Payment overview · 2025
General Payments
$92.47
2 reported records · 2 companies
Healthcare provider profile · identity verified
Gemi Sam, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · WEBSTER, TX · NPI 1588154108
Verified facts
What the public records show
CMS Open Payments records show Gemi Sam, FNP-C received $92.47 in general payments during 2025 across 2 reported records.
ABBVIE INC. accounted for 75.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $70.00 | 75.7% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $22.47 | 24.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $92.47 | 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 |
|---|---|---|---|---|---|
| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $70.00 | 1 | 2025 |
Source payment records
|
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $22.47 | 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 |
|---|---|---|---|
| Mirtazapine | Mirtazapine | 586 | 47 |
| Atorvastatin Calcium | Atorvastatin Calcium | 579 | 45 |
| Furosemide | Furosemide | 340 | 42 |
| Levothyroxine Sodium | Levothyroxine Sodium | 308 | 23 |
| Pantoprazole Sodium | Pantoprazole Sodium | 255 | 26 |
| Metoprolol Tartrate | Metoprolol Tartrate | 227 | 25 |
| Sertraline Hcl | Sertraline Hcl | 215 | 15 |
| Gabapentin | Gabapentin | 207 | 20 |
| Metformin Hcl | Metformin Hcl | 164 | 11 |
| Trazodone Hcl | Trazodone Hcl | 146 | 14 |
| Potassium Chloride | Potassium Chloride | 137 | 26 |
| Amlodipine Besylate | Amlodipine Besylate | 127 | 11 |
| Bumetanide | Bumetanide | 109 | suppressed |
| Losartan Potassium | Losartan Potassium | 104 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 85 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 85 | 13 |
| Klor-Con M20 | Potassium Chloride | 79 | 21 |
| Lisinopril | Lisinopril | 76 | 14 |
| Omeprazole | Omeprazole | 73 | suppressed |
| Allopurinol | Allopurinol | 72 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 72 | 11 |
| Dicyclomine Hcl | Dicyclomine Hcl | 69 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 69 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 69 | suppressed |
| Simvastatin | Simvastatin | 69 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 66 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 62 | 20 |
| Glimepiride | Glimepiride | 61 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 61 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 57 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 53 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 48 | suppressed |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 45 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 44 | suppressed |
| Eliquis | Apixaban | 43 | 14 |
| Finasteride | Finasteride | 41 | suppressed |
| Tradjenta | Linagliptin | 41 | suppressed |
| Baclofen | Baclofen | 40 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 40 | suppressed |
| Januvia | Sitagliptin Phosphate | 39 | suppressed |
| Lactulose | Lactulose | 39 | 19 |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 38 | 27 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 38 | 22 |
| Carvedilol | Carvedilol | 37 | suppressed |
| Nifedipine Er | Nifedipine | 37 | suppressed |
| Lorazepam | Lorazepam | 36 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 34 | 22 |
| Spironolactone | Spironolactone | 34 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 33 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 32 | 24 |
| Tamoxifen Citrate | Tamoxifen Citrate | 31 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 29 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 28 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 28 | suppressed |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 25 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 25 | 15 |
| Fenofibrate | Fenofibrate Nanocrystallized | 24 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 24 | suppressed |
| Torsemide | Torsemide | 24 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 23 | 15 |
| Sotalol | Sotalol Hcl | 23 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 22 | suppressed |
| Memantine Hcl | Memantine Hcl | 21 | suppressed |
| Digoxin | Digoxin | 20 | suppressed |
| Nystatin | Nystatin | 20 | 14 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 16 |
| Famotidine | Famotidine | 18 | suppressed |
| Hydrocortisone | Hydrocortisone | 18 | 16 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 18 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 18 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 17 | suppressed |
| Methimazole | Methimazole | 17 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 17 | suppressed |
| Brilinta | Ticagrelor | 16 | suppressed |
| Glipizide | Glipizide | 16 | suppressed |
| Nystop | Nystatin | 16 | suppressed |
| Fluconazole | Fluconazole | 15 | 11 |
| Vancomycin Hcl | Vancomycin Hcl | 14 | suppressed |
| Amantadine | Amantadine Hcl | 13 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 13 | suppressed |
| Gemtesa | Vibegron | 13 | suppressed |
| Latanoprost | Latanoprost | 13 | suppressed |
| Selegiline Hcl | Selegiline Hcl | 13 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 12 | suppressed |
| Lacosamide | Lacosamide | 12 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 12 | suppressed |
| Prednisone | Prednisone | 12 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Sps | Sodium Polystyrene Sulfon/Sorb | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 12 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 11 | suppressed |
| Mupirocin | Mupirocin | 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 | $92.47 · 2 records | ABBVIE INC. | QULIPTA, REXULTI | — | — |
| 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