Payment overview · 2025
General Payments
$8,766.95
70 reported records · 13 companies
Healthcare provider profile · identity verified
German Larrain, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology · WAUSAU, WI · NPI 1508845090
Verified facts
What the public records show
CMS Open Payments records show German Larrain, MD received $8,766.95 in general payments during 2025 across 70 reported records.
Penumbra, Inc. accounted for 28.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 16 associated products.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Farxiga by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 201 claims for Entresto 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 |
|---|---|---|---|---|---|
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $2,464.99 | 28.1% | 7 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $2,393.26 | 27.3% | 20 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $1,663.58 | 19.0% | 9 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $732.86 | 8.4% | 11 | 2025 |
| Inari Medical, Inc. | Unresolved — no canonical attribution shown | $713.83 | 8.1% | 6 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $153.62 | 1.8% | 5 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $137.08 | 1.6% | 4 | 2025 |
| AtriCure, Inc. | Unresolved — no canonical attribution shown | $129.30 | 1.5% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $124.88 | 1.4% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$121.94 | 1.4% | 1 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $93.36 | 1.1% | 3 | 2025 |
| Siemens Medical Solutions USA, Inc. | Unresolved — no canonical attribution shown | $22.45 | 0.3% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $15.80 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Travel and Lodging | $5,116.98 | 19 |
| Food and Beverage | $3,649.97 | 51 |
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 |
|---|---|---|---|---|---|
| Indigo System Normalized: indigo system |
Device | Penumbra, Inc. | $2,464.99 | 7 | 2025 |
Source payment records
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| AMPLATZER AMULET Normalized: amplatzer amulet |
Device | Abbott Laboratories | $2,006.33 | 15 | 2025 |
Source payment records
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| General - Vascular Access Normalized: general vascular access |
Device | Boston Scientific Corporation | $1,276.69 | 5 | 2025 |
Source payment records
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| CT THROMBECTOMY SYSTEM KIT Normalized: ct thrombectomy system kit |
Device | Inari Medical, Inc., Stryker Corporation | $774.45 | 8 | 2025 |
Source payment records
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| FLOWTRIEVER CATHETER, S Normalized: flowtriever catheter s |
Device | Inari Medical, Inc., Stryker Corporation | $774.45 | 8 | 2025 |
Source payment records
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| EPIC Normalized: epic |
Device | Abbott Laboratories | $274.15 | 4 | 2025 |
Source payment records
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $263.72 | 3 | 2025 |
Source payment records
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| SAPIEN 3 Ultra RESILIA Normalized: sapien 3 ultra resilia |
Device | Edwards Lifesciences Corporation | $153.62 | 5 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $137.08 | 4 | 2025 |
Source payment records
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| EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX Normalized: epi sense guided coagulation system with visitrax |
Device | AtriCure, Inc. | $129.30 | 1 | 2025 |
Source payment records
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| General - Structural Heart Normalized: general structural heart |
Device | Boston Scientific Corporation | $123.17 | 1 | 2025 |
Source payment records
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| SYMPLICITY G3 Normalized: symplicity g3 |
Device | Medtronic, Inc. | $121.94 | 1 | 2025 |
Source payment records
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| NAVITOR Normalized: navitor |
Device | Abbott Laboratories | $112.78 | 1 | 2025 |
Source payment records
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| FLOWTRIEVER Normalized: flowtriever |
Device | Stryker Corporation | $32.74 | 1 | 2025 |
Source payment records
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| Biograph Vision 600 (8 Ring/64 CT) Normalized: biograph vision 600 8 ring 64 ct |
Device | Siemens Medical Solutions USA, Inc. | $22.45 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $15.80 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
201 | 58 |
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 | 937 | 356 |
| Metoprolol Succinate | Metoprolol Succinate | 832 | 343 |
| Eliquis | Apixaban | 612 | 183 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 515 | 204 |
| Carvedilol | Carvedilol | 493 | 190 |
| Ezetimibe | Ezetimibe | 362 | 137 |
| Amlodipine Besylate | Amlodipine Besylate | 357 | 133 |
| Lisinopril | Lisinopril | 348 | 133 |
| Furosemide | Furosemide | 344 | 140 |
| Losartan Potassium | Losartan Potassium | 342 | 127 |
| Spironolactone | Spironolactone | 296 | 105 |
| Clopidogrel | Clopidogrel Bisulfate | 262 | 115 |
| Bumetanide | Bumetanide | 229 | 87 |
| Metoprolol Tartrate | Metoprolol Tartrate | 211 | 85 |
| Entresto | Sacubitril/Valsartan | 201 | 58 |
| Potassium Chloride | Potassium Chloride | 196 | 78 |
| Jardiance | Empagliflozin | 169 | 38 |
| Xarelto | Rivaroxaban | 157 | 44 |
| Repatha Sureclick | Evolocumab | 152 | 29 |
| Warfarin Sodium | Warfarin Sodium | 146 | 49 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 142 | 52 |
| Amiodarone Hcl | Amiodarone Hcl | 137 | 51 |
| Hydrochlorothiazide | Hydrochlorothiazide | 123 | 44 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 82 | 29 |
| Chlorthalidone | Chlorthalidone | 76 | 33 |
| Simvastatin | Simvastatin | 70 | 29 |
| Multaq | Dronedarone Hcl | 54 | 15 |
| Ranolazine Er | Ranolazine | 54 | 17 |
| Nitroglycerin | Nitroglycerin | 50 | 32 |
| Pravastatin Sodium | Pravastatin Sodium | 45 | 20 |
| Amoxicillin | Amoxicillin | 43 | 22 |
| Digoxin | Digoxin | 39 | 12 |
| Torsemide | Torsemide | 39 | 18 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 37 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 37 | 11 |
| Valsartan | Valsartan | 34 | 13 |
| Hydralazine Hcl | Hydralazine Hcl | 33 | 13 |
| Praluent Pen | Alirocumab | 30 | suppressed |
| Atenolol | Atenolol | 29 | 15 |
| Flecainide Acetate | Flecainide Acetate | 29 | suppressed |
| Klor-Con M20 | Potassium Chloride | 24 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 23 | suppressed |
| Mupirocin | Mupirocin | 21 | 21 |
| Ramipril | Ramipril | 21 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 19 | suppressed |
| Sotalol | Sotalol Hcl | 19 | suppressed |
| Nifedipine Er | Nifedipine | 17 | suppressed |
| Spironolactone-Hctz | Spironolact/Hydrochlorothiazid | 17 | suppressed |
| Jantoven | Warfarin Sodium | 16 | suppressed |
| Ozempic | Semaglutide | 16 | suppressed |
| Eplerenone | Eplerenone | 15 | suppressed |
| Gemfibrozil | Gemfibrozil | 15 | suppressed |
| Corlanor | Ivabradine Hcl | 14 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 14 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 14 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 14 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 14 | suppressed |
| Lovastatin | Lovastatin | 13 | suppressed |
| Metformin Hcl | Metformin Hcl | 13 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Toprol Xl | Metoprolol Succinate | 12 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 11 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 11 | suppressed |
| Vyndamax | Tafamidis | 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 | $8,766.95 · 70 records | Penumbra, Inc. | AMPLATZER AMULET, Biograph Vision 600 (8 Ring/64 CT), CT THROMBECTOMY SYSTEM KIT, EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX, EPIC, FLOWTRIEVER, FLOWTRIEVER CATHETER, S, General - Structural Heart, General - Vascular Access, Indigo System, LEQVIO, NAVITOR, REPATHA, SAPIEN 3 Ultra RESILIA, SYMPLICITY G3, WATCHMAN FLX | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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