Payment overview · 2025
General Payments
$118.11
7 reported records · 4 companies
Healthcare provider profile · identity verified
Romeo Lapus Obsequio, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MIAMI, OK · NPI 1508839093
Verified facts
What the public records show
CMS Open Payments records show Romeo Lapus Obsequio, MD received $118.11 in general payments during 2025 across 7 reported records.
Lilly USA, LLC accounted for 43.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Mounjaro.
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 99 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 58 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 14 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $50.79 | 43.0% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $32.41 | 27.4% | 2 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $19.57 | 16.6% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $15.34 | 13.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $118.11 | 7 |
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 |
|---|---|---|---|---|---|
| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $34.74 | 2 | 2025 |
Source payment records
|
|||||
| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $32.41 | 2 | 2025 |
Source payment records
|
|||||
| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $32.41 | 2 | 2025 |
Source payment records
|
|||||
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $19.57 | 1 | 2025 |
Source payment records
|
|||||
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $16.05 | 1 | 2025 |
Source payment records
|
|||||
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $16.05 | 1 | 2025 |
Source payment records
|
|||||
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $15.34 | 1 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 99 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 58 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 |
|---|---|---|---|---|---|---|
| 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 |
99 | 20 |
| 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 |
58 | suppressed by CMS |
| 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 |
14 | 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 | 478 | 116 |
| Losartan Potassium | Losartan Potassium | 330 | 84 |
| Levothyroxine Sodium | Levothyroxine Sodium | 319 | 69 |
| Amlodipine Besylate | Amlodipine Besylate | 283 | 67 |
| Carvedilol | Carvedilol | 273 | 63 |
| Gabapentin | Gabapentin | 268 | 52 |
| Omeprazole | Omeprazole | 260 | 65 |
| Lisinopril | Lisinopril | 233 | 57 |
| Escitalopram Oxalate | Escitalopram Oxalate | 212 | 34 |
| Tramadol Hcl | Tramadol Hcl | 189 | 29 |
| Montelukast Sodium | Montelukast Sodium | 179 | 39 |
| Clonazepam | Clonazepam | 169 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 161 | 38 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 156 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 156 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 153 | 33 |
| Metformin Hcl | Metformin Hcl | 141 | 36 |
| Ezetimibe | Ezetimibe | 138 | 30 |
| Trazodone Hcl | Trazodone Hcl | 128 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 126 | 24 |
| Temazepam | Temazepam | 121 | 15 |
| Furosemide | Furosemide | 120 | 40 |
| Fenofibrate | Fenofibrate | 114 | 22 |
| Alprazolam | Alprazolam | 109 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 108 | 30 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 107 | 31 |
| Potassium Chloride | Potassium Chloride | 105 | 31 |
| Pravastatin Sodium | Pravastatin Sodium | 103 | 29 |
| Jardiance | Empagliflozin | 99 | 20 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 92 | 26 |
| Tizanidine Hcl | Tizanidine Hcl | 90 | 17 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 90 | 15 |
| Methylprednisolone | Methylprednisolone | 88 | 61 |
| Lovastatin | Lovastatin | 87 | 22 |
| Glimepiride | Glimepiride | 86 | 18 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 82 | 28 |
| Pregabalin | Pregabalin | 81 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 80 | 14 |
| Metformin Hcl Er | Metformin Hcl | 79 | 20 |
| Allopurinol | Allopurinol | 76 | 15 |
| Memantine Hcl | Memantine Hcl | 76 | 14 |
| Meloxicam | Meloxicam | 75 | 21 |
| Sertraline Hcl | Sertraline Hcl | 70 | 12 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 69 | 56 |
| Celecoxib | Celecoxib | 68 | 19 |
| Ropinirole Hcl | Ropinirole Hcl | 67 | 17 |
| Ibuprofen | Ibuprofen | 66 | 15 |
| Simvastatin | Simvastatin | 66 | 15 |
| Spironolactone | Spironolactone | 64 | 17 |
| Citalopram Hbr | Citalopram Hydrobromide | 62 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 62 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 60 | 46 |
| Mounjaro | Tirzepatide | 58 | suppressed |
| Eliquis | Apixaban | 57 | 11 |
| Farxiga | Dapagliflozin Propanediol | 57 | 14 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 56 | suppressed |
| Januvia | Sitagliptin Phosphate | 56 | suppressed |
| Famotidine | Famotidine | 54 | 15 |
| Baclofen | Baclofen | 52 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 52 | 13 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 52 | 11 |
| Ventolin Hfa | Albuterol Sulfate | 52 | 11 |
| Ozempic | Semaglutide | 51 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 50 | 20 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 48 | 11 |
| Alendronate Sodium | Alendronate Sodium | 45 | 11 |
| Diazepam | Diazepam | 45 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 45 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 40 | suppressed |
| Lorazepam | Lorazepam | 40 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 39 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 38 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 37 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 36 | suppressed |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 36 | suppressed |
| Bupropion Xl | Bupropion Hcl | 35 | suppressed |
| Nifedipine Er | Nifedipine | 34 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 32 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 31 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 31 | suppressed |
| Finasteride | Finasteride | 30 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 30 | suppressed |
| Estradiol | Estradiol | 29 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 27 | suppressed |
| Torsemide | Torsemide | 27 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 26 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 26 | suppressed |
| Levofloxacin | Levofloxacin | 26 | 18 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 25 | suppressed |
| Prednisone | Prednisone | 25 | suppressed |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 24 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 23 | suppressed |
| Fentanyl | Fentanyl | 23 | suppressed |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Naproxen | Naproxen | 23 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 23 | suppressed |
| Atenolol | Atenolol | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 21 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 21 | suppressed |
| Ramipril | Ramipril | 21 | suppressed |
| Risperidone | Risperidone | 21 | suppressed |
| Aripiprazole | Aripiprazole | 20 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 20 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 20 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 19 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 19 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | suppressed |
| Chlorthalidone | Chlorthalidone | 18 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 18 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 18 | suppressed |
| Clorazepate Dipotassium | Clorazepate Dipotassium | 17 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 17 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 16 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 16 | 14 |
| Lamotrigine | Lamotrigine | 16 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 15 | suppressed |
| Myrbetriq | Mirabegron | 15 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 15 | suppressed |
| Sotalol | Sotalol Hcl | 15 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 15 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 14 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 14 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 14 | suppressed |
| Lansoprazole | Lansoprazole | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Verapamil Er | Verapamil Hcl | 14 | suppressed |
| Cephalexin | Cephalexin | 13 | 12 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 13 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 13 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 13 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Gemfibrozil | Gemfibrozil | 12 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 11 | suppressed |
| Bumetanide | Bumetanide | 11 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Entresto | Sacubitril/Valsartan | 11 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 11 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 11 | suppressed |
| Sucralfate | Sucralfate | 11 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 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 | $118.11 · 7 records | Lilly USA, LLC | Cologuard Collection Kit, Dexcom G6 Transmitter, JARDIANCE, MOUNJARO, OTEZLA, REPATHA, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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