Payment overview · 2025
General Payments
18 reported records · 6 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology · SPOKANE, WA · NPI 1457364770
Verified facts
CMS Open Payments records show David Bragin-Sanchez, MD received $15,469.10 in general payments during 2025 across 18 reported records.
BridgeBio Pharma, Inc. accounted for 98.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Farxiga, Jardiance.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 199 claims for Farxiga 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 157 claims for Jardiance by this doctor in 2024.
Merck Sharp & Dohme 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 Adempas as an associated drug or biological on 14 records involving 2 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Adempas 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 199 claims for Eliquis 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 VYNDAMAX as an associated drug or biological on 1880 records involving 1527 distinct recipient NPIs. Public Medicare Part D data also shows 95 claims for Vyndamax 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 VYNDAQEL as an associated drug or biological on 31283 records involving 13357 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Vyndaqel by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
18 reported records · 6 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $15,224.31 | 98.4% | 11 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $126.72 | 0.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $52.46 | 0.3% | 3 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $25.93 | 0.2% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $25.61 | 0.2% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $14.07 | 0.1% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $14,272.50 | 6 |
| Travel and Lodging | $694.76 | 3 |
| Food and Beverage | $501.84 | 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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $15,224.31 | 11 | 2025 |
Source payment records
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| CARDIOMEMS Normalized: cardiomems |
Device | Abbott Laboratories | $126.72 | 1 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $35.48 | 2 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $25.93 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $25.61 | 1 | 2025 |
Source payment records
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| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP | $16.98 | 1 | 2025 |
Source payment records
|
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| WINREVAIR Normalized: winrevair |
Biological | Merck Sharp & Dohme LLC | $14.07 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 199 | exact normalized | Medicare Part D |
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 199 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 157 | 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
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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
199 | 54 |
| 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 |
157 | 42 |
| Merck Sharp & Dohme LLC Exact reporting entity; no affiliate inference |
2025 | Adempas open payments reported associated product |
CMS Open Payments — General Payments 14 supporting records · 2 recipient NPIs · example record 1237996458 |
Adempas · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| 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 |
199 | 50 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | VYNDAMAX open payments reported associated product |
CMS Open Payments — General Payments 1880 supporting records · 1527 recipient NPIs · example record 1228795749 |
Vyndamax · 2024 Exact normalized brand match · 1 Part D row |
95 | 13 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | VYNDAQEL open payments reported associated product |
CMS Open Payments — General Payments 31283 supporting records · 13357 recipient NPIs · example record 1228794133 |
Vyndaqel · 2024 Exact normalized brand match · 1 Part D row |
13 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Spironolactone | Spironolactone | 439 | 143 |
| Metoprolol Succinate | Metoprolol Succinate | 404 | 132 |
| Carvedilol | Carvedilol | 331 | 98 |
| Entresto | Sacubitril/Valsartan | 281 | 79 |
| Furosemide | Furosemide | 237 | 80 |
| Atorvastatin Calcium | Atorvastatin Calcium | 213 | 64 |
| Eliquis | Apixaban | 199 | 50 |
| Farxiga | Dapagliflozin Propanediol | 199 | 54 |
| Torsemide | Torsemide | 198 | 74 |
| Lisinopril | Lisinopril | 167 | 58 |
| Jardiance | Empagliflozin | 157 | 42 |
| Eplerenone | Eplerenone | 140 | 46 |
| Losartan Potassium | Losartan Potassium | 133 | 40 |
| Digoxin | Digoxin | 124 | 36 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 122 | 28 |
| Potassium Chloride | Potassium Chloride | 116 | 35 |
| Xarelto | Rivaroxaban | 116 | 31 |
| Ezetimibe | Ezetimibe | 115 | 29 |
| Vyndamax | Tafamidis | 95 | 13 |
| Candesartan Cilexetil | Candesartan Cilexetil | 94 | 29 |
| Amlodipine Besylate | Amlodipine Besylate | 72 | 21 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 56 | 15 |
| Valsartan | Valsartan | 54 | 16 |
| Hydralazine Hcl | Hydralazine Hcl | 53 | 14 |
| Clopidogrel | Clopidogrel Bisulfate | 52 | 18 |
| Bumetanide | Bumetanide | 49 | 16 |
| Opsumit | Macitentan | 49 | suppressed |
| Irbesartan | Irbesartan | 45 | suppressed |
| Tadalafil | Tadalafil | 37 | suppressed |
| Ranolazine Er | Ranolazine | 36 | suppressed |
| Nitroglycerin | Nitroglycerin | 33 | 29 |
| Acetazolamide | Acetazolamide | 24 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 24 | suppressed |
| Simvastatin | Simvastatin | 22 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 19 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 18 | suppressed |
| Dilt-Xr | Diltiazem Hcl | 17 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 16 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 15 | suppressed |
| Lovastatin | Lovastatin | 15 | suppressed |
| Vyndaqel | Tafamidis Meglumine | 13 | suppressed |
| Vascepa | Icosapent Ethyl | 12 | suppressed |
| Adempas | Riociguat | 11 | suppressed |
Timeline
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 | $15,469.10 · 18 records | BridgeBio Pharma, Inc. | Attruby, CARDIOMEMS, ELIQUIS, FARXIGA, JARDIANCE, WAINUA, WINREVAIR | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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