Payment overview · 2025
General Payments
$37.23
2 reported records · 2 companies
Healthcare provider profile · identity verified
Valentin Milchev, MD
Allopathic & Osteopathic Physicians|Internal Medicine · LACONIA, NH · NPI 1578591699
Verified facts
What the public records show
CMS Open Payments records show Valentin Milchev, MD received $37.23 in general payments during 2025 across 2 reported records.
Dynavax Technologies Corporation accounted for 60.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
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 |
|---|---|---|---|---|---|
| Dynavax Technologies Corporation | Unresolved — no canonical attribution shown | $22.65 | 60.8% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $14.58 | 39.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $37.23 | 2 |
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 |
|---|---|---|---|---|---|
| Heplisav-B Normalized: heplisav b |
Drug | Dynavax Technologies Corporation | $22.65 | 1 | 2025 |
Source payment records
|
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $14.58 | 1 | 2025 |
Source payment records
|
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $14.58 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 631 | 185 |
| Lisinopril | Lisinopril | 400 | 119 |
| Pantoprazole Sodium | Pantoprazole Sodium | 380 | 101 |
| Amlodipine Besylate | Amlodipine Besylate | 376 | 120 |
| Levothyroxine Sodium | Levothyroxine Sodium | 333 | 87 |
| Metformin Hcl | Metformin Hcl | 256 | 78 |
| Atenolol | Atenolol | 233 | 64 |
| Furosemide | Furosemide | 217 | 59 |
| Gabapentin | Gabapentin | 216 | 65 |
| Metoprolol Succinate | Metoprolol Succinate | 213 | 54 |
| Losartan Potassium | Losartan Potassium | 180 | 58 |
| Simvastatin | Simvastatin | 178 | 55 |
| Pravastatin Sodium | Pravastatin Sodium | 172 | 54 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 171 | 62 |
| Tamsulosin Hcl | Tamsulosin Hcl | 169 | 47 |
| Eliquis | Apixaban | 166 | 33 |
| Omeprazole | Omeprazole | 166 | 54 |
| Hydrochlorothiazide | Hydrochlorothiazide | 164 | 50 |
| Allopurinol | Allopurinol | 147 | 39 |
| Warfarin Sodium | Warfarin Sodium | 139 | 36 |
| Metoprolol Tartrate | Metoprolol Tartrate | 121 | 39 |
| Escitalopram Oxalate | Escitalopram Oxalate | 102 | 28 |
| Oxycodone Hcl | Oxycodone Hcl | 102 | 23 |
| Donepezil Hcl | Donepezil Hcl | 96 | 27 |
| Alendronate Sodium | Alendronate Sodium | 92 | 23 |
| Potassium Chloride | Potassium Chloride | 92 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 91 | 28 |
| Clonazepam | Clonazepam | 87 | 25 |
| Glipizide | Glipizide | 87 | 26 |
| Celecoxib | Celecoxib | 83 | 22 |
| Trazodone Hcl | Trazodone Hcl | 81 | 23 |
| Montelukast Sodium | Montelukast Sodium | 79 | 22 |
| Amitriptyline Hcl | Amitriptyline Hcl | 78 | 19 |
| Ozempic | Semaglutide | 71 | 16 |
| Lorazepam | Lorazepam | 69 | 22 |
| Meloxicam | Meloxicam | 69 | 24 |
| Tramadol Hcl | Tramadol Hcl | 68 | 24 |
| Spironolactone | Spironolactone | 67 | 21 |
| Alprazolam | Alprazolam | 65 | 19 |
| Zolpidem Tartrate | Zolpidem Tartrate | 64 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 63 | 21 |
| Paroxetine Hcl | Paroxetine Hcl | 61 | 21 |
| Famotidine | Famotidine | 57 | 15 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 57 | 16 |
| Jardiance | Empagliflozin | 56 | 17 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 55 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 54 | 11 |
| Doxazosin Mesylate | Doxazosin Mesylate | 53 | 15 |
| Citalopram Hbr | Citalopram Hydrobromide | 52 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 48 | 16 |
| Benazepril Hcl | Benazepril Hcl | 47 | 12 |
| Diazepam | Diazepam | 45 | 20 |
| Trulicity | Dulaglutide | 45 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 45 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 42 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 41 | 14 |
| Synthroid | Levothyroxine Sodium | 41 | 13 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 40 | suppressed |
| Baclofen | Baclofen | 39 | 13 |
| Metformin Hcl Er | Metformin Hcl | 39 | 12 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 37 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 34 | suppressed |
| Januvia | Sitagliptin Phosphate | 33 | suppressed |
| Memantine Hcl | Memantine Hcl | 33 | suppressed |
| Ibuprofen | Ibuprofen | 32 | 12 |
| Clonidine Hcl | Clonidine Hcl | 31 | 13 |
| Oxybutynin Chloride | Oxybutynin Chloride | 31 | 12 |
| Pregabalin | Pregabalin | 31 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 30 | 11 |
| Finasteride | Finasteride | 30 | suppressed |
| Nifedipine Er | Nifedipine | 30 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 29 | suppressed |
| Carvedilol | Carvedilol | 28 | 11 |
| Digoxin | Digoxin | 28 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 28 | 13 |
| Glipizide Er | Glipizide | 28 | suppressed |
| Primidone | Primidone | 28 | suppressed |
| Torsemide | Torsemide | 28 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 28 | suppressed |
| Olanzapine | Olanzapine | 27 | suppressed |
| Mirtazapine | Mirtazapine | 26 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 26 | suppressed |
| Lansoprazole | Lansoprazole | 25 | suppressed |
| Prednisone | Prednisone | 25 | 11 |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 24 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 24 | suppressed |
| Klor-Con M20 | Potassium Chloride | 23 | suppressed |
| Lovastatin | Lovastatin | 23 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 23 | suppressed |
| Methylprednisolone | Methylprednisolone | 22 | 17 |
| Rybelsus | Semaglutide | 22 | suppressed |
| Bupropion Xl | Bupropion Hcl | 21 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 21 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 20 | suppressed |
| Ezetimibe | Ezetimibe | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Lamotrigine | Lamotrigine | 20 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 19 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 19 | suppressed |
| Cephalexin | Cephalexin | 18 | 14 |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 17 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 16 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 16 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Nystatin | Nystatin | 16 | suppressed |
| Ramipril | Ramipril | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | 13 |
| Breyna | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 15 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 15 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Clonidine | Clonidine | 14 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 13 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 12 |
| Bupropion Hcl Sr | Bupropion Hcl | 12 | suppressed |
| Jantoven | Warfarin Sodium | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 11 | suppressed |
| Creon | Lipase/Protease/Amylase | 11 | suppressed |
| Irbesartan | Irbesartan | 11 | suppressed |
| Loperamide | Loperamide Hcl | 11 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 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 | $37.23 · 2 records | Dynavax Technologies Corporation | CAPVAXIVE, GARDASIL 9, Heplisav-B | — | — |
| 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