Payment overview · 2025
General Payments
$2,653.99
118 reported records · 23 companies
Healthcare provider profile · identity verified
Flora Smith, NP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · SAINT CLAIR SHORES, MI · NPI 1710455845
Verified facts
What the public records show
CMS Open Payments records show Flora Smith, NP received $2,653.99 in general payments during 2025 across 118 reported records.
AstraZeneca Pharmaceuticals LP accounted for 19.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 30 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Trelegy Ellipta.
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 26 claims for Trelegy Ellipta 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $513.44 | 19.4% | 26 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $383.34 | 14.4% | 13 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $321.87 | 12.1% | 16 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $198.91 | 7.5% | 15 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $169.29 | 6.4% | 6 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $159.63 | 6.0% | 3 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $110.70 | 4.2% | 5 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $102.83 | 3.9% | 5 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $99.99 | 3.8% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $76.73 | 2.9% | 4 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $73.23 | 2.8% | 4 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $68.40 | 2.6% | 4 | 2025 |
| BioCryst US Sales Co., LLC | Unresolved — no canonical attribution shown | $60.77 | 2.3% | 2 | 2025 |
| Pharming Healthcare, Inc. | Unresolved — no canonical attribution shown | $57.31 | 2.2% | 2 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $56.16 | 2.1% | 3 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $38.61 | 1.4% | 2 | 2025 |
| Ionis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $32.36 | 1.2% | 1 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $28.24 | 1.1% | 1 | 2025 |
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $27.96 | 1.1% | 1 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $25.23 | 0.9% | 1 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $22.92 | 0.9% | 1 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $20.81 | 0.8% | 1 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $5.26 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,554.00 | 117 |
| Education | $99.99 | 1 |
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 |
|---|---|---|---|---|---|
| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc., SANOFI-AVENTIS U.S. LLC | $540.57 | 17 | 2025 |
Source payment records
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| TEZSPIRE Normalized: tezspire |
Biological | Amgen Inc., AstraZeneca Pharmaceuticals LP | $330.05 | 21 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $165.57 | 8 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $159.63 | 3 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $148.38 | 10 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $124.56 | 7 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $110.25 | 7 | 2025 |
Source payment records
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| XOLAIR Normalized: xolair |
Drug | Novartis Pharmaceuticals Corporation | $83.97 | 4 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $81.70 | 3 | 2025 |
Source payment records
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| ORLADEYO Normalized: orladeyo |
Drug | BioCryst US Sales Co., LLC | $60.77 | 2 | 2025 |
Source payment records
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| RUCONEST Normalized: ruconest |
Biological | Pharming Healthcare, Inc. | $57.31 | 2 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $55.72 | 5 | 2025 |
Source payment records
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| CUVITRU Normalized: cuvitru |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $55.07 | 2 | 2025 |
Source payment records
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| CIBINQO Normalized: cibinqo |
Drug | PFIZER INC. | $52.63 | 3 | 2025 |
Source payment records
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| TAKHZYRO Normalized: takhzyro |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $49.13 | 2 | 2025 |
Source payment records
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| XHANCE Normalized: xhance |
Drug | Optinose US, Inc., Paratek Pharmaceuticals, Inc. | $48.77 | 2 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $47.00 | 3 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $38.61 | 2 | 2025 |
Source payment records
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| EUCRISA Normalized: eucrisa |
Drug | PFIZER INC. | $37.58 | 2 | 2025 |
Source payment records
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| HYQVIA Normalized: hyqvia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $33.55 | 1 | 2025 |
Source payment records
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| DAWNZERA Normalized: dawnzera |
Drug | Ionis Pharmaceuticals, Inc. | $32.36 | 1 | 2025 |
Source payment records
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| EOHILIA Normalized: eohilia |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $31.54 | 1 | 2025 |
Source payment records
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| Haegarda Normalized: haegarda |
Biological | CSL Behring | $26.23 | 1 | 2025 |
Source payment records
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $25.23 | 1 | 2025 |
Source payment records
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| CUTAQUIG Normalized: cutaquig |
Biological | PFIZER INC. | $24.10 | 1 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | PFIZER INC. | $24.10 | 1 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | PFIZER INC. | $24.10 | 1 | 2025 |
Source payment records
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $22.92 | 1 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $21.67 | 1 | 2025 |
Source payment records
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| VTAMA Normalized: vtama |
Drug | Organon LLC | $5.26 | 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 |
|---|---|---|---|---|---|---|
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 26 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 |
|---|---|---|---|---|---|---|
| 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 |
26 | 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 |
|---|---|---|---|
| Montelukast Sodium | Montelukast Sodium | 127 | 53 |
| Fluticasone Propionate | Fluticasone Propionate | 107 | 57 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 86 | 35 |
| Azelastine Hcl | Azelastine Hcl | 85 | 44 |
| Breo Ellipta | Fluticasone/Vilanterol | 67 | 11 |
| Prednisone | Prednisone | 39 | 28 |
| Sertraline Hcl | Sertraline Hcl | 38 | 12 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 32 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 30 | 11 |
| Famotidine | Famotidine | 27 | 12 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 26 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 24 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 24 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 21 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 20 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 18 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 18 | suppressed |
| Epinephrine | Epinephrine | 15 | 14 |
| Azithromycin | Azithromycin | 14 | 12 |
| Ventolin Hfa | Albuterol Sulfate | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Aripiprazole | Aripiprazole | 13 | suppressed |
| Dupixent Pen | Dupilumab | 13 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | 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 | $2,653.99 · 118 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, AYVAKIT, CIBINQO, CUTAQUIG, CUVITRU, DAWNZERA, DUPIXENT, EOHILIA, EUCRISA, FARXIGA, FASENRA, HYQVIA, Haegarda, Hizentra, LYBALVI, NEFFY, NUCALA, OCTAGAM IMMUNE GLOBULIN (HUMAN), ORLADEYO, PANZYGA, REXULTI, RUCONEST, TAKHZYRO, TEZSPIRE, TRELEGY ELLIPTA, VRAYLAR, VTAMA, XHANCE, XOLAIR, YUPELRI | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Trelegy Ellipta play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with GlaxoSmithKline, 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