Payment overview · 2025
General Payments
$191.91
10 reported records · 6 companies
Healthcare provider profile · identity verified
April D Daniel, APRN, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · KINGWOOD, TX · NPI 1508479379
Verified facts
What the public records show
CMS Open Payments records show April D Daniel, APRN, FNP-C received $191.91 in general payments during 2025 across 10 reported records.
ABBVIE INC. accounted for 31.3% 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: Mounjaro, Trelegy Ellipta.
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 13 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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Linzess 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 33 claims for Synthroid by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Trelegy Ellipta 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 37 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 121 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 38 claims for Trulicity 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $60.10 | 31.3% | 3 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $37.38 | 19.5% | 2 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $32.86 | 17.1% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $30.60 | 15.9% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $15.76 | 8.2% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $15.21 | 7.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $191.91 | 10 |
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 |
|---|---|---|---|---|---|
| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $45.69 | 2 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $37.38 | 2 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $32.86 | 2 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $30.60 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $15.76 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $15.76 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $15.21 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $14.41 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 121 | exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 22 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 |
13 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
26 | 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 |
33 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
22 | suppressed by CMS |
| 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 |
37 | 13 |
| 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 |
121 | 26 |
| 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 |
38 | 14 |
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 |
|---|---|---|---|
| Lisinopril | Lisinopril | 199 | 83 |
| Atorvastatin Calcium | Atorvastatin Calcium | 192 | 88 |
| Gabapentin | Gabapentin | 191 | 81 |
| Levothyroxine Sodium | Levothyroxine Sodium | 182 | 71 |
| Meloxicam | Meloxicam | 124 | 56 |
| Ozempic | Semaglutide | 123 | 34 |
| Mounjaro | Tirzepatide | 121 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 111 | 51 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 106 | 43 |
| Montelukast Sodium | Montelukast Sodium | 89 | 30 |
| Liothyronine Sodium | Liothyronine Sodium | 87 | 32 |
| Escitalopram Oxalate | Escitalopram Oxalate | 84 | 32 |
| Metformin Hcl | Metformin Hcl | 82 | 34 |
| Losartan Potassium | Losartan Potassium | 81 | 37 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 80 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 77 | 43 |
| Amlodipine Besylate | Amlodipine Besylate | 75 | 38 |
| Hydrochlorothiazide | Hydrochlorothiazide | 73 | 33 |
| Tamsulosin Hcl | Tamsulosin Hcl | 72 | 36 |
| Furosemide | Furosemide | 70 | 31 |
| Omeprazole | Omeprazole | 69 | 28 |
| Pioglitazone Hcl | Pioglitazone Hcl | 66 | 28 |
| Metoprolol Tartrate | Metoprolol Tartrate | 65 | 28 |
| Azithromycin | Azithromycin | 62 | 52 |
| Trazodone Hcl | Trazodone Hcl | 59 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 58 | 28 |
| Celecoxib | Celecoxib | 57 | 20 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 57 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 55 | 28 |
| Carvedilol | Carvedilol | 49 | 25 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 48 | 20 |
| Potassium Chloride | Potassium Chloride | 48 | 21 |
| Nebivolol Hcl | Nebivolol Hcl | 46 | 22 |
| Clopidogrel | Clopidogrel Bisulfate | 44 | 21 |
| Tizanidine Hcl | Tizanidine Hcl | 43 | 16 |
| Xarelto | Rivaroxaban | 43 | 12 |
| Eliquis | Apixaban | 41 | 14 |
| Estradiol | Estradiol | 39 | 16 |
| Farxiga | Dapagliflozin Propanediol | 38 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 38 | 37 |
| Trulicity | Dulaglutide | 38 | 14 |
| Jardiance | Empagliflozin | 37 | 13 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 37 | 31 |
| Testosterone Cypionate | Testosterone Cypionate | 37 | 15 |
| Citalopram Hbr | Citalopram Hydrobromide | 34 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 33 | 13 |
| Synthroid | Levothyroxine Sodium | 33 | suppressed |
| Amoxicillin | Amoxicillin | 32 | 30 |
| Gemtesa | Vibegron | 32 | 11 |
| Bupropion Xl | Bupropion Hcl | 31 | 12 |
| Np Thyroid | Thyroid,pork | 31 | suppressed |
| Progesterone | Progesterone, Micronized | 31 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 30 | 19 |
| Finasteride | Finasteride | 30 | 13 |
| Atenolol | Atenolol | 29 | 14 |
| Nabumetone | Nabumetone | 29 | 20 |
| Ondansetron Odt | Ondansetron | 29 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 27 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 27 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 26 | suppressed |
| Fluconazole | Fluconazole | 26 | 17 |
| Linzess | Linaclotide | 26 | suppressed |
| Allopurinol | Allopurinol | 25 | 13 |
| Valsartan | Valsartan | 25 | 11 |
| Ibuprofen | Ibuprofen | 24 | suppressed |
| Mupirocin | Mupirocin | 24 | 21 |
| Tresiba Flextouch U-200 | Insulin Degludec | 24 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 23 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 22 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 22 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 22 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 20 | 17 |
| Entresto | Sacubitril/Valsartan | 20 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 20 | 12 |
| Simvastatin | Simvastatin | 20 | suppressed |
| Baclofen | Baclofen | 19 | suppressed |
| Famotidine | Famotidine | 19 | 11 |
| Spironolactone | Spironolactone | 19 | suppressed |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 16 | suppressed |
| Ezetimibe | Ezetimibe | 16 | suppressed |
| Prednisone | Prednisone | 16 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 15 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 15 | 13 |
| Nystatin | Nystatin | 15 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 14 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Methimazole | Methimazole | 14 | suppressed |
| Vascepa | Icosapent Ethyl | 14 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 13 | suppressed |
| Armour Thyroid | Thyroid,pork | 13 | suppressed |
| Bumetanide | Bumetanide | 13 | suppressed |
| Lagevrio (Eua) | Molnupiravir | 13 | 13 |
| Anastrozole | Anastrozole | 12 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Cephalexin | Cephalexin | 11 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 11 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 11 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 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 | $191.91 · 10 records | ABBVIE INC. | BOTOX, Cologuard Collection Kit, MOUNJARO, TRELEGY ELLIPTA, VRAYLAR, Veozah, XIFAXAN, ZEPBOUND | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro 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