Payment overview · 2025
General Payments
$152.34
7 reported records · 3 companies
Healthcare provider profile · identity verified
Marcial A. Santos, MD
Allopathic & Osteopathic Physicians|Hospitalist · NEW BEDFORD, MA · NPI 1366423196
Verified facts
What the public records show
CMS Open Payments records show Marcial A. Santos, MD received $152.34 in general payments during 2025 across 7 reported records.
AstraZeneca Pharmaceuticals LP accounted for 53.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 70 claims for Jardiance 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Trulicity by this doctor in 2024.
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 40 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $81.10 | 53.2% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $36.57 | 24.0% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $34.67 | 22.8% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $152.34 | 7 |
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 |
|---|---|---|---|---|---|
| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $46.10 | 2 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $36.57 | 2 | 2025 |
Source payment records
|
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $35.00 | 1 | 2025 |
Source payment records
|
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $34.67 | 2 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
70 | 15 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
20 | suppressed by CMS |
| 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 |
40 | 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 | 813 | 225 |
| Lisinopril | Lisinopril | 655 | 161 |
| Levothyroxine Sodium | Levothyroxine Sodium | 550 | 95 |
| Gabapentin | Gabapentin | 528 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 511 | 129 |
| Trazodone Hcl | Trazodone Hcl | 500 | 79 |
| Pantoprazole Sodium | Pantoprazole Sodium | 445 | 79 |
| Metoprolol Succinate | Metoprolol Succinate | 427 | 93 |
| Eliquis | Apixaban | 409 | 55 |
| Omeprazole | Omeprazole | 317 | 81 |
| Tamsulosin Hcl | Tamsulosin Hcl | 271 | 83 |
| Furosemide | Furosemide | 261 | 52 |
| Losartan Potassium | Losartan Potassium | 256 | 76 |
| Allopurinol | Allopurinol | 249 | 42 |
| Sertraline Hcl | Sertraline Hcl | 221 | 43 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 216 | 66 |
| Metformin Hcl | Metformin Hcl | 196 | 55 |
| Hydrochlorothiazide | Hydrochlorothiazide | 186 | 57 |
| Simvastatin | Simvastatin | 169 | 46 |
| Finasteride | Finasteride | 127 | 33 |
| Escitalopram Oxalate | Escitalopram Oxalate | 120 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 116 | 51 |
| Duloxetine Hcl | Duloxetine Hcl | 113 | 27 |
| Ezetimibe | Ezetimibe | 105 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 102 | 21 |
| Potassium Chloride | Potassium Chloride | 99 | 25 |
| Hydralazine Hcl | Hydralazine Hcl | 96 | 15 |
| Torsemide | Torsemide | 91 | 13 |
| Donepezil Hcl | Donepezil Hcl | 89 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 89 | 18 |
| Bupropion Xl | Bupropion Hcl | 87 | suppressed |
| Prednisone | Prednisone | 81 | 34 |
| Fluticasone Propionate | Fluticasone Propionate | 76 | 37 |
| Amiodarone Hcl | Amiodarone Hcl | 74 | suppressed |
| Famotidine | Famotidine | 74 | 26 |
| Meloxicam | Meloxicam | 73 | 24 |
| Jardiance | Empagliflozin | 70 | 15 |
| Mirtazapine | Mirtazapine | 70 | 17 |
| Tramadol Hcl | Tramadol Hcl | 70 | 26 |
| Myrbetriq | Mirabegron | 69 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 67 | 19 |
| Buspirone Hcl | Buspirone Hcl | 65 | 16 |
| Atenolol | Atenolol | 64 | 18 |
| Metformin Hcl Er | Metformin Hcl | 61 | 25 |
| Xarelto | Rivaroxaban | 61 | 13 |
| Celecoxib | Celecoxib | 60 | suppressed |
| Glipizide Er | Glipizide | 60 | 18 |
| Trandolapril | Trandolapril | 60 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 58 | 23 |
| Pravastatin Sodium | Pravastatin Sodium | 57 | 17 |
| Guanfacine Hcl Er | Guanfacine Hcl | 48 | suppressed |
| Valsartan | Valsartan | 47 | 17 |
| Clonidine Hcl | Clonidine Hcl | 46 | suppressed |
| Januvia | Sitagliptin Phosphate | 46 | 14 |
| Ibuprofen | Ibuprofen | 45 | 18 |
| Midodrine Hcl | Midodrine Hcl | 45 | 11 |
| Synthroid | Levothyroxine Sodium | 45 | 14 |
| Fenofibrate | Fenofibrate Nanocrystallized | 44 | 11 |
| Carvedilol | Carvedilol | 43 | 11 |
| Ondansetron Hcl | Ondansetron Hcl | 43 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 42 | suppressed |
| Irbesartan | Irbesartan | 40 | 12 |
| Memantine Hcl | Memantine Hcl | 40 | suppressed |
| Ozempic | Semaglutide | 40 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 39 | 17 |
| Levetiracetam | Levetiracetam | 39 | suppressed |
| Fenofibrate | Fenofibrate | 38 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 38 | suppressed |
| Spironolactone | Spironolactone | 38 | 14 |
| Methenamine Hippurate | Methenamine Hippurate | 37 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 33 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 32 | 11 |
| Metoclopramide Hcl | Metoclopramide Hcl | 32 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 32 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 32 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 31 | 12 |
| Propranolol Hcl | Propranolol Hcl | 31 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 30 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | 24 |
| Glipizide | Glipizide | 29 | suppressed |
| Cephalexin | Cephalexin | 28 | 24 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 27 | suppressed |
| Nystatin | Nystatin | 27 | 19 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 25 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 25 | suppressed |
| Pregabalin | Pregabalin | 25 | suppressed |
| Lorazepam | Lorazepam | 24 | 21 |
| Risperidone | Risperidone | 24 | suppressed |
| Lansoprazole | Lansoprazole | 23 | suppressed |
| Methylprednisolone | Methylprednisolone | 23 | 23 |
| Estradiol | Estradiol | 22 | suppressed |
| Lovastatin | Lovastatin | 22 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 21 | suppressed |
| Gemtesa | Vibegron | 21 | suppressed |
| Latanoprost | Latanoprost | 21 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 21 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 21 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 20 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 20 | suppressed |
| Trulicity | Dulaglutide | 20 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 15 |
| Azelastine Hcl | Azelastine Hcl | 18 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 18 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Digoxin | Digoxin | 17 | suppressed |
| Glimepiride | Glimepiride | 17 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 17 | 12 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 16 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 16 | 13 |
| Mounjaro | Tirzepatide | 16 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | 15 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 15 | suppressed |
| Aripiprazole | Aripiprazole | 14 | suppressed |
| Linzess | Linaclotide | 14 | suppressed |
| Nisoldipine | Nisoldipine | 14 | suppressed |
| Sucralfate | Sucralfate | 14 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | suppressed |
| Levofloxacin | Levofloxacin | 13 | suppressed |
| Ramipril | Ramipril | 13 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Olanzapine | Olanzapine | 12 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 12 | suppressed |
| Ramelteon | Ramelteon | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
| Yuvafem | Estradiol | 12 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Chlorthalidone | Chlorthalidone | 11 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 11 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 11 | suppressed |
| Tizanidine Hcl | Tizanidine 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 | $152.34 · 7 records | AstraZeneca Pharmaceuticals LP | BREZTRI, FARXIGA, KISUNLA, Wegovy | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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