Payment overview · 2025
General Payments
$40,170.17
115 reported records · 19 companies
Healthcare provider profile · identity verified
Michael Thomas Ledet, MD
Allopathic & Osteopathic Physicians|Family Medicine|Sleep Medicine · DAPHNE, AL · NPI 1407854482
Verified facts
What the public records show
CMS Open Payments records show Michael Thomas Ledet, MD received $40,170.17 in general payments during 2025 across 115 reported records.
Axsome Therapeutics, Inc. accounted for 55.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Nexletol, Ozempic, Rybelsus, Sunosi.
Axsome Therapeutics, 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 Sunosi as an associated drug or biological on 19758 records involving 6305 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Sunosi by this doctor in 2024.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Jardiance by this doctor in 2024.
Esperion Therapeutics, 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 NEXLETOL as an associated drug or biological on 24230 records involving 12642 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Nexletol by this doctor in 2024.
Esperion Therapeutics, 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 NEXLIZET as an associated drug or biological on 63 records involving 47 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Nexlizet 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Jardiance 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 183 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Rybelsus 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 | $22,221.12 | 55.3% | 33 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $14,325.08 | 35.7% | 26 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $1,095.83 | 2.7% | 1 | 2025 |
| Chiesi USA, Inc. | Unresolved — no canonical attribution shown | $953.84 | 2.4% | 5 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $482.51 | 1.2% | 12 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $211.96 | 0.5% | 5 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $181.29 | 0.5% | 5 | 2025 |
| Regeneron Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $107.12 | 0.3% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $101.93 | 0.2% | 5 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $77.22 | 0.2% | 4 | 2025 |
| 3B Medical, Inc. | Unresolved — no canonical attribution shown | $69.82 | 0.2% | 1 | 2025 |
| HARMONY BIOSCIENCES LLC | Unresolved — no canonical attribution shown | $66.11 | 0.2% | 3 | 2025 |
| Ionis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $62.16 | 0.1% | 3 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $49.89 | 0.1% | 3 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $41.26 | 0.1% | 1 | 2025 |
| AGEPHA Pharma FZ LLC | Unresolved — no canonical attribution shown | $35.49 | 0.1% | 2 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $33.02 | 0.1% | 2 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $32.37 | 0.1% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $22.15 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Honoraria | $20,188.00 | 9 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $13,068.50 | 8 |
| Food and Beverage | $2,975.85 | 84 |
| Travel and Lodging | $2,774.99 | 12 |
| Long term medical supply or device loan | $1,095.83 | 1 |
| Education | $67.00 | 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 |
|---|---|---|---|---|---|
| Sunosi Normalized: sunosi |
Drug | Axsome Therapeutics, Inc. | $22,221.12 | 33 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $14,325.08 | 26 | 2025 |
Source payment records
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| DreamStation Cpap Normalized: dreamstation cpap |
Device | Philips North America LLC | $1,095.83 | 1 | 2025 |
Source payment records
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| JUXTAPID Normalized: juxtapid |
Drug | Chiesi USA, Inc. | $953.84 | 5 | 2025 |
Source payment records
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| XYWAV Normalized: xywav |
Drug | JAZZ PHARMACEUTICALS INC. | $482.51 | 12 | 2025 |
Source payment records
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| EVKEEZA Normalized: evkeeza |
Biological | Regeneron Healthcare Solutions, Inc., Regeneron Pharmaceuticals, Inc. | $319.08 | 6 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $181.29 | 5 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $70.79 | 3 | 2025 |
Source payment records
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| LUNA Normalized: luna |
Device | 3B Medical, Inc. | $69.82 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $66.22 | 3 | 2025 |
Source payment records
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| WAKIX Normalized: wakix |
Drug | HARMONY BIOSCIENCES LLC | $66.11 | 3 | 2025 |
Source payment records
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| TRYNGOLZA Normalized: tryngolza |
Drug | Ionis Pharmaceuticals, Inc. | $62.16 | 3 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $49.89 | 3 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $41.26 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $38.79 | 2 | 2025 |
Source payment records
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| LODOCO Normalized: lodoco |
Drug | AGEPHA Pharma FZ LLC | $35.49 | 2 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $33.02 | 2 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $32.37 | 2 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $31.14 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $31.14 | 2 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $22.15 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 45 | exact normalized | Medicare Part D |
| NEXLETOL nexletol |
2025 | Nexletol | 2024 | 25 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 183 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 20 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Sunosi sunosi |
2025 | Sunosi | 2024 | 29 Beneficiary count suppressed |
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 |
|---|---|---|---|---|---|---|
| Axsome Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | Sunosi open payments reported associated product |
CMS Open Payments — General Payments 19758 supporting records · 6305 recipient NPIs · example record 1235293059 |
Sunosi · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
45 | 12 |
| Esperion Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | NEXLETOL open payments reported associated product |
CMS Open Payments — General Payments 24230 supporting records · 12642 recipient NPIs · example record 1243949989 |
Nexletol · 2024 Exact normalized brand match · 1 Part D row |
25 | suppressed by CMS |
| Esperion Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | NEXLIZET open payments reported associated product |
CMS Open Payments — General Payments 63 supporting records · 47 recipient NPIs · example record 1243951667 |
Nexlizet · 2024 Exact normalized brand match · 1 Part D row |
17 | suppressed by CMS |
| 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 |
45 | 12 |
| 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 |
183 | 37 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
20 | 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 |
|---|---|---|---|
| Gabapentin | Gabapentin | 482 | 139 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 457 | 159 |
| Trazodone Hcl | Trazodone Hcl | 350 | 116 |
| Zolpidem Tartrate | Zolpidem Tartrate | 261 | 40 |
| Ezetimibe | Ezetimibe | 228 | 83 |
| Ozempic | Semaglutide | 183 | 37 |
| Repatha Sureclick | Evolocumab | 143 | 38 |
| Atorvastatin Calcium | Atorvastatin Calcium | 136 | 41 |
| Metformin Hcl | Metformin Hcl | 136 | 50 |
| Pioglitazone Hcl | Pioglitazone Hcl | 133 | 44 |
| Levothyroxine Sodium | Levothyroxine Sodium | 124 | 38 |
| Metformin Hcl Er | Metformin Hcl | 115 | 37 |
| Amlodipine Besylate | Amlodipine Besylate | 96 | 31 |
| Lisinopril | Lisinopril | 96 | 30 |
| Escitalopram Oxalate | Escitalopram Oxalate | 93 | 28 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 84 | 26 |
| Armodafinil | Armodafinil | 81 | 13 |
| Valsartan | Valsartan | 78 | 24 |
| Pantoprazole Sodium | Pantoprazole Sodium | 73 | 23 |
| Irbesartan | Irbesartan | 70 | 21 |
| Vascepa | Icosapent Ethyl | 67 | 21 |
| Dayvigo | Lemborexant | 65 | suppressed |
| Clonazepam | Clonazepam | 58 | 12 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 58 | suppressed |
| Synthroid | Levothyroxine Sodium | 50 | 11 |
| Montelukast Sodium | Montelukast Sodium | 49 | 17 |
| Farxiga | Dapagliflozin Propanediol | 48 | 15 |
| Doxepin Hcl | Doxepin Hcl | 46 | 12 |
| Jardiance | Empagliflozin | 45 | 12 |
| Modafinil | Modafinil | 42 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 42 | 11 |
| Bupropion Xl | Bupropion Hcl | 40 | 13 |
| Belsomra | Suvorexant | 39 | suppressed |
| Eszopiclone | Eszopiclone | 39 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 36 | suppressed |
| Pitavastatin Calcium | Pitavastatin Calcium | 31 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 30 | suppressed |
| Omeprazole | Omeprazole | 30 | suppressed |
| Alprazolam | Alprazolam | 29 | suppressed |
| Sunosi | Solriamfetol Hcl | 29 | suppressed |
| Meloxicam | Meloxicam | 27 | 12 |
| Lorazepam | Lorazepam | 26 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 25 | suppressed |
| Nexletol | Bempedoic Acid | 25 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 24 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 23 | 12 |
| Losartan Potassium | Losartan Potassium | 22 | suppressed |
| Quviviq | Daridorexant Hcl | 21 | suppressed |
| Rybelsus | Semaglutide | 20 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 19 | suppressed |
| Praluent Pen | Alirocumab | 19 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 19 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 17 | suppressed |
| Carvedilol | Carvedilol | 17 | suppressed |
| Fenofibrate | Fenofibrate | 17 | suppressed |
| Nexlizet | Bempedoic Acid/Ezetimibe | 17 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Repatha Pushtronex | Evolocumab | 14 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 14 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 11 | suppressed |
| Spironolactone | Spironolactone | 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 | $40,170.17 · 115 records | Axsome Therapeutics, Inc. | DreamStation Cpap, EVKEEZA, FREESTYLE LIBRE 3, INSPIRE, JARDIANCE, JUXTAPID, Kerendia, LEQVIO, LODOCO, LUNA, MOUNJARO, NEXLETOL, Ozempic, REPATHA, Rybelsus, Sunosi, TRYNGOLZA, WAKIX, Wegovy, XYWAV, ZEPBOUND | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Axsome Therapeutics, 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