Payment overview · 2025
General Payments
$837.01
45 reported records · 13 companies
Healthcare provider profile · identity verified
Gowri Balachandar, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology · PLANO, TX · NPI 1669435889
Verified facts
What the public records show
CMS Open Payments records show Gowri Balachandar, M.D. received $837.01 in general payments during 2025 across 45 reported records.
PFIZER INC. accounted for 19.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 18 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Zenpep.
ABBVIE 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 CREON as an associated drug or biological on 91561 records involving 20616 distinct recipient NPIs. Public Medicare Part D data also shows 66 claims for Creon by this doctor in 2024.
ABBVIE 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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 66 claims for Linzess by this doctor in 2024.
Aimmune Therapeutics, 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 ZENPEP as an associated drug or biological on 32144 records involving 12432 distinct recipient NPIs. Public Medicare Part D data also shows 34 claims for Zenpep 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $160.74 | 19.2% | 11 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $152.23 | 18.2% | 7 | 2025 |
| VIVUS LLC | Unresolved — no canonical attribution shown | $91.58 | 10.9% | 4 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $82.44 | 9.8% | 4 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $77.68 | 9.3% | 4 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $62.15 | 7.4% | 3 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $47.84 | 5.7% | 3 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $45.68 | 5.5% | 2 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $39.51 | 4.7% | 2 | 2025 |
| Intra-Sana Laboratories | Unresolved — no canonical attribution shown | $36.32 | 4.3% | 2 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $16.47 | 2.0% | 1 | 2025 |
| EVOKE PHARMA, INC. | Unresolved — no canonical attribution shown | $14.18 | 1.7% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $10.19 | 1.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $837.01 | 45 |
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 |
|---|---|---|---|---|---|
| VELSIPITY Normalized: velsipity |
Drug | PFIZER INC. | $160.74 | 11 | 2025 |
Source payment records
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| OMVOH Normalized: omvoh |
Drug | Lilly USA, LLC | $152.23 | 7 | 2025 |
Source payment records
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| XELJANZ Normalized: xeljanz |
Drug | PFIZER INC. | $93.83 | 6 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $82.44 | 4 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $77.68 | 4 | 2025 |
Source payment records
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| PANCREAZE Normalized: pancreaze |
Drug | VIVUS LLC | $70.11 | 3 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $62.15 | 3 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $62.15 | 3 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $47.84 | 3 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $45.68 | 2 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological | GENZYME CORPORATION | $39.51 | 2 | 2025 |
Source payment records
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| GLYCATE Normalized: glycate |
Drug | Intra-Sana Laboratories | $36.32 | 2 | 2025 |
Source payment records
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| RELTONE 200 MG Normalized: reltone 200 mg |
Drug | Intra-Sana Laboratories | $36.32 | 2 | 2025 |
Source payment records
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| RELTONE 400 MG Normalized: reltone 400 mg |
Drug | Intra-Sana Laboratories | $36.32 | 2 | 2025 |
Source payment records
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| QSYMIA Normalized: qsymia |
Drug | VIVUS LLC | $21.47 | 1 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $16.47 | 1 | 2025 |
Source payment records
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| GIMOTI Normalized: gimoti |
Drug | EVOKE PHARMA, INC. | $14.18 | 1 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $10.19 | 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 |
|---|---|---|---|---|---|---|
| ZENPEP zenpep |
2025 | Zenpep | 2024 | 34 | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | CREON open payments reported associated product |
CMS Open Payments — General Payments 91561 supporting records · 20616 recipient NPIs · example record 1201352608 |
Creon · 2024 Exact normalized brand match · 1 Part D row |
66 | 25 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
66 | 26 |
| Aimmune Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | ZENPEP open payments reported associated product |
CMS Open Payments — General Payments 32144 supporting records · 12432 recipient NPIs · example record 1249641927 |
Zenpep · 2024 Exact normalized brand match · 1 Part D row |
34 | 15 |
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 |
|---|---|---|---|
| Famotidine | Famotidine | 507 | 188 |
| Pantoprazole Sodium | Pantoprazole Sodium | 305 | 113 |
| Sucralfate | Sucralfate | 238 | 89 |
| Omeprazole | Omeprazole | 169 | 63 |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 154 | 148 |
| Dicyclomine Hcl | Dicyclomine Hcl | 145 | 58 |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 100 | 26 |
| Lactulose | Lactulose | 81 | 46 |
| Metoclopramide Hcl | Metoclopramide Hcl | 76 | 31 |
| Peg-3350 And Electrolytes | Peg3350/Sod Sulf,bicarb,cl/Kcl | 76 | 76 |
| Ondansetron Hcl | Ondansetron Hcl | 70 | 27 |
| Creon | Lipase/Protease/Amylase | 66 | 25 |
| Linzess | Linaclotide | 66 | 26 |
| Amoxicillin | Amoxicillin | 58 | 51 |
| Lidocaine Hcl Viscous | Lidocaine Hcl | 48 | 34 |
| Metronidazole | Metronidazole | 44 | 41 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 41 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 38 | 15 |
| Ondansetron Odt | Ondansetron | 35 | 15 |
| Hydrocortisone | Hydrocortisone | 34 | 22 |
| Zenpep | Lipase/Protease/Amylase | 34 | 15 |
| Colestipol Hcl | Colestipol Hcl | 26 | suppressed |
| Mesalamine | Mesalamine | 23 | suppressed |
| Sod Sulf-Potass Sulf-Mag Sulf | Sodium, Potassium,mag Sulfates | 23 | 23 |
| Lubiprostone | Lubiprostone | 21 | suppressed |
| Mesalamine Er | Mesalamine | 21 | suppressed |
| Constulose | Lactulose | 17 | 13 |
| Sutab | Sod Sulf/Pot Chloride/Mag Sulf | 17 | 17 |
| Tramadol Hcl | Tramadol Hcl | 17 | suppressed |
| Prednisone | Prednisone | 16 | suppressed |
| Fluconazole | Fluconazole | 14 | 12 |
| Sulfasalazine | Sulfasalazine | 14 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | 12 |
| Furosemide | Furosemide | 13 | suppressed |
| Lorazepam | Lorazepam | 12 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 12 | suppressed |
| Nystatin | Nystatin | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline 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 | $837.01 · 45 records | PFIZER INC. | AYVAKIT, ENTYVIO, GIMOTI, GLYCATE, IBSRELA, OMVOH, PANCREAZE, QSYMIA, RELTONE 200 MG, RELTONE 400 MG, REZDIFFRA, RINVOQ, SKYRIZI, VELSIPITY, VOQUEZNA, XELJANZ, XIFAXAN, ZENPEP | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Zenpep play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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