Payment overview · 2025
General Payments
$1,097.86
64 reported records · 14 companies
Healthcare provider profile · identity verified
Michael R Macadams, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · LUBBOCK, TX · NPI 1477611044
Verified facts
What the public records show
CMS Open Payments records show Michael R Macadams, M.D. received $1,097.86 in general payments during 2025 across 64 reported records.
Novo Nordisk Inc accounted for 22.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Mounjaro, Ozempic.
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 215 claims for Jardiance 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 185 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 127 claims for Trulicity 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 362 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $243.72 | 22.2% | 17 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $190.64 | 17.4% | 20 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $174.55 | 15.9% | 9 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $104.59 | 9.5% | 3 | 2025 |
| Sequel Med Tech, LLC | Unresolved — no canonical attribution shown | $82.48 | 7.5% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $71.87 | 6.5% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $59.46 | 5.4% | 3 | 2025 |
| Tandem Diabetes Care, Inc. | Unresolved — no canonical attribution shown | $35.25 | 3.2% | 2 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $30.63 | 2.8% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $25.65 | 2.3% | 1 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $21.79 | 2.0% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$20.65 | 1.9% | 1 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $18.94 | 1.7% | 1 | 2025 |
| Ascendis Pharma Endocrinology Inc | Unresolved — no canonical attribution shown | $17.64 | 1.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,012.86 | 62 |
| Education | $85.00 | 2 |
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 |
|---|---|---|---|---|---|
| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $190.64 | 20 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $174.55 | 9 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $133.49 | 9 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $110.23 | 8 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $110.23 | 8 | 2025 |
Source payment records
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $104.59 | 3 | 2025 |
Source payment records
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| TWIIST Normalized: twiist |
Device | Sequel Med Tech, LLC | $82.48 | 1 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $54.41 | 2 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $39.60 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $39.60 | 2 | 2025 |
Source payment records
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| t:slim X2 Insulin Pump with Control-IQ Normalized: t slim x2 insulin pump with control iq |
Device | Tandem Diabetes Care, Inc. | $35.25 | 2 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $30.63 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $25.65 | 1 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $21.79 | 1 | 2025 |
Source payment records
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| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $20.65 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $19.86 | 1 | 2025 |
Source payment records
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| Tymlos Normalized: tymlos |
Drug | Radius Health, Inc. | $18.94 | 1 | 2025 |
Source payment records
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| Yorvipath Normalized: yorvipath |
Drug | Ascendis Pharma Endocrinology Inc | $17.64 | 1 | 2025 |
Source payment records
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| Repatha Normalized: repatha |
Biological | Amgen Inc. | $17.46 | 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 | 215 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 185 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 362 | 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 |
|---|---|---|---|---|---|---|
| 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 |
215 | 57 |
| 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 |
185 | 40 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
127 | 27 |
| 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 |
362 | 82 |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 1436 | 339 |
| Metformin Hcl | Metformin Hcl | 509 | 160 |
| Ozempic | Semaglutide | 362 | 82 |
| Glipizide | Glipizide | 265 | 81 |
| Synthroid | Levothyroxine Sodium | 264 | 60 |
| Glimepiride | Glimepiride | 255 | 70 |
| Jardiance | Empagliflozin | 215 | 57 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 195 | 66 |
| Mounjaro | Tirzepatide | 185 | 40 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 184 | 52 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 167 | 78 |
| Atorvastatin Calcium | Atorvastatin Calcium | 153 | 45 |
| Amlodipine Besylate | Amlodipine Besylate | 149 | 47 |
| Januvia | Sitagliptin Phosphate | 149 | 40 |
| Methimazole | Methimazole | 149 | 51 |
| Humalog Kwikpen U-100 | Insulin Lispro | 143 | 48 |
| Lisinopril | Lisinopril | 127 | 44 |
| Trulicity | Dulaglutide | 127 | 27 |
| Alendronate Sodium | Alendronate Sodium | 123 | 27 |
| Tresiba Flextouch U-200 | Insulin Degludec | 113 | 35 |
| Gabapentin | Gabapentin | 103 | 31 |
| Novolog Flexpen | Insulin Aspart | 100 | 38 |
| Losartan Potassium | Losartan Potassium | 99 | 33 |
| Ezetimibe | Ezetimibe | 93 | 24 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 80 | 21 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 74 | 20 |
| Hydrocortisone | Hydrocortisone | 71 | 20 |
| Novolin N | Insulin Nph Human Isophane | 71 | 18 |
| Simvastatin | Simvastatin | 71 | 23 |
| Humulin N Kwikpen | Insulin Nph Human Isophane | 66 | 24 |
| Allopurinol | Allopurinol | 64 | 20 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 64 | 25 |
| Humalog | Insulin Lispro | 63 | 16 |
| Farxiga | Dapagliflozin Propanediol | 60 | 18 |
| Calcitriol | Calcitriol | 56 | 13 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 55 | 18 |
| Metformin Hcl Er | Metformin Hcl | 54 | 11 |
| Fenofibrate | Fenofibrate | 53 | 14 |
| Furosemide | Furosemide | 51 | 15 |
| Ibandronate Sodium | Ibandronate Sodium | 48 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 43 | 11 |
| Novolog | Insulin Aspart | 42 | 13 |
| Pioglitazone Hcl | Pioglitazone Hcl | 41 | 16 |
| Lyumjev Kwikpen U-100 | Insulin Lispro-Aabc | 39 | 14 |
| Potassium Chloride | Potassium Chloride | 39 | 13 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 39 | 21 |
| Cabergoline | Cabergoline | 38 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 37 | 11 |
| Droplet Pen Needle | Pen Needle, Diabetic | 36 | 11 |
| Cinacalcet Hcl | Cinacalcet Hcl | 30 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 30 | suppressed |
| Pregabalin | Pregabalin | 30 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 29 | 26 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 28 | suppressed |
| Spironolactone | Spironolactone | 28 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 28 | 13 |
| Tradjenta | Linagliptin | 27 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 27 | 11 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 26 | 15 |
| Omeprazole | Omeprazole | 26 | 11 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 25 | 14 |
| Nateglinide | Nateglinide | 24 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 23 | suppressed |
| Prednisone | Prednisone | 23 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 21 | suppressed |
| Glipizide-Metformin | Glipizide/Metformin Hcl | 21 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 21 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 19 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 19 | 12 |
| Levemir Flexpen | Insulin Detemir | 19 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 19 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 19 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 19 | suppressed |
| Veo Insulin Syringe | Syringe And Needle,insulin,1ml | 19 | suppressed |
| Glyburide | Glyburide | 18 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 18 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 17 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 17 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 17 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Novolin N Flexpen | Insulin Nph Human Isophane | 16 | suppressed |
| Indapamide | Indapamide | 15 | suppressed |
| Victoza 3-Pak | Liraglutide | 15 | suppressed |
| Comfort Ez Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Glyburide-Metformin Hcl | Glyburide/Metformin Hcl | 14 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 14 | suppressed |
| Cephalexin | Cephalexin | 13 | suppressed |
| Glipizide Er | Glipizide | 13 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 13 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 13 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 12 | suppressed |
| Alcohol Pads | Alcohol Antiseptic Pads | 11 | suppressed |
| Atenolol | Atenolol | 11 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 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 | $1,097.86 · 64 records | Novo Nordisk Inc | AFREZZA, Dexcom G6 Transmitter, FREESTYLE LIBRE 3, JARDIANCE, Kerendia, Korlym, MINIMED 780G, MOUNJARO, Ozempic, REZDIFFRA, Repatha, Rybelsus, TEPEZZA, TWIIST, Tymlos, Wegovy, Yorvipath, ZEPBOUND, t:slim X2 Insulin Pump with Control-IQ | 4 | — |
| 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 Lilly USA, LLC?
- 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