Payment overview · 2025
General Payments
$875.92
34 reported records · 16 companies
Healthcare provider profile · identity verified
Alexander M Culbreth, MD
Allopathic & Osteopathic Physicians|Obstetrics & Gynecology · VALDOSTA, GA · NPI 1447336185
Verified facts
What the public records show
CMS Open Payments records show Alexander M Culbreth, MD received $875.92 in general payments during 2025 across 34 reported records.
Astellas Pharma US Inc accounted for 17.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 22 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Gemtesa, Veozah.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Myrbetriq by this doctor in 2024.
Astellas Pharma US 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 Veozah as an associated drug or biological on 82795 records involving 35863 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Veozah 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 19 claims for Mounjaro by this doctor in 2024.
Sumitomo Pharma America, 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 GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Gemtesa 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 |
|---|---|---|---|---|---|
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $155.57 | 17.8% | 7 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $139.51 | 15.9% | 3 | 2025 |
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $120.79 | 13.8% | 3 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $55.83 | 6.4% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $49.26 | 5.6% | 3 | 2025 |
| Cepheid | Unresolved — no canonical attribution shown | $45.30 | 5.2% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $41.70 | 4.8% | 2 | 2025 |
| INTUITIVE SURGICAL, INC. | Unresolved — no canonical attribution shown | $38.69 | 4.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $34.58 | 4.0% | 2 | 2025 |
| MAYNE PHARMA COMMERCIAL LLC | Unresolved — no canonical attribution shown | $34.46 | 3.9% | 2 | 2025 |
| Sage Therapeutics, LLC | Unresolved — no canonical attribution shown | $34.05 | 3.9% | 1 | 2025 |
| MILLICENT US INC | Unresolved — no canonical attribution shown | $29.94 | 3.4% | 2 | 2025 |
| Pacira Pharmaceuticals Incorporated | Unresolved — no canonical attribution shown | $29.33 | 3.4% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $26.56 | 3.0% | 1 | 2025 |
| SANOFI PASTEUR INC. | Unresolved — no canonical attribution shown | $22.79 | 2.6% | 1 | 2025 |
| OptumHealth Care Solutions, LLC | Unresolved — no canonical attribution shown | $17.56 | 2.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $875.92 | 34 |
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 |
|---|---|---|---|---|---|
| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $155.57 | 7 | 2025 |
Source payment records
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| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $120.79 | 3 | 2025 |
Source payment records
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| MYFEMBREE Normalized: myfembree |
Drug | Sumitomo Pharma America, Inc. | $119.21 | 2 | 2025 |
Source payment records
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| LILETTA Normalized: liletta |
Drug | ABBVIE INC. | $55.83 | 3 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $49.26 | 3 | 2025 |
Source payment records
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| GeneXpert Normalized: genexpert |
Device | Cepheid | $45.30 | 1 | 2025 |
Source payment records
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| Mirena Normalized: mirena |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $41.70 | 2 | 2025 |
Source payment records
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| Da Vinci Surgical System Normalized: da vinci surgical system |
Device | INTUITIVE SURGICAL, INC. | $38.69 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $34.58 | 2 | 2025 |
Source payment records
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| ZURZUVAE Normalized: zurzuvae |
Drug | Sage Therapeutics, LLC | $34.05 | 1 | 2025 |
Source payment records
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| Exparel Normalized: exparel |
Drug | Pacira Pharmaceuticals Incorporated | $29.33 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $26.56 | 1 | 2025 |
Source payment records
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| BEYFORTUS Normalized: beyfortus |
Biological | SANOFI PASTEUR INC. | $22.79 | 1 | 2025 |
Source payment records
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| Lynkuet Normalized: lynkuet |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $21.13 | 1 | 2025 |
Source payment records
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| Kyleena Normalized: kyleena |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $20.57 | 1 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $20.30 | 1 | 2025 |
Source payment records
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| EITAN MEDICAL Normalized: eitan medical |
Device | OptumHealth Care Solutions, LLC | $17.56 | 1 | 2025 |
Source payment records
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| VIVIFY HEALTH CARE TEAM PORTAL 001 Normalized: vivify health care team portal 001 |
Device | OptumHealth Care Solutions, LLC | $17.56 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $16.06 | 1 | 2025 |
Source payment records
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| FEMRING Normalized: femring |
Drug | MILLICENT US INC | $15.63 | 1 | 2025 |
Source payment records
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| INTRAROSA Normalized: intrarosa |
Drug | MILLICENT US INC | $15.63 | 1 | 2025 |
Source payment records
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| FEMLYV Normalized: femlyv |
Drug | MILLICENT US INC | $14.31 | 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 |
|---|---|---|---|---|---|---|
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 23 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Veozah veozah |
2025 | Veozah | 2024 | 12 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 |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
39 | suppressed by CMS |
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Veozah open payments reported associated product |
CMS Open Payments — General Payments 82795 supporting records · 35863 recipient NPIs · example record 1238560678 |
Veozah · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| 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 |
19 | suppressed by CMS |
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Estradiol | Estradiol | 226 | 76 |
| Raloxifene Hcl | Raloxifene Hcl | 162 | 38 |
| Ibandronate Sodium | Ibandronate Sodium | 103 | 30 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 47 | 16 |
| Valacyclovir | Valacyclovir Hcl | 46 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 43 | 11 |
| Premarin | Estrogens, Conjugated | 43 | 15 |
| Myrbetriq | Mirabegron | 39 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 37 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 35 | suppressed |
| Fluconazole | Fluconazole | 31 | 26 |
| Osphena | Ospemifene | 30 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 27 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 24 | suppressed |
| Cephalexin | Cephalexin | 23 | 23 |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | suppressed |
| Gemtesa | Vibegron | 23 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 22 | 18 |
| Terconazole | Terconazole | 22 | 18 |
| Solifenacin Succinate | Solifenacin Succinate | 20 | suppressed |
| Bupropion Xl | Bupropion Hcl | 19 | suppressed |
| Mounjaro | Tirzepatide | 19 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 19 | suppressed |
| Dotti | Estradiol | 18 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 18 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 18 | 13 |
| Clobetasol Propionate | Clobetasol Propionate | 17 | 12 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 17 | 17 |
| Alendronate Sodium | Alendronate Sodium | 15 | suppressed |
| Estradiol (Twice Weekly) | Estradiol | 15 | suppressed |
| Ondansetron Odt | Ondansetron | 15 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 14 | suppressed |
| Metronidazole | Metronidazole | 14 | 13 |
| Glycopyrrolate | Glycopyrrolate | 13 | suppressed |
| Nystatin-Triamcinolone | Nystatin/Triamcinolone Acet | 13 | suppressed |
| Azithromycin | Azithromycin | 12 | suppressed |
| Veozah | Fezolinetant | 12 | suppressed |
| Celecoxib | Celecoxib | 11 | suppressed |
| Simvastatin | Simvastatin | 11 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 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 | $875.92 · 34 records | Astellas Pharma US Inc | ACCRUFER, BEYFORTUS, Da Vinci Surgical System, EITAN MEDICAL, EVENITY, Exparel, FEMLYV, FEMRING, GEMTESA, GeneXpert, INTRAROSA, Kyleena, LILETTA, Lynkuet, MYFEMBREE, Mirena, PROLIA, VIVIFY HEALTH CARE TEAM PORTAL 001, Veozah, Wegovy, ZEPBOUND, ZURZUVAE | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Gemtesa play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US 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