Payment overview · 2025
General Payments
$36.16
2 reported records · 2 companies
Healthcare provider profile · identity verified
Rafael Gonzalez, M.D.
Allopathic & Osteopathic Physicians|General Practice · MIAMI, FL · NPI 1487608840
Verified facts
What the public records show
CMS Open Payments records show Rafael Gonzalez, M.D. received $36.16 in general payments during 2025 across 2 reported records.
180 Medical, Inc. accounted for 56.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| 180 Medical, Inc. | Unresolved — no canonical attribution shown | $20.44 | 56.5% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $15.72 | 43.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $36.16 | 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 |
|---|---|---|---|---|---|
| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $15.72 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 1391 | 203 |
| Folic Acid | Folic Acid | 970 | 118 |
| Losartan Potassium | Losartan Potassium | 877 | 162 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 848 | 211 |
| Atorvastatin Calcium | Atorvastatin Calcium | 790 | 216 |
| Levothyroxine Sodium | Levothyroxine Sodium | 691 | 99 |
| Temazepam | Temazepam | 636 | 105 |
| Metformin Hcl | Metformin Hcl | 573 | 101 |
| Famotidine | Famotidine | 562 | 86 |
| Escitalopram Oxalate | Escitalopram Oxalate | 531 | 91 |
| Amlodipine Besylate | Amlodipine Besylate | 504 | 85 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 499 | 103 |
| Omeprazole | Omeprazole | 496 | 81 |
| Tamsulosin Hcl | Tamsulosin Hcl | 471 | 86 |
| Clopidogrel | Clopidogrel Bisulfate | 466 | 72 |
| Montelukast Sodium | Montelukast Sodium | 457 | 77 |
| Glimepiride | Glimepiride | 444 | 72 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 428 | 66 |
| Ibandronate Sodium | Ibandronate Sodium | 411 | 63 |
| Alendronate Sodium | Alendronate Sodium | 410 | 62 |
| Pregabalin | Pregabalin | 399 | 53 |
| Memantine Hcl | Memantine Hcl | 365 | 69 |
| Mirtazapine | Mirtazapine | 355 | 55 |
| Carvedilol | Carvedilol | 348 | 55 |
| Sildenafil Citrate | Sildenafil Citrate | 340 | 46 |
| Lisinopril | Lisinopril | 339 | 71 |
| Pantoprazole Sodium | Pantoprazole Sodium | 338 | 66 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 313 | 40 |
| Metoprolol Succinate | Metoprolol Succinate | 308 | 55 |
| Hydrochlorothiazide | Hydrochlorothiazide | 298 | 52 |
| Fenofibrate | Fenofibrate | 273 | 55 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 272 | 64 |
| Synthroid | Levothyroxine Sodium | 265 | 25 |
| Clonazepam | Clonazepam | 261 | 32 |
| Lansoprazole | Lansoprazole | 246 | 31 |
| Hydralazine Hcl | Hydralazine Hcl | 229 | 30 |
| Irbesartan | Irbesartan | 228 | 39 |
| Alprazolam | Alprazolam | 217 | 41 |
| Metoprolol Tartrate | Metoprolol Tartrate | 216 | 34 |
| Torsemide | Torsemide | 201 | 41 |
| Sertraline Hcl | Sertraline Hcl | 200 | 34 |
| Chlordiazepoxide Hcl | Chlordiazepoxide Hcl | 199 | 32 |
| Donepezil Hcl | Donepezil Hcl | 197 | 38 |
| Tadalafil | Tadalafil | 189 | 30 |
| Fluticasone Propionate | Fluticasone Propionate | 188 | 51 |
| Ammonium Lactate | Ammonium Lactate | 183 | 52 |
| Nitroglycerin | Nitroglycerin | 181 | 41 |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 180 | 24 |
| Saxagliptin-Metformin Er | Saxagliptin Hcl/Metformin Hcl | 180 | 28 |
| Latanoprost | Latanoprost | 166 | 19 |
| Zolpidem Tartrate | Zolpidem Tartrate | 165 | 27 |
| Enalapril Maleate | Enalapril Maleate | 155 | 24 |
| Allopurinol | Allopurinol | 153 | 28 |
| Buspirone Hcl | Buspirone Hcl | 149 | 22 |
| Trazodone Hcl | Trazodone Hcl | 148 | 26 |
| Furosemide | Furosemide | 141 | 34 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 140 | 27 |
| Meclizine Hcl | Meclizine Hcl | 138 | 46 |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 138 | 67 |
| Eliquis | Apixaban | 137 | 19 |
| Solifenacin Succinate | Solifenacin Succinate | 137 | 24 |
| Trueplus Pen Needle | Pen Needle, Diabetic | 134 | 28 |
| Repaglinide | Repaglinide | 133 | 22 |
| Triazolam | Triazolam | 132 | 15 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 130 | 50 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 130 | 52 |
| Finasteride | Finasteride | 129 | 18 |
| Glipizide | Glipizide | 129 | 28 |
| Clonidine Hcl | Clonidine Hcl | 128 | 29 |
| Citalopram Hbr | Citalopram Hydrobromide | 127 | 24 |
| Dutasteride | Dutasteride | 127 | 20 |
| Saxagliptin Hcl | Saxagliptin Hcl | 117 | 17 |
| Meloxicam | Meloxicam | 116 | 47 |
| Duloxetine Hcl | Duloxetine Hcl | 114 | 21 |
| Benzonatate | Benzonatate | 112 | 85 |
| Bumetanide | Bumetanide | 110 | 29 |
| Entresto | Sacubitril/Valsartan | 106 | 13 |
| Nifedipine Er | Nifedipine | 106 | 22 |
| Levofloxacin | Levofloxacin | 102 | 75 |
| Azelastine Hcl | Azelastine Hcl | 100 | 27 |
| Ezetimibe | Ezetimibe | 100 | 19 |
| Oxybutynin Chloride | Oxybutynin Chloride | 99 | 15 |
| Azithromycin | Azithromycin | 96 | 76 |
| Pentoxifylline | Pentoxifylline | 96 | 14 |
| Tramadol Hcl | Tramadol Hcl | 94 | 29 |
| Humalog Kwikpen U-100 | Insulin Lispro | 93 | 16 |
| Pioglitazone Hcl | Pioglitazone Hcl | 93 | 18 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 91 | 15 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 84 | 56 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 82 | 14 |
| Ciclopirox | Ciclopirox | 80 | 19 |
| Cilostazol | Cilostazol | 77 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 76 | 21 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 74 | 39 |
| Cefdinir | Cefdinir | 73 | 65 |
| Fluoxetine Hcl | Fluoxetine Hcl | 65 | suppressed |
| Methocarbamol | Methocarbamol | 64 | 56 |
| Simvastatin | Simvastatin | 64 | 19 |
| Atenolol | Atenolol | 62 | 13 |
| Dicyclomine Hcl | Dicyclomine Hcl | 62 | 26 |
| Levetiracetam | Levetiracetam | 62 | suppressed |
| Ketoconazole | Ketoconazole | 59 | 21 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 57 | suppressed |
| Verapamil Er | Verapamil Hcl | 56 | suppressed |
| Gemfibrozil | Gemfibrozil | 54 | 13 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 54 | suppressed |
| Bupropion Xl | Bupropion Hcl | 53 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 53 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 52 | 44 |
| Candesartan Cilexetil | Candesartan Cilexetil | 51 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 50 | 38 |
| Paroxetine Hcl | Paroxetine Hcl | 49 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 49 | 11 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 48 | suppressed |
| Metolazone | Metolazone | 48 | 14 |
| Timolol Maleate | Timolol Maleate | 47 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 46 | 14 |
| Clobetasol Propionate | Clobetasol Propionate | 43 | 25 |
| Cyclosporine | Cyclosporine | 43 | 11 |
| Lorazepam | Lorazepam | 43 | suppressed |
| Febuxostat | Febuxostat | 42 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 39 | suppressed |
| Mupirocin | Mupirocin | 39 | 24 |
| Acetazolamide | Acetazolamide | 37 | suppressed |
| Ulticare Pen Needle | Pen Needle, Diabetic | 37 | 15 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 36 | suppressed |
| Lactulose | Lactulose | 36 | 29 |
| Bupropion Hcl Sr | Bupropion Hcl | 35 | suppressed |
| Etodolac | Etodolac | 35 | 20 |
| Lamotrigine | Lamotrigine | 35 | suppressed |
| Lumigan | Bimatoprost | 35 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 35 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 34 | suppressed |
| Chlorthalidone | Chlorthalidone | 34 | suppressed |
| Amoxicillin | Amoxicillin | 33 | 19 |
| Ibuprofen | Ibuprofen | 31 | 21 |
| Acyclovir | Acyclovir | 30 | 17 |
| Ondansetron Odt | Ondansetron | 30 | suppressed |
| Valsartan | Valsartan | 30 | suppressed |
| Bicalutamide | Bicalutamide | 29 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 29 | 27 |
| Pravastatin Sodium | Pravastatin Sodium | 29 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 28 | suppressed |
| Baclofen | Baclofen | 27 | 18 |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 27 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 26 | suppressed |
| Calcitriol | Calcitriol | 26 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 26 | suppressed |
| Brilinta | Ticagrelor | 25 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 25 | 15 |
| Novolog Flexpen | Insulin Aspart | 25 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 25 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 24 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 24 | 15 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 24 | suppressed |
| Prednisone | Prednisone | 24 | 17 |
| Clorazepate Dipotassium | Clorazepate Dipotassium | 23 | suppressed |
| Metronidazole | Metronidazole | 23 | 18 |
| Terazosin Hcl | Terazosin Hcl | 23 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 22 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 22 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 22 | suppressed |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 21 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 21 | 18 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 18 |
| Sucralfate | Sucralfate | 21 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 19 | suppressed |
| Prednisolone Acetate | Prednisolone Acetate | 19 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 18 | suppressed |
| Atropine Sulfate | Atropine Sulfate | 18 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 18 | suppressed |
| Ranolazine Er | Ranolazine | 18 | suppressed |
| Sod Sulf-Potass Sulf-Mag Sulf | Sodium, Potassium,mag Sulfates | 18 | 17 |
| Verapamil Hcl | Verapamil Hcl | 18 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 17 | suppressed |
| Hydrocortisone | Hydrocortisone | 17 | suppressed |
| Methotrexate | Methotrexate Sodium | 17 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 17 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 17 | suppressed |
| Anastrozole | Anastrozole | 16 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 16 | suppressed |
| Neomycin-Polymyxin-Hc | Neomycin/Polymyxin B/Hydrocort | 16 | 15 |
| Testosterone | Testosterone | 16 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 16 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 15 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 15 | suppressed |
| Dutasteride-Tamsulosin | Dutasteride/Tamsulosin Hcl | 14 | suppressed |
| Galantamine Hbr | Galantamine Hbr | 14 | suppressed |
| Spironolactone | Spironolactone | 14 | suppressed |
| Tradjenta | Linagliptin | 14 | suppressed |
| Xarelto | Rivaroxaban | 14 | suppressed |
| Eligard | Leuprolide Acetate | 13 | suppressed |
| Glipizide Er | Glipizide | 13 | suppressed |
| Nadolol | Nadolol | 13 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 13 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 13 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 11 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 11 | suppressed |
| Permethrin | Permethrin | 11 | suppressed |
| Sps | Sodium Polystyrene Sulfon/Sorb | 11 | suppressed |
| Tricor | Fenofibrate Nanocrystallized | 11 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 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 | $36.16 · 2 records | 180 Medical, Inc. | XIFAXAN | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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