Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Gracielle Mae Ejanda Advincula, NP
Nurse Practitioner · EL CAJON, CA · NPI 1376208975
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
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.
There is no payer-company set available for this comparison.
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 | 264 | 38 |
| Lisinopril | Lisinopril | 236 | 29 |
| Amlodipine Besylate | Amlodipine Besylate | 225 | 31 |
| Alendronate Sodium | Alendronate Sodium | 154 | 22 |
| Famotidine | Famotidine | 146 | 19 |
| Jardiance | Empagliflozin | 138 | 19 |
| Pantoprazole Sodium | Pantoprazole Sodium | 134 | 20 |
| Tamsulosin Hcl | Tamsulosin Hcl | 134 | 17 |
| Levothyroxine Sodium | Levothyroxine Sodium | 121 | 18 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 110 | 17 |
| Gabapentin | Gabapentin | 102 | 25 |
| Eliquis | Apixaban | 92 | 14 |
| Losartan Potassium | Losartan Potassium | 83 | 15 |
| Furosemide | Furosemide | 81 | 15 |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 72 | 17 |
| Metformin Hcl | Metformin Hcl | 72 | suppressed |
| Carvedilol | Carvedilol | 65 | 13 |
| Omeprazole | Omeprazole | 62 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 59 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 55 | suppressed |
| Levetiracetam | Levetiracetam | 55 | suppressed |
| Potassium Chloride | Potassium Chloride | 54 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 49 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 43 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 39 | 24 |
| Ezetimibe | Ezetimibe | 36 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 35 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 34 | suppressed |
| Finasteride | Finasteride | 33 | suppressed |
| Olanzapine | Olanzapine | 33 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 32 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 32 | suppressed |
| Metformin Er Osmotic | Metformin Hcl | 31 | suppressed |
| Memantine Hcl | Memantine Hcl | 30 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 29 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 28 | suppressed |
| Lactulose | Lactulose | 27 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 27 | suppressed |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 26 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 25 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 25 | suppressed |
| Novofine 32 | Pen Needle, Diabetic | 24 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 23 | 17 |
| Icosapent Ethyl | Icosapent Ethyl | 23 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 22 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 22 | suppressed |
| Meloxicam | Meloxicam | 21 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 21 | suppressed |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 19 | suppressed |
| Allopurinol | Allopurinol | 18 | suppressed |
| Aripiprazole | Aripiprazole | 18 | suppressed |
| Baclofen | Baclofen | 18 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 18 | suppressed |
| Irbesartan | Irbesartan | 18 | suppressed |
| Januvia | Sitagliptin Phosphate | 18 | suppressed |
| Ozempic | Semaglutide | 18 | suppressed |
| Donepezil Hcl Odt | Donepezil Hcl | 17 | suppressed |
| Latanoprost | Latanoprost | 17 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 16 | suppressed |
| Metolazone | Metolazone | 16 | suppressed |
| Nystatin | Nystatin | 16 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 16 | suppressed |
| Brilinta | Ticagrelor | 15 | suppressed |
| Cephalexin | Cephalexin | 15 | 15 |
| Glipizide Er | Glipizide | 15 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 15 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 14 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 14 | suppressed |
| Anastrozole | Anastrozole | 13 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 13 | suppressed |
| Restasis Multidose | Cyclosporine | 13 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 12 | suppressed |
| Hydroxyurea | Hydroxyurea | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 12 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 12 | suppressed |
| Moxifloxacin | Moxifloxacin Hcl | 12 | 11 |
| Valsartan | Valsartan | 12 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 12 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 11 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Hydrocortisone | Hydrocortisone | 11 | suppressed |
| Mirabegron Er | Mirabegron | 11 | suppressed |
| Myrbetriq | Mirabegron | 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 | — | — | — | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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