Payment overview · 2025
General Payments
$20.11
1 reported records · 1 companies
Healthcare provider profile · identity verified
Manuel H. Rivera, M.D.
Allopathic & Osteopathic Physicians|General Practice · CAGUAS, PR · NPI 1386616258
Verified facts
What the public records show
CMS Open Payments records show Manuel H. Rivera, M.D. received $20.11 in general payments during 2025 across 1 reported records.
Janssen Pharmaceuticals, Inc accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
Janssen Pharmaceuticals, 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 XARELTO as an associated drug or biological on 28 records involving 28 distinct recipient NPIs. Public Medicare Part D data also shows 155 claims for Xarelto 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 |
|---|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $20.11 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $20.11 | 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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| INVEGA SUSTENNA Normalized: invega sustenna |
Drug | Janssen Pharmaceuticals, Inc | $20.11 | 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
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 |
|---|---|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | XARELTO open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 28 recipient NPIs · example record 1174296970 |
Xarelto · 2024 Exact normalized brand match · 1 Part D row |
155 | 21 |
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 | 2108 | 294 |
| Levothyroxine Sodium | Levothyroxine Sodium | 1296 | 174 |
| Donepezil Hcl | Donepezil Hcl | 1008 | 133 |
| Gabapentin | Gabapentin | 890 | 118 |
| Losartan Potassium | Losartan Potassium | 835 | 112 |
| Metformin Hcl | Metformin Hcl | 826 | 108 |
| Memantine Hcl | Memantine Hcl | 766 | 97 |
| Simvastatin | Simvastatin | 731 | 94 |
| Sertraline Hcl | Sertraline Hcl | 690 | 104 |
| Amlodipine Besylate | Amlodipine Besylate | 663 | 93 |
| Famotidine | Famotidine | 659 | 90 |
| Clopidogrel | Clopidogrel Bisulfate | 635 | 94 |
| Metoprolol Succinate | Metoprolol Succinate | 597 | 85 |
| Omeprazole | Omeprazole | 563 | 78 |
| Lisinopril | Lisinopril | 554 | 77 |
| Pantoprazole Sodium | Pantoprazole Sodium | 525 | 70 |
| Quetiapine Fumarate | Quetiapine Fumarate | 463 | 72 |
| Furosemide | Furosemide | 451 | 77 |
| Temazepam | Temazepam | 377 | 68 |
| Clonazepam | Clonazepam | 365 | 62 |
| Enalapril Maleate | Enalapril Maleate | 336 | 45 |
| Alendronate Sodium | Alendronate Sodium | 332 | 44 |
| Tamsulosin Hcl | Tamsulosin Hcl | 329 | 48 |
| Trazodone Hcl | Trazodone Hcl | 313 | 50 |
| Carvedilol | Carvedilol | 257 | 36 |
| Montelukast Sodium | Montelukast Sodium | 248 | 41 |
| Levetiracetam | Levetiracetam | 242 | 36 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 218 | 22 |
| Hydrochlorothiazide | Hydrochlorothiazide | 214 | 34 |
| Risperidone | Risperidone | 213 | 38 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 212 | 27 |
| Glimepiride | Glimepiride | 208 | 26 |
| Metoprolol Tartrate | Metoprolol Tartrate | 191 | 24 |
| Eliquis | Apixaban | 187 | 33 |
| Mirtazapine | Mirtazapine | 184 | 26 |
| Irbesartan | Irbesartan | 180 | 26 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 175 | 32 |
| Glipizide | Glipizide | 167 | 28 |
| Prednisolone Sodium Phosphate | Prednisolone Sodium Phosphate | 163 | 132 |
| Xarelto | Rivaroxaban | 155 | 21 |
| Rivastigmine | Rivastigmine | 143 | 21 |
| Lorazepam | Lorazepam | 142 | 31 |
| Azithromycin | Azithromycin | 136 | 117 |
| Memantine Hcl Er | Memantine Hcl | 136 | 21 |
| Nifedipine Er | Nifedipine | 131 | 22 |
| Clindamycin Hcl | Clindamycin Hcl | 126 | 104 |
| Escitalopram Oxalate | Escitalopram Oxalate | 121 | 17 |
| Buspirone Hcl | Buspirone Hcl | 120 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 117 | 14 |
| Insulin Lispro | Insulin Lispro | 114 | 21 |
| Divalproex Sodium | Divalproex Sodium | 112 | 22 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 109 | 14 |
| Duloxetine Hcl | Duloxetine Hcl | 102 | 18 |
| Atenolol | Atenolol | 101 | 14 |
| Doxazosin Mesylate | Doxazosin Mesylate | 99 | 15 |
| Sucralfate | Sucralfate | 98 | 13 |
| Baclofen | Baclofen | 97 | 21 |
| Cilostazol | Cilostazol | 95 | suppressed |
| Finasteride | Finasteride | 95 | 15 |
| Citalopram Hbr | Citalopram Hydrobromide | 94 | 19 |
| Permethrin | Permethrin | 93 | 71 |
| Hydralazine Hcl | Hydralazine Hcl | 89 | 14 |
| Candesartan Cilexetil | Candesartan Cilexetil | 83 | suppressed |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 81 | 19 |
| Fluoxetine Hcl | Fluoxetine Hcl | 79 | suppressed |
| Ezetimibe-Simvastatin | Ezetimibe/Simvastatin | 78 | 14 |
| Latanoprost | Latanoprost | 78 | 19 |
| Farxiga | Dapagliflozin Propanediol | 77 | suppressed |
| Ivermectin | Ivermectin | 76 | 60 |
| Paroxetine Hcl | Paroxetine Hcl | 76 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 70 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 69 | 11 |
| Spironolactone | Spironolactone | 68 | 12 |
| Pravastatin Sodium | Pravastatin Sodium | 66 | suppressed |
| Ezetimibe | Ezetimibe | 64 | suppressed |
| Tradjenta | Linagliptin | 64 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 63 | 57 |
| Lansoprazole | Lansoprazole | 62 | suppressed |
| Pentoxifylline | Pentoxifylline | 59 | suppressed |
| Valsartan | Valsartan | 59 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 57 | 20 |
| Digoxin | Digoxin | 55 | suppressed |
| Insulin Glargine | Insulin Glargine,hum.Rec.Anlog | 54 | 12 |
| Ramipril | Ramipril | 54 | suppressed |
| Trueplus Insulin Syringe | Syringe And Needle,insulin,1ml | 51 | 12 |
| Januvia | Sitagliptin Phosphate | 48 | suppressed |
| Allopurinol | Allopurinol | 47 | 11 |
| Olanzapine | Olanzapine | 47 | 11 |
| Galantamine Er | Galantamine Hbr | 44 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 43 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 42 | 21 |
| Levofloxacin | Levofloxacin | 42 | 40 |
| Jardiance | Empagliflozin | 40 | suppressed |
| Glipizide Er | Glipizide | 39 | suppressed |
| Haloperidol | Haloperidol | 39 | suppressed |
| Rytary | Carbidopa/Levodopa | 38 | suppressed |
| Prednisone | Prednisone | 36 | suppressed |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 35 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 35 | suppressed |
| Synthroid | Levothyroxine Sodium | 35 | suppressed |
| Trueplus Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 35 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 34 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 33 | suppressed |
| Lamotrigine | Lamotrigine | 33 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 32 | suppressed |
| Aripiprazole | Aripiprazole | 31 | suppressed |
| Bumetanide | Bumetanide | 31 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 31 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 31 | suppressed |
| Gemfibrozil | Gemfibrozil | 31 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 31 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 30 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 29 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 29 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 28 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 26 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 26 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 25 | 14 |
| Captopril | Captopril | 25 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 25 | suppressed |
| Dorzolamide Hcl | Dorzolamide Hcl | 25 | suppressed |
| Easy Comfort Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 25 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 25 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 24 | suppressed |
| Lovastatin | Lovastatin | 24 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 24 | suppressed |
| Alprazolam | Alprazolam | 23 | suppressed |
| Bupropion Xl | Bupropion Hcl | 23 | suppressed |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 23 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 23 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 23 | suppressed |
| Tolterodine Tartrate | Tolterodine Tartrate | 22 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 22 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 21 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Telmisartan | Telmisartan | 21 | suppressed |
| Verapamil Er | Verapamil Hcl | 21 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 20 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 19 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 19 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 18 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 18 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 18 | suppressed |
| Humalog | Insulin Lispro | 17 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 16 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 16 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 12 |
| Megestrol Acetate | Megestrol Acetate | 15 | suppressed |
| Silver Sulfadiazine | Silver Sulfadiazine | 15 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Ketoconazole | Ketoconazole | 14 | suppressed |
| Methotrexate | Methotrexate Sodium | 14 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 14 | 14 |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Aspirin-Dipyridamole Er | Aspirin/Dipyridamole | 13 | suppressed |
| Brilinta | Ticagrelor | 13 | suppressed |
| Humulin R | Insulin Regular, Human | 13 | suppressed |
| Hydroxyurea | Hydroxyurea | 13 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Nateglinide | Nateglinide | 13 | suppressed |
| Ranolazine Er | Ranolazine | 13 | suppressed |
| Advocate Syringes | Syringe And Needle,insulin,1ml | 12 | suppressed |
| Amantadine | Amantadine Hcl | 12 | suppressed |
| Bicalutamide | Bicalutamide | 12 | suppressed |
| Easy Comfort Insulin Syringe | Syringe And Needle,insulin,1ml | 12 | suppressed |
| Endocet | Oxycodone Hcl/Acetaminophen | 12 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 12 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 12 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 12 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 12 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 11 | suppressed |
| Anastrozole | Anastrozole | 11 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 11 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 11 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 11 | suppressed |
| Letrozole | Letrozole | 11 | suppressed |
| Loperamide | Loperamide Hcl | 11 | suppressed |
| Methimazole | Methimazole | 11 | suppressed |
| Myrbetriq | Mirabegron | 11 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 11 | suppressed |
| Sulindac | Sulindac | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Timolol Maleate | Timolol Maleate | 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 | $20.11 · 1 records | Janssen Pharmaceuticals, Inc | INVEGA SUSTENNA | 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 Janssen Pharmaceuticals, 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