Oxalate | 74 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 71 | 26 |
| Potassium Chloride | Potassium Chloride | 66 | 26 |
| Hydrochlorothiazide | Hydrochlorothiazide | 65 | 21 |
| Methylprednisolone | Methylprednisolone | 59 | 52 |
| Atenolol | Atenolol | 58 | 16 |
| Diazepam | Diazepam | 58 | 15 |
| Sertraline Hcl | Sertraline Hcl | 56 | 20 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 55 | 18 |
| Ozempic | Semaglutide | 55 | 11 |
| Finasteride | Finasteride | 53 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 52 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 47 | 39 |
| Duloxetine Hcl | Duloxetine Hcl | 46 | 15 |
| Warfarin Sodium | Warfarin Sodium | 46 | 12 |
| Montelukast Sodium | Montelukast Sodium | 45 | 15 |
| Trazodone Hcl | Trazodone Hcl | 45 | 14 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 43 | 11 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 41 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 41 | 16 |
| Memantine Hcl | Memantine Hcl | 40 | 12 |
| Pregabalin | Pregabalin | 39 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 38 | suppressed |
| Synthroid | Levothyroxine Sodium | 38 | suppressed |
| Temazepam | Temazepam | 36 | suppressed |
| Clonazepam | Clonazepam | 35 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 35 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 34 | 12 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 33 | suppressed |
| Ibuprofen | Ibuprofen | 32 | 18 |
| Meclizine Hcl | Meclizine Hcl | 32 | 25 |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 31 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 31 | suppressed |
| Famotidine | Famotidine | 29 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 28 | 11 |
| Lorazepam | Lorazepam | 27 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 26 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 26 | 22 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 26 | suppressed |
| Mirtazapine | Mirtazapine | 26 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 26 | suppressed |
| Chlorthalidone | Chlorthalidone | 25 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 25 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 24 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 24 | suppressed |
| Jardiance | Empagliflozin | 24 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 24 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 13 |
| Paxlovid | Nirmatrelvir/Ritonavir | 22 | 22 |
| Colchicine | Colchicine | 21 | 11 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 21 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Spironolactone | Spironolactone | 21 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 21 | suppressed |
| Naproxen | Naproxen | 20 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 20 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 19 | suppressed |
| Nitroglycerin | Nitroglycerin | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 18 | 15 |
| Glipizide | Glipizide | 17 | suppressed |
| Klor-Con M20 | Potassium Chloride | 17 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 11 |
| Glipizide Er | Glipizide | 16 | suppressed |
| Irbesartan | Irbesartan | 16 | suppressed |
| Trulicity | Dulaglutide | 16 | suppressed |
| Levofloxacin | Levofloxacin | 15 | 14 |
| Metformin Hcl Er | Metformin Hcl | 15 | suppressed |
| Ramipril | Ramipril | 15 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 14 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 14 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 14 | suppressed |
| Bupropion Xl | Bupropion Hcl | 13 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 13 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Primidone | Primidone | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 11 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 11 | suppressed |
| Verapamil Er | Verapamil 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 | $83.91 · 3 records | Novo Nordisk Inc | KRYSTEXXA, Ozempic, Rybelsus | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- 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