Payment overview · 2025
General Payments
$202.55
2 reported records · 2 companies
Healthcare provider profile · identity verified
Rafael Fleites, M.D.
Allopathic & Osteopathic Physicians|Hospitalist · CINCINNATI, OH · NPI 1588790349
Verified facts
What the public records show
CMS Open Payments records show Rafael Fleites, M.D. received $202.55 in general payments during 2025 across 2 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 58.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
Otsuka America Pharmaceutical, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported NUEDEXTA as an associated drug or biological on 393 records involving 285 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Nuedexta 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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $117.47 | 58.0% | 1 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $85.08 | 42.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $202.55 | 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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $117.47 | 1 | 2025 |
Source payment records
|
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $85.08 | 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 |
|---|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | NUEDEXTA open payments reported associated product |
CMS Open Payments — General Payments 393 supporting records · 285 recipient NPIs · example record 1227268901 |
Nuedexta · 2024 Exact normalized brand match · 1 Part D row |
33 | 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 | 953 | 99 |
| Levothyroxine Sodium | Levothyroxine Sodium | 769 | 64 |
| Furosemide | Furosemide | 760 | 96 |
| Eliquis | Apixaban | 485 | 46 |
| Potassium Chloride | Potassium Chloride | 479 | 54 |
| Sertraline Hcl | Sertraline Hcl | 403 | 54 |
| Tamsulosin Hcl | Tamsulosin Hcl | 345 | 43 |
| Amlodipine Besylate | Amlodipine Besylate | 330 | 35 |
| Gabapentin | Gabapentin | 329 | 44 |
| Metformin Hcl | Metformin Hcl | 315 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 310 | 35 |
| Buspirone Hcl | Buspirone Hcl | 302 | 26 |
| Losartan Potassium | Losartan Potassium | 300 | 21 |
| Januvia | Sitagliptin Phosphate | 290 | 13 |
| Lisinopril | Lisinopril | 270 | 31 |
| Spironolactone | Spironolactone | 253 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 245 | 37 |
| Omeprazole | Omeprazole | 245 | 29 |
| Trazodone Hcl | Trazodone Hcl | 234 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 221 | 20 |
| Donepezil Hcl | Donepezil Hcl | 207 | 31 |
| Gemtesa | Vibegron | 196 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 195 | 17 |
| Myrbetriq | Mirabegron | 194 | 13 |
| Pantoprazole Sodium | Pantoprazole Sodium | 184 | 35 |
| Quetiapine Fumarate | Quetiapine Fumarate | 168 | 31 |
| Memantine Hcl | Memantine Hcl | 163 | 16 |
| Carvedilol | Carvedilol | 160 | 18 |
| Prednisone | Prednisone | 156 | 27 |
| Citalopram Hbr | Citalopram Hydrobromide | 144 | 11 |
| Torsemide | Torsemide | 133 | 20 |
| Escitalopram Oxalate | Escitalopram Oxalate | 132 | 18 |
| Levetiracetam | Levetiracetam | 118 | 15 |
| Xarelto | Rivaroxaban | 116 | 11 |
| Jardiance | Empagliflozin | 113 | 14 |
| Ondansetron Hcl | Ondansetron Hcl | 112 | 39 |
| Allopurinol | Allopurinol | 111 | 12 |
| Mirtazapine | Mirtazapine | 111 | 19 |
| Alendronate Sodium | Alendronate Sodium | 110 | 11 |
| Baclofen | Baclofen | 109 | 13 |
| Ropinirole Hcl | Ropinirole Hcl | 109 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 108 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 106 | 11 |
| Famotidine | Famotidine | 106 | 19 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 103 | 18 |
| Aripiprazole | Aripiprazole | 97 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 97 | suppressed |
| Olanzapine | Olanzapine | 94 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 92 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 91 | 17 |
| Simvastatin | Simvastatin | 89 | suppressed |
| Galantamine Er | Galantamine Hbr | 86 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 85 | 16 |
| Albuterol Sulfate | Albuterol Sulfate | 84 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 82 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 79 | 22 |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 77 | 23 |
| Risperidone | Risperidone | 72 | 15 |
| Atenolol | Atenolol | 68 | suppressed |
| Entresto | Sacubitril/Valsartan | 68 | suppressed |
| Trulicity | Dulaglutide | 68 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 65 | 17 |
| Meloxicam | Meloxicam | 65 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 58 | 15 |
| Warfarin Sodium | Warfarin Sodium | 58 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 57 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 57 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 55 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 54 | 11 |
| Dilt-Xr | Diltiazem Hcl | 52 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 52 | 29 |
| Sucralfate | Sucralfate | 52 | suppressed |
| Finasteride | Finasteride | 49 | suppressed |
| Methocarbamol | Methocarbamol | 48 | 16 |
| Fluoxetine Hcl | Fluoxetine Hcl | 47 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 47 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 46 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 45 | 17 |
| Namzaric | Memantine Hcl/Donepezil Hcl | 45 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 44 | 27 |
| Dicyclomine Hcl | Dicyclomine Hcl | 43 | suppressed |
| Latanoprost | Latanoprost | 43 | suppressed |
| Tradjenta | Linagliptin | 41 | suppressed |
| Creon | Lipase/Protease/Amylase | 40 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 40 | suppressed |
| Lovastatin | Lovastatin | 40 | suppressed |
| Chlorthalidone | Chlorthalidone | 38 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 38 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 38 | suppressed |
| Methotrexate | Methotrexate Sodium | 38 | suppressed |
| Nifedipine Er | Nifedipine | 37 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 37 | suppressed |
| Azithromycin | Azithromycin | 36 | 26 |
| Lorazepam | Lorazepam | 36 | 12 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 35 | 11 |
| Lamotrigine | Lamotrigine | 35 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 35 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 33 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 33 | suppressed |
| Nystatin | Nystatin | 32 | 15 |
| Paroxetine Hcl | Paroxetine Hcl | 32 | suppressed |
| Bupropion Xl | Bupropion Hcl | 31 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 31 | suppressed |
| Clozapine | Clozapine | 30 | suppressed |
| Digoxin | Digoxin | 30 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 30 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 29 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 29 | suppressed |
| Mupirocin | Mupirocin | 28 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 27 | suppressed |
| Topiramate | Topiramate | 27 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 26 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 26 | suppressed |
| Novolog Flexpen | Insulin Aspart | 26 | 12 |
| Sevelamer Carbonate | Sevelamer Carbonate | 26 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 25 | suppressed |
| Levofloxacin | Levofloxacin | 24 | 12 |
| Propranolol Hcl | Propranolol Hcl | 24 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 24 | suppressed |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 23 | 23 |
| Doxazosin Mesylate | Doxazosin Mesylate | 23 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 22 | suppressed |
| Fluconazole | Fluconazole | 22 | 12 |
| Incruse Ellipta | Umeclidinium Bromide | 22 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 21 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 21 | suppressed |
| Ezetimibe | Ezetimibe | 21 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 21 | 12 |
| Sumatriptan Succinate | Sumatriptan Succinate | 21 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 20 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 20 | suppressed |
| Phenytoin | Phenytoin | 20 | suppressed |
| Budesonide | Budesonide | 19 | suppressed |
| Linzess | Linaclotide | 19 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 19 | suppressed |
| Paliperidone Er | Paliperidone | 19 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 19 | suppressed |
| Abiraterone Acetate | Abiraterone Acetate | 18 | suppressed |
| Cephalexin | Cephalexin | 18 | 14 |
| Gemfibrozil | Gemfibrozil | 18 | suppressed |
| Glipizide | Glipizide | 18 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 18 | suppressed |
| Loperamide | Loperamide Hcl | 18 | 15 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 14 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 17 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 17 | suppressed |
| Enbrel | Etanercept | 17 | suppressed |
| Amoxicillin | Amoxicillin | 16 | 11 |
| Cefuroxime | Cefuroxime Axetil | 16 | 11 |
| Cholestyramine | Cholestyramine (With Sugar) | 16 | suppressed |
| Cyclosporine | Cyclosporine | 16 | suppressed |
| Nitroglycerin | Nitroglycerin | 16 | 12 |
| Clobetasol Propionate | Clobetasol Propionate | 15 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 15 | suppressed |
| Methimazole | Methimazole | 15 | suppressed |
| Novolog | Insulin Aspart | 15 | suppressed |
| Ozempic | Semaglutide | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Fiasp | Insulin Aspart (Niacinamide) | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Scopolamine | Scopolamine | 14 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 14 | suppressed |
| Vraylar | Cariprazine Hcl | 14 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 13 | suppressed |
| Dorzolamide Hcl | Dorzolamide Hcl | 13 | suppressed |
| Dutasteride | Dutasteride | 13 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 13 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 13 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 13 | suppressed |
| Cefepime-Dextrose | Cefepime Hcl In Dextrose 5 % | 12 | suppressed |
| Clonidine | Clonidine | 12 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Ibuprofen | Ibuprofen | 12 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 12 | suppressed |
| Pentoxifylline | Pentoxifylline | 12 | suppressed |
| Vemlidy | Tenofovir Alafenamide | 12 | suppressed |
| Admelog Solostar | Insulin Lispro | 11 | suppressed |
| Alphagan P | Brimonidine Tartrate | 11 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Carbamazepine | Carbamazepine | 11 | suppressed |
| Dimethyl Fumarate | Dimethyl Fumarate | 11 | suppressed |
| Levemir | Insulin Detemir | 11 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 11 | suppressed |
| Pregabalin | Pregabalin | 11 | suppressed |
| Rivastigmine | Rivastigmine | 11 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 11 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Thiothixene | Thiothixene | 11 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 11 | suppressed |
| Ursodiol | Ursodiol | 11 | suppressed |
| Ventolin Hfa | Albuterol 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 | $202.55 · 2 records | Otsuka America Pharmaceutical, Inc. | NUPLAZID, REXULTI | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Otsuka America Pharmaceutical, Inc.?
- 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