Payment overview · 2025
General Payments
$240.44
9 reported records · 4 companies
Healthcare provider profile · identity verified
Mark A Ayers, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SENECA, SC · NPI 1669658753
Verified facts
What the public records show
CMS Open Payments records show Mark A Ayers, MD received $240.44 in general payments during 2025 across 9 reported records.
Vanda Pharmaceuticals Inc. accounted for 43.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Fanapt, Valtoco.
Neurelis, 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 VALTOCO as an associated drug or biological on 16082 records involving 5567 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Valtoco by this doctor in 2024.
Vanda Pharmaceuticals 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 FANAPT as an associated drug or biological on 95605 records involving 21383 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Fanapt 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 |
|---|---|---|---|---|---|
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $105.47 | 43.9% | 5 | 2025 |
| Biosense Webster, Inc. | Unresolved — no canonical attribution shown | $80.77 | 33.6% | 1 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $38.40 | 16.0% | 2 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$15.80 | 6.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $240.44 | 9 |
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 |
|---|---|---|---|---|---|
| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $105.47 | 5 | 2025 |
Source payment records
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| CARTO 3 Normalized: carto 3 |
Device | Biosense Webster, Inc. | $80.77 | 1 | 2025 |
Source payment records
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| HETLIOZ Normalized: hetlioz |
Drug | Vanda Pharmaceuticals Inc. | $77.88 | 4 | 2025 |
Source payment records
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| EPIDIOLEX Normalized: epidiolex |
Drug | JAZZ PHARMACEUTICALS INC. | $38.40 | 2 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $15.80 | 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 |
|---|---|---|---|---|---|---|
| FANAPT fanapt |
2025 | Fanapt | 2024 | 23 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VALTOCO valtoco |
2025 | Valtoco | 2024 | 11 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 |
|---|---|---|---|---|---|---|
| Neurelis, Inc. Exact reporting entity; no affiliate inference |
2025 | VALTOCO open payments reported associated product |
CMS Open Payments — General Payments 16082 supporting records · 5567 recipient NPIs · example record 1219183925 |
Valtoco · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Vanda Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | FANAPT open payments reported associated product |
CMS Open Payments — General Payments 95605 supporting records · 21383 recipient NPIs · example record 1232940535 |
Fanapt · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Quetiapine Fumarate | Quetiapine Fumarate | 103 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 98 | suppressed |
| Metformin Hcl | Metformin Hcl | 79 | suppressed |
| Omeprazole | Omeprazole | 75 | suppressed |
| Clonazepam | Clonazepam | 68 | suppressed |
| Lacosamide | Lacosamide | 67 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 62 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 56 | suppressed |
| Carbamazepine | Carbamazepine | 54 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 51 | suppressed |
| Calcitonin-Salmon | Calcitonin,salmon,synthetic | 50 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 50 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 44 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 41 | suppressed |
| Risperidone | Risperidone | 41 | suppressed |
| Amlodipine Besylate | Amlodipine Besylate | 36 | suppressed |
| Aripiprazole | Aripiprazole | 34 | suppressed |
| Latanoprost | Latanoprost | 34 | suppressed |
| Lorazepam | Lorazepam | 34 | 11 |
| Gabapentin | Gabapentin | 32 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 31 | suppressed |
| Lamotrigine | Lamotrigine | 29 | suppressed |
| Olanzapine | Olanzapine | 29 | suppressed |
| Phenobarbital | Phenobarbital | 28 | suppressed |
| Topiramate | Topiramate | 28 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 26 | suppressed |
| Diazepam | Diazepam | 24 | 13 |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 24 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 23 | suppressed |
| Fanapt | Iloperidone | 23 | suppressed |
| Meloxicam | Meloxicam | 22 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Haloperidol | Haloperidol | 20 | suppressed |
| Lactulose | Lactulose | 20 | suppressed |
| Zonisamide | Zonisamide | 20 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 16 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 14 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 14 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 14 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 14 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 13 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 13 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 13 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 13 | suppressed |
| Amantadine | Amantadine Hcl | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | suppressed |
| Aptiom | Eslicarbazepine Acetate | 12 | suppressed |
| Baclofen | Baclofen | 12 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 12 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 12 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 12 | suppressed |
| Eliquis | Apixaban | 12 | suppressed |
| Erythromycin | Erythromycin Base | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Lansoprazole | Lansoprazole | 12 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 12 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 12 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 12 | suppressed |
| Clonidine | Clonidine | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Valtoco | Diazepam | 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 | $240.44 · 9 records | Vanda Pharmaceuticals Inc. | CARTO 3, EPIDIOLEX, FANAPT, HETLIOZ, VALTOCO | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Fanapt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Neurelis, 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