Payment overview · 2025
General Payments
$842.97
12 reported records · 11 companies
Healthcare provider profile · identity verified
Shehnaz R Narula
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · SAN ANTONIO, TX · NPI 1538795877
Verified facts
What the public records show
CMS Open Payments records show Shehnaz R Narula received $842.97 in general payments during 2025 across 12 reported records.
Boston Scientific Corporation accounted for 16.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 24 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 28 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 17 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 |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $141.57 | 16.8% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $124.36 | 14.8% | 1 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $122.17 | 14.5% | 1 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $120.56 | 14.3% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $114.14 | 13.5% | 1 | 2025 |
| Amarin Pharma, Inc. | Unresolved — no canonical attribution shown | $112.65 | 13.4% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $33.10 | 3.9% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $25.00 | 3.0% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $17.49 | 2.1% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.15 | 1.9% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $15.78 | 1.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $842.97 | 12 |
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 |
|---|---|---|---|---|---|
| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $141.57 | 1 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $124.36 | 1 | 2025 |
Source payment records
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| DAYBUE Normalized: daybue |
Drug | ACADIA Pharmaceuticals Inc | $122.17 | 1 | 2025 |
Source payment records
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| CRYSVITA Normalized: crysvita |
Drug | KYOWA KIRIN, INC. | $120.56 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $114.14 | 1 | 2025 |
Source payment records
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| Vascepa Normalized: vascepa |
Drug | Amarin Pharma, Inc. | $112.65 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $33.10 | 2 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $33.10 | 2 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $25.00 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $17.49 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $17.49 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $16.15 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $15.78 | 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 | 17 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 |
|---|---|---|---|---|---|---|
| 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 |
24 | 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 |
28 | 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 |
17 | 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 | 292 | 100 |
| Levothyroxine Sodium | Levothyroxine Sodium | 225 | 74 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 215 | 72 |
| Lisinopril | Lisinopril | 185 | 67 |
| Trazodone Hcl | Trazodone Hcl | 166 | 64 |
| Amlodipine Besylate | Amlodipine Besylate | 151 | 53 |
| Losartan Potassium | Losartan Potassium | 142 | 50 |
| Omeprazole | Omeprazole | 139 | 47 |
| Metformin Hcl | Metformin Hcl | 127 | 41 |
| Baclofen | Baclofen | 126 | 72 |
| Gabapentin | Gabapentin | 120 | 57 |
| Fluticasone Propionate | Fluticasone Propionate | 116 | 50 |
| Alendronate Sodium | Alendronate Sodium | 110 | 37 |
| Montelukast Sodium | Montelukast Sodium | 106 | 37 |
| Ozempic | Semaglutide | 103 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 98 | 33 |
| Buspirone Hcl | Buspirone Hcl | 96 | 34 |
| Sertraline Hcl | Sertraline Hcl | 84 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 81 | 26 |
| Simvastatin | Simvastatin | 80 | 26 |
| Duloxetine Hcl | Duloxetine Hcl | 76 | 32 |
| Pravastatin Sodium | Pravastatin Sodium | 73 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 72 | 27 |
| Pantoprazole Sodium | Pantoprazole Sodium | 70 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 61 | 35 |
| Tamsulosin Hcl | Tamsulosin Hcl | 56 | 23 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 52 | 20 |
| Metformin Hcl Er | Metformin Hcl | 49 | 20 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 48 | 45 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 48 | 26 |
| Tizanidine Hcl | Tizanidine Hcl | 48 | 21 |
| Alprazolam | Alprazolam | 47 | suppressed |
| Naproxen | Naproxen | 45 | 26 |
| Carvedilol | Carvedilol | 44 | 15 |
| Famotidine | Famotidine | 44 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 44 | suppressed |
| Clonazepam | Clonazepam | 43 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 42 | 19 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 42 | 27 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 41 | 38 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 41 | 11 |
| Mupirocin | Mupirocin | 41 | 27 |
| Azithromycin | Azithromycin | 39 | 34 |
| Escitalopram Oxalate | Escitalopram Oxalate | 38 | 14 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 37 | 16 |
| Azelastine Hcl | Azelastine Hcl | 34 | 21 |
| Clopidogrel | Clopidogrel Bisulfate | 33 | 14 |
| Prednisone | Prednisone | 33 | 27 |
| Ibuprofen | Ibuprofen | 32 | 18 |
| Fenofibrate | Fenofibrate Nanocrystallized | 31 | 11 |
| Furosemide | Furosemide | 28 | 11 |
| Glipizide | Glipizide | 28 | 12 |
| Jardiance | Empagliflozin | 28 | 13 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 28 | 11 |
| Tramadol Hcl | Tramadol Hcl | 27 | 25 |
| Nifedipine Er | Nifedipine | 26 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Allopurinol | Allopurinol | 24 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 24 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 22 | suppressed |
| Myrbetriq | Mirabegron | 22 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 21 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 21 | 18 |
| Enalapril Maleate | Enalapril Maleate | 21 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 21 | suppressed |
| Lovastatin | Lovastatin | 20 | suppressed |
| Nystatin | Nystatin | 20 | 14 |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 19 | suppressed |
| Eliquis | Apixaban | 19 | suppressed |
| Ketoconazole | Ketoconazole | 19 | suppressed |
| Potassium Chloride | Potassium Chloride | 19 | suppressed |
| Methylprednisolone | Methylprednisolone | 18 | 15 |
| Ondansetron Odt | Ondansetron | 18 | 14 |
| Cephalexin | Cephalexin | 17 | 15 |
| Finasteride | Finasteride | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Mounjaro | Tirzepatide | 17 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 16 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 16 | 15 |
| Meloxicam | Meloxicam | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 16 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 16 | suppressed |
| Lactulose | Lactulose | 15 | suppressed |
| Ezetimibe | Ezetimibe | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Bupropion Xl | Bupropion Hcl | 13 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Lidocaine Hcl Viscous | Lidocaine Hcl | 12 | 12 |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Terazosin Hcl | Terazosin 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 | $842.97 · 12 records | Boston Scientific Corporation | AREXVY, AUSTEDO XR, Auvelity, CRYSVITA, Cologuard Collection Kit, DAYBUE, Kerendia, MOUNJARO, REPATHA, SHINGRIX, Vascepa, WATCHMAN FLX, ZEPBOUND | 4 | — |
| 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 GlaxoSmithKline, 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