Payment overview · 2025
General Payments
$75.42
1 reported records · 1 companies
Healthcare provider profile · identity verified
Alec James Steils, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · WATERLOO, IA · NPI 1578132940
Verified facts
What the public records show
CMS Open Payments records show Alec James Steils, ARNP received $75.42 in general payments during 2025 across 1 reported records.
Regeneron Healthcare Solutions, Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $75.42 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $75.42 | 1 |
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 |
|---|---|---|---|---|---|
| DUPIXENT Normalized: dupixent |
Biological | Regeneron Healthcare Solutions, Inc. | $75.42 | 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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 1456 | 310 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 869 | 360 |
| Montelukast Sodium | Montelukast Sodium | 767 | 190 |
| Azithromycin | Azithromycin | 638 | 187 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 620 | 148 |
| Prednisone | Prednisone | 562 | 210 |
| Fluticasone Propionate | Fluticasone Propionate | 370 | 109 |
| Azelastine Hcl | Azelastine Hcl | 288 | 112 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 273 | 65 |
| Ipratropium Bromide | Ipratropium Bromide | 231 | 76 |
| Roflumilast | Roflumilast | 218 | 50 |
| Nucala | Mepolizumab | 203 | 20 |
| Ventolin Hfa | Albuterol Sulfate | 154 | 55 |
| Breo Ellipta | Fluticasone/Vilanterol | 140 | 25 |
| Doxycycline Hyclate | Doxycycline Hyclate | 139 | 98 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 127 | 35 |
| Spiriva Respimat | Tiotropium Bromide | 122 | 23 |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 95 | 21 |
| Trazodone Hcl | Trazodone Hcl | 67 | 31 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 57 | 53 |
| Symbicort | Budesonide/Formoterol Fumarate | 57 | 19 |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 56 | 13 |
| Spiriva Handihaler | Tiotropium Bromide | 48 | 13 |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 48 | 11 |
| Famotidine | Famotidine | 46 | 12 |
| Varenicline Tartrate | Varenicline Tartrate | 46 | 15 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 46 | 15 |
| Incruse Ellipta | Umeclidinium Bromide | 41 | 13 |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 39 | 15 |
| Omeprazole | Omeprazole | 39 | 15 |
| Nystatin | Nystatin | 37 | 28 |
| Levofloxacin | Levofloxacin | 32 | 27 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 29 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 28 | suppressed |
| Cefdinir | Cefdinir | 27 | 24 |
| Dupixent Syringe | Dupilumab | 27 | suppressed |
| Furosemide | Furosemide | 25 | suppressed |
| Airsupra | Albuterol Sulfate/Budesonide | 24 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 23 | suppressed |
| Lorazepam | Lorazepam | 23 | 20 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 23 | 14 |
| Tezspire | Tezepelumab-Ekko | 21 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 20 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 19 | suppressed |
| Fluconazole | Fluconazole | 18 | 12 |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 18 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 17 | suppressed |
| Serevent Diskus | Salmeterol Xinafoate | 17 | suppressed |
| Atrovent Hfa | Ipratropium Bromide | 16 | suppressed |
| Dupixent Pen | Dupilumab | 16 | suppressed |
| Lidocaine | Lidocaine | 16 | suppressed |
| Eliquis | Apixaban | 15 | suppressed |
| Fasenra Pen | Benralizumab | 14 | suppressed |
| Ofev | Nintedanib Esylate | 14 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Epinephrine | Epinephrine | 13 | 13 |
| Pirfenidone | Pirfenidone | 12 | suppressed |
| Proair Respiclick | Albuterol Sulfate | 12 | suppressed |
| Xolair | Omalizumab | 12 | 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 | $75.42 · 1 records | Regeneron Healthcare Solutions, Inc. | DUPIXENT | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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