Payment overview · 2025
General Payments
$264.17
14 reported records · 5 companies
Healthcare provider profile · identity verified
Esther Smith, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · KAILUA KONA, HI · NPI 1487829081
Verified facts
What the public records show
CMS Open Payments records show Esther Smith, M.D. received $264.17 in general payments during 2025 across 14 reported records.
Amgen Inc. accounted for 57.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 8 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic, Vraylar.
ABBVIE 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 ARMOUR THYROID as an associated drug or biological on 50 records involving 11 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Armour Thyroid by this doctor in 2024.
ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 35 claims for Synthroid by this doctor in 2024.
ABBVIE 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 VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Vraylar 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 104 claims for Ozempic 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 97 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Paxlovid 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 |
|---|---|---|---|---|---|
| Amgen Inc. | Unresolved — no canonical attribution shown | $150.44 | 57.0% | 9 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $44.61 | 16.9% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $28.39 | 10.8% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $26.88 | 10.2% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $13.85 | 5.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $264.17 | 14 |
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 |
|---|---|---|---|---|---|
| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $102.21 | 7 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $102.21 | 7 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $48.23 | 2 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $44.61 | 2 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $28.39 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $26.88 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $13.85 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $13.85 | 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 | 104 | exact normalized | Medicare Part D |
| VRAYLAR vraylar |
2025 | Vraylar | 2024 | 15 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | ARMOUR THYROID open payments reported associated product |
CMS Open Payments — General Payments 50 supporting records · 11 recipient NPIs · example record 1201517088 |
Armour Thyroid · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
35 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | VRAYLAR open payments reported associated product |
CMS Open Payments — General Payments 377741 supporting records · 62704 recipient NPIs · example record 1201352550 |
Vraylar · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| 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 |
104 | 18 |
| 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 |
97 | 22 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
13 | 12 |
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 | 362 | 101 |
| Levothyroxine Sodium | Levothyroxine Sodium | 298 | 76 |
| Amlodipine Besylate | Amlodipine Besylate | 267 | 81 |
| Losartan Potassium | Losartan Potassium | 266 | 74 |
| Lisinopril | Lisinopril | 247 | 70 |
| Metformin Hcl | Metformin Hcl | 179 | 57 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 177 | 52 |
| Hydrochlorothiazide | Hydrochlorothiazide | 172 | 50 |
| Tamsulosin Hcl | Tamsulosin Hcl | 151 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 146 | 41 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 127 | 22 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 111 | 42 |
| Celecoxib | Celecoxib | 110 | 36 |
| Ozempic | Semaglutide | 104 | 18 |
| Omeprazole | Omeprazole | 103 | 36 |
| Allopurinol | Allopurinol | 98 | 26 |
| Eliquis | Apixaban | 97 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 94 | 28 |
| Oxycodone Hcl | Oxycodone Hcl | 92 | 20 |
| Trulicity | Dulaglutide | 86 | 15 |
| Fluticasone Propionate | Fluticasone Propionate | 82 | 39 |
| Bupropion Xl | Bupropion Hcl | 77 | 18 |
| Alprazolam | Alprazolam | 74 | 23 |
| Carvedilol | Carvedilol | 74 | 23 |
| Estradiol | Estradiol | 74 | 24 |
| Furosemide | Furosemide | 74 | 26 |
| Jardiance | Empagliflozin | 73 | 19 |
| Pantoprazole Sodium | Pantoprazole Sodium | 70 | 19 |
| Progesterone | Progesterone, Micronized | 64 | 18 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 63 | 17 |
| Meloxicam | Meloxicam | 59 | 12 |
| Lorazepam | Lorazepam | 55 | 20 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 54 | suppressed |
| Finasteride | Finasteride | 54 | 20 |
| Zolpidem Tartrate | Zolpidem Tartrate | 54 | 20 |
| Prednisone | Prednisone | 52 | 25 |
| Clopidogrel | Clopidogrel Bisulfate | 50 | 15 |
| Liothyronine Sodium | Liothyronine Sodium | 50 | 12 |
| Simvastatin | Simvastatin | 50 | 18 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 47 | 28 |
| Duloxetine Hcl | Duloxetine Hcl | 44 | 15 |
| Trazodone Hcl | Trazodone Hcl | 44 | 19 |
| Diazepam | Diazepam | 43 | 11 |
| Doxycycline Hyclate | Doxycycline Hyclate | 43 | 26 |
| Tramadol Hcl | Tramadol Hcl | 43 | 18 |
| Xarelto | Rivaroxaban | 42 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 41 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 41 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 40 | 12 |
| Gabapentin | Gabapentin | 39 | 17 |
| Mupirocin | Mupirocin | 39 | 27 |
| Potassium Chloride | Potassium Chloride | 39 | 13 |
| Januvia | Sitagliptin Phosphate | 38 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 38 | 13 |
| Sertraline Hcl | Sertraline Hcl | 37 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 36 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 35 | 27 |
| Synthroid | Levothyroxine Sodium | 35 | suppressed |
| Famotidine | Famotidine | 34 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 34 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 33 | suppressed |
| Ibuprofen | Ibuprofen | 32 | 15 |
| Lovastatin | Lovastatin | 31 | suppressed |
| Atenolol | Atenolol | 30 | suppressed |
| Ezetimibe | Ezetimibe | 30 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 30 | 12 |
| Pravastatin Sodium | Pravastatin Sodium | 28 | suppressed |
| Valsartan | Valsartan | 28 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 27 | suppressed |
| Fluconazole | Fluconazole | 27 | 21 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 25 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 23 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 23 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 23 | 13 |
| Azithromycin | Azithromycin | 22 | 17 |
| Spironolactone | Spironolactone | 22 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 22 | 18 |
| Clonidine Hcl | Clonidine Hcl | 21 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 21 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 16 |
| Novolog Flexpen | Insulin Aspart | 21 | suppressed |
| Baclofen | Baclofen | 20 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 20 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 20 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 19 | suppressed |
| Topiramate | Topiramate | 19 | suppressed |
| Colchicine | Colchicine | 18 | 11 |
| Meclizine Hcl | Meclizine Hcl | 18 | suppressed |
| Amoxicillin | Amoxicillin | 17 | 15 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 17 | suppressed |
| Febuxostat | Febuxostat | 17 | suppressed |
| Glipizide | Glipizide | 17 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Novolog | Insulin Aspart | 16 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 16 | suppressed |
| Armour Thyroid | Thyroid,pork | 15 | suppressed |
| Betamethasone Valerate | Betamethasone Valerate | 15 | 12 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 15 | suppressed |
| Hydrocortisone | Hydrocortisone | 15 | suppressed |
| Pregabalin | Pregabalin | 15 | suppressed |
| Vraylar | Cariprazine Hcl | 15 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 11 |
| Clonazepam | Clonazepam | 14 | suppressed |
| Cromolyn Sodium | Cromolyn Sodium | 14 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 14 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 13 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 13 | suppressed |
| Irbesartan | Irbesartan | 13 | suppressed |
| Naproxen | Naproxen | 13 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 13 | 12 |
| Temazepam | Temazepam | 13 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 13 | suppressed |
| Cilostazol | Cilostazol | 12 | suppressed |
| Levetiracetam | Levetiracetam | 12 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 12 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 11 | suppressed |
| Buprenorphine Hcl | Buprenorphine Hcl | 11 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 11 | suppressed |
| Dutasteride | Dutasteride | 11 | suppressed |
| Eszopiclone | Eszopiclone | 11 | suppressed |
| Fenofibrate | Fenofibrate | 11 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 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 | $264.17 · 14 records | Amgen Inc. | AIRSUPRA, EVENITY, NURTEC ODT, OTEZLA, Ozempic, REPATHA, VRAYLAR, ZAVZPRET | 6 | — |
| 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 ABBVIE 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