Payment overview · 2025
General Payments
$206.89
4 reported records · 2 companies
Healthcare provider profile · identity verified
Madhan Prabhakaran, MD
Allopathic & Osteopathic Physicians|Family Medicine · ESTHERVILLE, IA · NPI 1497043251
Verified facts
What the public records show
CMS Open Payments records show Madhan Prabhakaran, MD received $206.89 in general payments during 2025 across 4 reported records.
Astellas Pharma US Inc accounted for 56.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Myrbetriq 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 |
|---|---|---|---|---|---|
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $116.98 | 56.5% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $89.91 | 43.5% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Education | $116.98 | 2 |
| Long term medical supply or device loan | $89.91 | 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 INSULINX Normalized: freestyle insulinx |
Device | Abbott Laboratories | $89.91 | 2 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
31 | 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 | 310 | 86 |
| Gabapentin | Gabapentin | 201 | 38 |
| Lisinopril | Lisinopril | 188 | 48 |
| Levothyroxine Sodium | Levothyroxine Sodium | 179 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 167 | 45 |
| Losartan Potassium | Losartan Potassium | 157 | 47 |
| Pantoprazole Sodium | Pantoprazole Sodium | 128 | 27 |
| Metoprolol Succinate | Metoprolol Succinate | 118 | 31 |
| Omeprazole | Omeprazole | 112 | 33 |
| Furosemide | Furosemide | 111 | 31 |
| Sertraline Hcl | Sertraline Hcl | 105 | 25 |
| Duloxetine Hcl | Duloxetine Hcl | 97 | 22 |
| Tamsulosin Hcl | Tamsulosin Hcl | 87 | 27 |
| Potassium Chloride | Potassium Chloride | 84 | 27 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 83 | 25 |
| Trazodone Hcl | Trazodone Hcl | 79 | 21 |
| Warfarin Sodium | Warfarin Sodium | 79 | 15 |
| Metformin Hcl | Metformin Hcl | 77 | 23 |
| Jardiance | Empagliflozin | 70 | 11 |
| Montelukast Sodium | Montelukast Sodium | 70 | 17 |
| Tramadol Hcl | Tramadol Hcl | 70 | 25 |
| Prednisone | Prednisone | 67 | 31 |
| Buspirone Hcl | Buspirone Hcl | 66 | 15 |
| Eliquis | Apixaban | 64 | 20 |
| Famotidine | Famotidine | 63 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 63 | 16 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 61 | 12 |
| Allopurinol | Allopurinol | 60 | 13 |
| Glipizide Er | Glipizide | 59 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 56 | 15 |
| Spironolactone | Spironolactone | 54 | 16 |
| Clopidogrel | Clopidogrel Bisulfate | 45 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 45 | 16 |
| Carvedilol | Carvedilol | 44 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 44 | 15 |
| Metformin Hcl Er | Metformin Hcl | 42 | 13 |
| Meloxicam | Meloxicam | 41 | 14 |
| Simvastatin | Simvastatin | 41 | 14 |
| Clonazepam | Clonazepam | 37 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 37 | suppressed |
| Mirtazapine | Mirtazapine | 34 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 33 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 33 | suppressed |
| Finasteride | Finasteride | 33 | suppressed |
| Cephalexin | Cephalexin | 31 | 22 |
| Myrbetriq | Mirabegron | 31 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | 12 |
| Cefdinir | Cefdinir | 27 | 24 |
| Ezetimibe | Ezetimibe | 27 | suppressed |
| Risperidone | Risperidone | 27 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 27 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 26 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 25 | 24 |
| Azithromycin | Azithromycin | 25 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 25 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 24 | 17 |
| Benztropine Mesylate | Benztropine Mesylate | 24 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 24 | suppressed |
| Lamotrigine | Lamotrigine | 24 | suppressed |
| Ozempic | Semaglutide | 24 | suppressed |
| Atenolol | Atenolol | 23 | suppressed |
| Boostrix Tdap | Diphth,pertuss(Acell),tet Vac | 23 | 23 |
| Alprazolam | Alprazolam | 22 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 22 | 19 |
| Fluoxetine Hcl | Fluoxetine Hcl | 22 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 22 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 22 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 22 | suppressed |
| Pregabalin | Pregabalin | 21 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 20 | suppressed |
| Torsemide | Torsemide | 19 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 18 | suppressed |
| Nystatin | Nystatin | 18 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 18 | suppressed |
| Baclofen | Baclofen | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 16 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 16 | suppressed |
| Mounjaro | Tirzepatide | 16 | suppressed |
| Sucralfate | Sucralfate | 16 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 15 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 15 | suppressed |
| Glimepiride | Glimepiride | 15 | suppressed |
| Risperdal Consta | Risperidone Microspheres | 15 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Calcitriol | Calcitriol | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 14 | suppressed |
| Memantine Hcl | Memantine Hcl | 14 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 14 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Aripiprazole | Aripiprazole | 13 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 13 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 13 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Trulicity | Dulaglutide | 13 | suppressed |
| Valsartan | Valsartan | 13 | suppressed |
| Amantadine | Amantadine Hcl | 12 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 12 | suppressed |
| Diazepam | Diazepam | 12 | suppressed |
| Lactulose | Lactulose | 12 | suppressed |
| Lorazepam | Lorazepam | 12 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 12 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 12 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Haloperidol | Haloperidol | 11 | suppressed |
| Testosterone | Testosterone | 11 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 11 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 11 | suppressed |
| Verapamil Er | Verapamil 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 | $206.89 · 4 records | Astellas Pharma US Inc | FREESTYLE INSULINX | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US 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