Payment overview · 2025
General Payments
$488.27
22 reported records · 15 companies
Healthcare provider profile · identity verified
Melanie De Guzman, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · PORT ST LUCIE, FL · NPI 1699128736
Verified facts
What the public records show
CMS Open Payments records show Melanie De Guzman, ARNP received $488.27 in general payments during 2025 across 22 reported records.
ACADIA Pharmaceuticals Inc accounted for 13.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Jardiance, Trelegy Ellipta.
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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Synthroid by this doctor in 2024.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 36 claims for Jardiance by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 52 claims for Trelegy Ellipta 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 89 claims for Ozempic by this doctor in 2024.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 54 claims for Eliquis 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 |
|---|---|---|---|---|---|
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $67.41 | 13.8% | 3 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $58.64 | 12.0% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $51.12 | 10.5% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $48.19 | 9.9% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $40.86 | 8.4% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $33.70 | 6.9% | 2 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $28.93 | 5.9% | 1 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $25.00 | 5.1% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $23.96 | 4.9% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $22.29 | 4.6% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $21.21 | 4.3% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $18.37 | 3.8% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$18.10 | 3.7% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $15.86 | 3.2% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $14.63 | 3.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $488.27 | 22 |
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 |
|---|---|---|---|---|---|
| DAYBUE Normalized: daybue |
Drug | ACADIA Pharmaceuticals Inc | $67.41 | 3 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $58.64 | 2 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $51.12 | 2 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $40.86 | 2 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $33.70 | 2 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $33.70 | 2 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $28.93 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $25.51 | 1 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $25.00 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $23.96 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $22.29 | 1 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $21.21 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $18.37 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $18.37 | 1 | 2025 |
Source payment records
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| INTELLIS ADAPTIVESTIM Normalized: intellis adaptivestim |
Device | Medtronic, Inc. | $18.10 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $17.63 | 1 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $15.86 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $15.86 | 1 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $14.63 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 54 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 36 | exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 52 | 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 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
36 | 17 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
52 | 25 |
| 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 |
89 | 25 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
54 | 20 |
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 | 356 | 136 |
| Amlodipine Besylate | Amlodipine Besylate | 284 | 106 |
| Lisinopril | Lisinopril | 208 | 76 |
| Levothyroxine Sodium | Levothyroxine Sodium | 184 | 66 |
| Omeprazole | Omeprazole | 134 | 57 |
| Losartan Potassium | Losartan Potassium | 133 | 53 |
| Metformin Hcl | Metformin Hcl | 133 | 50 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 116 | 49 |
| Hydrochlorothiazide | Hydrochlorothiazide | 110 | 37 |
| Alprazolam | Alprazolam | 105 | 35 |
| Tamsulosin Hcl | Tamsulosin Hcl | 99 | 41 |
| Simvastatin | Simvastatin | 95 | 37 |
| Gabapentin | Gabapentin | 90 | 41 |
| Metoprolol Succinate | Metoprolol Succinate | 89 | 28 |
| Ozempic | Semaglutide | 89 | 25 |
| Pantoprazole Sodium | Pantoprazole Sodium | 89 | 41 |
| Metoprolol Tartrate | Metoprolol Tartrate | 82 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 67 | 33 |
| Zolpidem Tartrate | Zolpidem Tartrate | 67 | 21 |
| Furosemide | Furosemide | 65 | 28 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 59 | 20 |
| Warfarin Sodium | Warfarin Sodium | 56 | suppressed |
| Allopurinol | Allopurinol | 55 | 20 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 54 | 25 |
| Eliquis | Apixaban | 54 | 20 |
| Prednisone | Prednisone | 54 | 38 |
| Trazodone Hcl | Trazodone Hcl | 54 | 25 |
| Atenolol | Atenolol | 53 | 20 |
| Clopidogrel | Clopidogrel Bisulfate | 53 | 17 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 52 | 25 |
| Clonazepam | Clonazepam | 51 | 24 |
| Tramadol Hcl | Tramadol Hcl | 49 | 25 |
| Carvedilol | Carvedilol | 48 | 19 |
| Sertraline Hcl | Sertraline Hcl | 47 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 45 | 19 |
| Montelukast Sodium | Montelukast Sodium | 44 | 21 |
| Clonidine Hcl | Clonidine Hcl | 40 | 20 |
| Lorazepam | Lorazepam | 40 | 11 |
| Jardiance | Empagliflozin | 36 | 17 |
| Xarelto | Rivaroxaban | 36 | 11 |
| Alendronate Sodium | Alendronate Sodium | 35 | 12 |
| Citalopram Hbr | Citalopram Hydrobromide | 34 | 18 |
| Ezetimibe | Ezetimibe | 34 | 15 |
| Metformin Hcl Er | Metformin Hcl | 34 | 13 |
| Ibuprofen | Ibuprofen | 33 | 17 |
| Pravastatin Sodium | Pravastatin Sodium | 33 | 12 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 31 | 30 |
| Temazepam | Temazepam | 30 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 29 | 11 |
| Meloxicam | Meloxicam | 28 | 13 |
| Glipizide Er | Glipizide | 27 | suppressed |
| Pregabalin | Pregabalin | 27 | suppressed |
| Spironolactone | Spironolactone | 27 | suppressed |
| Famotidine | Famotidine | 26 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 26 | 11 |
| Azithromycin | Azithromycin | 24 | 23 |
| Donepezil Hcl | Donepezil Hcl | 23 | 13 |
| Finasteride | Finasteride | 23 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Nystatin | Nystatin | 23 | 15 |
| Potassium Chloride | Potassium Chloride | 23 | 12 |
| Diazepam | Diazepam | 22 | 14 |
| Irbesartan | Irbesartan | 21 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 21 | suppressed |
| Glipizide | Glipizide | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 19 | suppressed |
| Nifedipine Er | Nifedipine | 19 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 19 | suppressed |
| Telmisartan | Telmisartan | 19 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Methocarbamol | Methocarbamol | 17 | suppressed |
| Sucralfate | Sucralfate | 17 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Bumetanide | Bumetanide | 15 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 15 | suppressed |
| Ondansetron Odt | Ondansetron | 15 | suppressed |
| Synthroid | Levothyroxine Sodium | 15 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 15 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | 12 |
| Valsartan | Valsartan | 15 | suppressed |
| Acyclovir | Acyclovir | 14 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 14 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 14 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 14 | suppressed |
| Naproxen | Naproxen | 14 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 14 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 13 | suppressed |
| Colchicine | Colchicine | 13 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 13 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 12 | suppressed |
| Baclofen | Baclofen | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Mupirocin | Mupirocin | 12 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Fluconazole | Fluconazole | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | 11 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 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 | $488.27 · 22 records | ACADIA Pharmaceuticals Inc | AIRSUPRA, AREXVY, Cologuard Collection Kit, DAYBUE, ELIQUIS, INTELLIS ADAPTIVESTIM, JARDIANCE, Korlym, LEQVIO, Leqembi, NURTEC ODT, OTEZLA, QULIPTA, REPATHA, TRELEGY ELLIPTA, UBRELVY, Veozah, Wegovy, XIFAXAN | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis 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