Payment overview · 2025
General Payments
$227.65
5 reported records · 3 companies
Healthcare provider profile · identity verified
Alex M Arce, D.O.
Allopathic & Osteopathic Physicians|Family Medicine · JACKSONVILLE, FL · NPI 1487061271
Verified facts
What the public records show
CMS Open Payments records show Alex M Arce, D.O. received $227.65 in general payments during 2025 across 5 reported records.
Organogenesis Inc. accounted for 47.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 146 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 24 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 |
|---|---|---|---|---|---|
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $107.15 | 47.1% | 1 | 2025 |
| Kerecis Limited | Unresolved — no canonical attribution shown | $90.17 | 39.6% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $30.33 | 13.3% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $227.65 | 5 |
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 |
|---|---|---|---|---|---|
| AFFINITY Normalized: affinity |
Medical Supply | Organogenesis Inc. | $107.15 | 1 | 2025 |
Source payment records
|
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| Kerecis GraftGuide Normalized: kerecis graftguide |
Device | Kerecis Limited | $90.17 | 2 | 2025 |
Source payment records
|
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| Kerecis SurgiClose Normalized: kerecis surgiclose |
Device | Kerecis Limited | $90.17 | 2 | 2025 |
Source payment records
|
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $15.44 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 146 | 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 |
|---|---|---|---|---|---|---|
| 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 |
146 | 32 |
| 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 |
24 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 318 | 102 |
| Amlodipine Besylate | Amlodipine Besylate | 207 | 67 |
| Levothyroxine Sodium | Levothyroxine Sodium | 201 | 57 |
| Fluticasone Propionate | Fluticasone Propionate | 196 | 65 |
| Omeprazole | Omeprazole | 193 | 66 |
| Lisinopril | Lisinopril | 184 | 58 |
| Gabapentin | Gabapentin | 146 | 49 |
| Ozempic | Semaglutide | 146 | 32 |
| Losartan Potassium | Losartan Potassium | 145 | 43 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 141 | 50 |
| Carvedilol | Carvedilol | 122 | 41 |
| Montelukast Sodium | Montelukast Sodium | 111 | 31 |
| Tramadol Hcl | Tramadol Hcl | 108 | 39 |
| Jardiance | Empagliflozin | 106 | 30 |
| Metoprolol Succinate | Metoprolol Succinate | 105 | 35 |
| Trazodone Hcl | Trazodone Hcl | 104 | 31 |
| Furosemide | Furosemide | 98 | 42 |
| Pregabalin | Pregabalin | 98 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 91 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 88 | 28 |
| Hydrochlorothiazide | Hydrochlorothiazide | 88 | 34 |
| Donepezil Hcl | Donepezil Hcl | 87 | 28 |
| Metformin Hcl | Metformin Hcl | 80 | 30 |
| Azithromycin | Azithromycin | 78 | 61 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 77 | 30 |
| Tamsulosin Hcl | Tamsulosin Hcl | 74 | 28 |
| Famotidine | Famotidine | 63 | 21 |
| Ibuprofen | Ibuprofen | 61 | 24 |
| Meloxicam | Meloxicam | 61 | 23 |
| Allopurinol | Allopurinol | 59 | 19 |
| Buspirone Hcl | Buspirone Hcl | 59 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 58 | 23 |
| Alendronate Sodium | Alendronate Sodium | 56 | 18 |
| Eliquis | Apixaban | 56 | 24 |
| Sertraline Hcl | Sertraline Hcl | 56 | 20 |
| Oxycodone Hcl | Oxycodone Hcl | 55 | 11 |
| Bupropion Xl | Bupropion Hcl | 54 | 15 |
| Linzess | Linaclotide | 53 | 19 |
| Myrbetriq | Mirabegron | 52 | 16 |
| Simvastatin | Simvastatin | 52 | 15 |
| Nifedipine Er | Nifedipine | 51 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 50 | 18 |
| Pioglitazone Hcl | Pioglitazone Hcl | 49 | 18 |
| Sucralfate | Sucralfate | 49 | 19 |
| Alprazolam | Alprazolam | 46 | 15 |
| Bupropion Hcl Sr | Bupropion Hcl | 46 | 16 |
| Mirtazapine | Mirtazapine | 46 | 20 |
| Clopidogrel | Clopidogrel Bisulfate | 45 | 17 |
| Ondansetron Odt | Ondansetron | 45 | 22 |
| Valsartan | Valsartan | 43 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 42 | 33 |
| Metoprolol Tartrate | Metoprolol Tartrate | 42 | 12 |
| Mounjaro | Tirzepatide | 41 | suppressed |
| Fluconazole | Fluconazole | 40 | 22 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 40 | 16 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 38 | 12 |
| Farxiga | Dapagliflozin Propanediol | 36 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 36 | 12 |
| Prednisone | Prednisone | 36 | 33 |
| Dicyclomine Hcl | Dicyclomine Hcl | 34 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 34 | 14 |
| Azelastine Hcl | Azelastine Hcl | 33 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 33 | 13 |
| Ropinirole Hcl | Ropinirole Hcl | 33 | suppressed |
| Spironolactone | Spironolactone | 33 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 33 | 18 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 32 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 31 | suppressed |
| Topiramate | Topiramate | 31 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 30 | 12 |
| Methylprednisolone | Methylprednisolone | 30 | 29 |
| Potassium Chloride | Potassium Chloride | 30 | 12 |
| Quetiapine Fumarate | Quetiapine Fumarate | 30 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 30 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 29 | 14 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 28 |
| Clonazepam | Clonazepam | 29 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 29 | 11 |
| Lorazepam | Lorazepam | 28 | suppressed |
| Repatha Sureclick | Evolocumab | 28 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 27 | 13 |
| Celecoxib | Celecoxib | 26 | 13 |
| Meclizine Hcl | Meclizine Hcl | 26 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 26 | suppressed |
| Boostrix Tdap | Diphth,pertuss(Acell),tet Vac | 25 | 24 |
| Oxybutynin Chloride | Oxybutynin Chloride | 25 | 11 |
| Bumetanide | Bumetanide | 24 | suppressed |
| Rybelsus | Semaglutide | 24 | suppressed |
| Ketoconazole | Ketoconazole | 23 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 23 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 23 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 22 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 22 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 21 | suppressed |
| Baclofen | Baclofen | 20 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 20 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 20 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 20 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 14 |
| Estradiol | Estradiol | 19 | suppressed |
| Ezetimibe | Ezetimibe | 19 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 19 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 19 | suppressed |
| Trulicity | Dulaglutide | 19 | suppressed |
| Diazepam | Diazepam | 18 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Methocarbamol | Methocarbamol | 18 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 18 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 17 | suppressed |
| Finasteride | Finasteride | 16 | suppressed |
| Lamotrigine | Lamotrigine | 16 | suppressed |
| Levetiracetam | Levetiracetam | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 15 | suppressed |
| Januvia | Sitagliptin Phosphate | 15 | suppressed |
| Lisdexamfetamine Dimesylate | Lisdexamfetamine Dimesylate | 15 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 15 | suppressed |
| Methimazole | Methimazole | 15 | suppressed |
| Mupirocin | Mupirocin | 15 | 13 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 14 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 14 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 13 | suppressed |
| Lovastatin | Lovastatin | 13 | suppressed |
| Naproxen | Naproxen | 13 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 13 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 12 | suppressed |
| Atenolol | Atenolol | 12 | suppressed |
| Entresto | Sacubitril/Valsartan | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 12 | 12 |
| Premarin | Estrogens, Conjugated | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | 11 |
| Cefdinir | Cefdinir | 11 | 11 |
| Creon | Lipase/Protease/Amylase | 11 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 11 | suppressed |
| Eszopiclone | Eszopiclone | 11 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 11 | suppressed |
| Synthroid | Levothyroxine Sodium | 11 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 11 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 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 | $227.65 · 5 records | Organogenesis Inc. | AFFINITY, Kerecis GraftGuide, Kerecis SurgiClose, Ozempic | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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