Payment overview · 2025
General Payments
$240.75
11 reported records · 9 companies
Healthcare provider profile · identity verified
Alberto Ruvalcaba, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · OROSI, CA · NPI 1598074338
Verified facts
What the public records show
CMS Open Payments records show Alberto Ruvalcaba, M.D. received $240.75 in general payments during 2025 across 11 reported records.
Novo Nordisk Inc accounted for 19.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 198 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 18 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 28 claims for Trulicity by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 84 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $47.96 | 19.9% | 2 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$44.66 | 18.6% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $39.62 | 16.5% | 2 | 2025 |
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $22.97 | 9.5% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $20.90 | 8.7% | 1 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $18.73 | 7.8% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.94 | 6.6% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $15.06 | 6.3% | 1 | 2025 |
| Seqirus USA Inc | Unresolved — no canonical attribution shown | $14.91 | 6.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $240.75 | 11 |
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 |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $47.96 | 2 | 2025 |
Source payment records
|
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| CLOSUREFAST Normalized: closurefast |
Device | Medtronic, Inc. | $44.66 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $39.62 | 2 | 2025 |
Source payment records
|
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $39.62 | 2 | 2025 |
Source payment records
|
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| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $22.97 | 1 | 2025 |
Source payment records
|
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $20.90 | 1 | 2025 |
Source payment records
|
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $18.73 | 1 | 2025 |
Source payment records
|
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $15.94 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $15.06 | 1 | 2025 |
Source payment records
|
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| Fluad Normalized: fluad |
Biological | Seqirus USA Inc | $14.91 | 1 | 2025 |
Source payment records
|
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| Flucelvax Normalized: flucelvax |
Biological | Seqirus USA Inc | $14.91 | 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 | 18 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 |
|---|---|---|---|---|---|---|
| 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 |
198 | 22 |
| 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 |
18 | 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 |
28 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
84 | 17 |
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 | 353 | 76 |
| Diclofenac Sodium | Diclofenac Sodium | 317 | 59 |
| Fluticasone Propionate | Fluticasone Propionate | 298 | 62 |
| Ibuprofen | Ibuprofen | 240 | 48 |
| Omeprazole | Omeprazole | 227 | 53 |
| Metformin Hcl | Metformin Hcl | 218 | 47 |
| Lisinopril | Lisinopril | 200 | 50 |
| Jardiance | Empagliflozin | 198 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 195 | 41 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 192 | 32 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 163 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 161 | 32 |
| Azelastine Hcl | Azelastine Hcl | 147 | 27 |
| Levothyroxine Sodium | Levothyroxine Sodium | 145 | 35 |
| Prednisone | Prednisone | 138 | 87 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 137 | 27 |
| Metoprolol Succinate | Metoprolol Succinate | 137 | 24 |
| Losartan Potassium | Losartan Potassium | 132 | 37 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 129 | 29 |
| Furosemide | Furosemide | 127 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 126 | 28 |
| Gabapentin | Gabapentin | 122 | 20 |
| Pravastatin Sodium | Pravastatin Sodium | 111 | 26 |
| Montelukast Sodium | Montelukast Sodium | 109 | 15 |
| Pantoprazole Sodium | Pantoprazole Sodium | 108 | 21 |
| Metformin Er Gastric | Metformin Hcl | 100 | 16 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 96 | 11 |
| Famotidine | Famotidine | 93 | 25 |
| Lidocaine | Lidocaine | 86 | 21 |
| Carvedilol | Carvedilol | 85 | 16 |
| Ozempic | Semaglutide | 84 | 17 |
| Pioglitazone Hcl | Pioglitazone Hcl | 77 | 17 |
| Eliquis | Apixaban | 76 | 13 |
| Tramadol Hcl | Tramadol Hcl | 72 | 14 |
| Clonazepam | Clonazepam | 70 | 15 |
| Alprazolam | Alprazolam | 67 | 11 |
| Ventolin Hfa | Albuterol Sulfate | 67 | suppressed |
| Januvia | Sitagliptin Phosphate | 63 | 11 |
| Alogliptin | Alogliptin Benzoate | 62 | suppressed |
| Tradjenta | Linagliptin | 61 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 60 | 12 |
| Simvastatin | Simvastatin | 58 | 13 |
| Azithromycin | Azithromycin | 55 | 41 |
| Metoprolol Tartrate | Metoprolol Tartrate | 54 | 12 |
| Zolpidem Tartrate | Zolpidem Tartrate | 53 | 15 |
| Glimepiride | Glimepiride | 52 | 11 |
| Megestrol Acetate | Megestrol Acetate | 52 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 51 | suppressed |
| Allopurinol | Allopurinol | 50 | 11 |
| Cephalexin | Cephalexin | 45 | 37 |
| Clotrimazole | Clotrimazole | 45 | 20 |
| Sucralfate | Sucralfate | 45 | 18 |
| Novolog Flexpen | Insulin Aspart | 44 | suppressed |
| Ezetimibe | Ezetimibe | 43 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 42 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 41 | suppressed |
| Ketoconazole | Ketoconazole | 41 | 11 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 40 | suppressed |
| Naproxen | Naproxen | 40 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 40 | suppressed |
| Atenolol | Atenolol | 38 | suppressed |
| Lactulose | Lactulose | 38 | 16 |
| Linzess | Linaclotide | 38 | suppressed |
| Pregabalin | Pregabalin | 38 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 37 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 36 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 36 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 35 | 23 |
| Finasteride | Finasteride | 33 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 33 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 31 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 30 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 29 | suppressed |
| Brilinta | Ticagrelor | 29 | suppressed |
| Celecoxib | Celecoxib | 29 | suppressed |
| Ondansetron Odt | Ondansetron | 28 | suppressed |
| Trulicity | Dulaglutide | 28 | suppressed |
| Metformin Er Osmotic | Metformin Hcl | 27 | suppressed |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Baclofen | Baclofen | 26 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 26 | suppressed |
| Gemfibrozil | Gemfibrozil | 26 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 26 | suppressed |
| Nifedipine Er | Nifedipine | 25 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 25 | suppressed |
| Risperidone | Risperidone | 24 | suppressed |
| Easy Touch Alcohol Prep Pads | Alcohol Antiseptic Pads | 23 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 23 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 23 | suppressed |
| Spironolactone | Spironolactone | 23 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 22 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 21 | suppressed |
| Aripiprazole | Aripiprazole | 21 | suppressed |
| Fluconazole | Fluconazole | 21 | 14 |
| Levetiracetam | Levetiracetam | 21 | suppressed |
| Lorazepam | Lorazepam | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Primidone | Primidone | 21 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 20 | suppressed |
| Entresto | Sacubitril/Valsartan | 20 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 20 | suppressed |
| Nystatin | Nystatin | 20 | suppressed |
| Constulose | Lactulose | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 19 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 18 | suppressed |
| Mirtazapine | Mirtazapine | 18 | suppressed |
| Mounjaro | Tirzepatide | 18 | suppressed |
| Topiramate | Topiramate | 18 | suppressed |
| Alogliptin-Metformin | Alogliptin Benz/Metformin Hcl | 17 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Valsartan | Valsartan | 17 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 16 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 16 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 16 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 15 | suppressed |
| Memantine Hcl | Memantine Hcl | 15 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 15 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 15 | 11 |
| Ultiguard Safepack-Pen Needle | Pen Needle, Diabetic,disp Unit | 15 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 14 | suppressed |
| Clindamycin Phosphate | Clindamycin Phosphate | 14 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 14 | suppressed |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 14 | suppressed |
| Proctozone-Hc | Hydrocortisone | 14 | suppressed |
| Xarelto | Rivaroxaban | 14 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 13 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 13 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Mupirocin | Mupirocin | 13 | suppressed |
| Procto-Med Hc | Hydrocortisone | 13 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 13 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Ulticare Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 11 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 11 | suppressed |
| Diazepam | Diazepam | 11 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 11 | suppressed |
| Meloxicam | Meloxicam | 11 | suppressed |
| Omeprazole-Sodium Bicarbonate | Omeprazole/Sodium Bicarbonate | 11 | suppressed |
| Potassium Chloride | Potassium Chloride | 11 | suppressed |
| Propylthiouracil | Propylthiouracil | 11 | suppressed |
| Ssd | Silver Sulfadiazine | 11 | suppressed |
| Temazepam | Temazepam | 11 | suppressed |
| Verapamil Hcl | Verapamil 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 | $240.75 · 11 records | Novo Nordisk Inc | ACCRUFER, CAPLYTA, CLOSUREFAST, Dexcom G6 Transmitter, Fluad, Flucelvax, MOUNJARO, REPATHA, VOQUEZNA, Wegovy, 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 Lilly USA, 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