Payment overview · 2025
General Payments
$192.95
9 reported records · 7 companies
Healthcare provider profile · identity verified
Kandace Steffek, FNP C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · BAY CITY, TX · NPI 1386024065
Verified facts
What the public records show
CMS Open Payments records show Kandace Steffek, FNP C received $192.95 in general payments during 2025 across 9 reported records.
Axsome Therapeutics, Inc. accounted for 30.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 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 66 claims for Ozempic 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.
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 |
|---|---|---|---|---|---|
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $58.20 | 30.2% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $32.38 | 16.8% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $26.53 | 13.8% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $22.28 | 11.6% | 1 | 2025 |
| TOLMAR, INC. | Unresolved — no canonical attribution shown | $21.10 | 10.9% | 1 | 2025 |
| Currax Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $17.46 | 9.1% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $15.00 | 7.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $192.95 | 9 |
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 |
|---|---|---|---|---|---|
| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $58.20 | 2 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $32.38 | 2 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $26.53 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $26.53 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $22.28 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $22.28 | 1 | 2025 |
Source payment records
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| JATENZO Normalized: jatenzo |
Drug | TOLMAR, INC. | $21.10 | 1 | 2025 |
Source payment records
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| CONTRAVE Normalized: contrave |
Drug | Currax Pharmaceuticals LLC | $17.46 | 1 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $15.00 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $15.00 | 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 | 66 | 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 |
66 | 13 |
| 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 | 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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 149 | 44 |
| Levothyroxine Sodium | Levothyroxine Sodium | 123 | 40 |
| Azithromycin | Azithromycin | 110 | 83 |
| Atorvastatin Calcium | Atorvastatin Calcium | 105 | 37 |
| Tramadol Hcl | Tramadol Hcl | 102 | 42 |
| Lisinopril | Lisinopril | 99 | 34 |
| Losartan Potassium | Losartan Potassium | 92 | 29 |
| Gabapentin | Gabapentin | 84 | 29 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 80 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 79 | 29 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 76 | 25 |
| Alprazolam | Alprazolam | 74 | 16 |
| Metformin Hcl | Metformin Hcl | 74 | 23 |
| Ozempic | Semaglutide | 66 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 61 | 24 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 60 | 47 |
| Methylprednisolone | Methylprednisolone | 57 | 44 |
| Dexamethasone | Dexamethasone | 55 | 47 |
| Meloxicam | Meloxicam | 54 | 23 |
| Omeprazole | Omeprazole | 54 | 19 |
| Levofloxacin | Levofloxacin | 52 | 45 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 52 | 13 |
| Cefdinir | Cefdinir | 50 | 42 |
| Escitalopram Oxalate | Escitalopram Oxalate | 50 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 49 | 20 |
| Montelukast Sodium | Montelukast Sodium | 44 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 43 | 25 |
| Simvastatin | Simvastatin | 43 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 42 | 14 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 41 | 32 |
| Trazodone Hcl | Trazodone Hcl | 39 | 15 |
| Clopidogrel | Clopidogrel Bisulfate | 37 | 12 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 37 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 36 | 25 |
| Carvedilol | Carvedilol | 34 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 31 | suppressed |
| Clonazepam | Clonazepam | 30 | suppressed |
| Eliquis | Apixaban | 30 | suppressed |
| Ezetimibe | Ezetimibe | 30 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 29 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 29 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 28 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 28 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 28 | 13 |
| Furosemide | Furosemide | 27 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 27 | suppressed |
| Atenolol | Atenolol | 26 | suppressed |
| Fluconazole | Fluconazole | 26 | 13 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 25 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 25 | 11 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 25 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Cephalexin | Cephalexin | 22 | 20 |
| Clindamycin Hcl | Clindamycin Hcl | 22 | 14 |
| Diclofenac Sodium | Diclofenac Sodium | 22 | 11 |
| Lovastatin | Lovastatin | 22 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 21 | 15 |
| Potassium Chloride | Potassium Chloride | 20 | suppressed |
| Memantine Hcl | Memantine Hcl | 19 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 19 | suppressed |
| Xarelto | Rivaroxaban | 19 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 18 | suppressed |
| Allopurinol | Allopurinol | 18 | suppressed |
| Estradiol | Estradiol | 18 | suppressed |
| Mupirocin | Mupirocin | 18 | 15 |
| Nystatin | Nystatin | 18 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 17 | 12 |
| Jardiance | Empagliflozin | 17 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 17 | suppressed |
| Nifedipine Er | Nifedipine | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | 13 |
| Buspirone Hcl | Buspirone Hcl | 16 | suppressed |
| Glimepiride | Glimepiride | 16 | suppressed |
| Januvia | Sitagliptin Phosphate | 16 | suppressed |
| Lactulose | Lactulose | 16 | suppressed |
| Metronidazole | Metronidazole | 16 | 14 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 15 | suppressed |
| Mounjaro | Tirzepatide | 14 | suppressed |
| Amoxicillin | Amoxicillin | 13 | suppressed |
| Halobetasol Propionate | Halobetasol Propionate | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Methocarbamol | Methocarbamol | 13 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 13 | suppressed |
| Bupropion Xl | Bupropion Hcl | 12 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 12 | suppressed |
| Famotidine | Famotidine | 12 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 12 | suppressed |
| Neomycin-Polymyxin-Hc | Neomycin/Polymyxin B/Hydrocort | 12 | 12 |
| Doxycycline Hyclate | Doxycycline Hyclate | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Terbinafine Hcl | Terbinafine 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 | $192.95 · 9 records | Axsome Therapeutics, Inc. | Auvelity, CONTRAVE, JATENZO, Kerendia, NURTEC ODT, OTEZLA, Ozempic, REPATHA, Rybelsus, ZAVZPRET | 2 | — |
| 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