Payment overview · 2025
General Payments
$22.21
1 reported records · 1 companies
Healthcare provider profile · identity verified
Karena A Neri, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · PALM HARBOR, FL · NPI 1730146259
Verified facts
What the public records show
CMS Open Payments records show Karena A Neri, M.D. received $22.21 in general payments during 2025 across 1 reported records.
PFIZER INC. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
A separate comparison found the same explicitly named product in public Medicare Part D data: Paxlovid.
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 51 claims for Eliquis 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Paxlovid 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 | $22.21 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $22.21 | 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 |
|---|---|---|---|---|---|
| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $22.21 | 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 |
|---|---|---|---|---|---|---|
| PAXLOVID paxlovid |
2025 | Paxlovid | 2024 | 37 | 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 |
|---|---|---|---|---|---|---|
| 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 |
51 | 17 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
37 | 36 |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 877 | 230 |
| Atorvastatin Calcium | Atorvastatin Calcium | 486 | 136 |
| Amlodipine Besylate | Amlodipine Besylate | 437 | 132 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 437 | 139 |
| Losartan Potassium | Losartan Potassium | 334 | 96 |
| Lisinopril | Lisinopril | 326 | 102 |
| Pantoprazole Sodium | Pantoprazole Sodium | 281 | 92 |
| Metformin Hcl | Metformin Hcl | 231 | 63 |
| Omeprazole | Omeprazole | 231 | 66 |
| Escitalopram Oxalate | Escitalopram Oxalate | 185 | 54 |
| Alprazolam | Alprazolam | 165 | 44 |
| Simvastatin | Simvastatin | 154 | 49 |
| Doxycycline Hyclate | Doxycycline Hyclate | 146 | 130 |
| Metoprolol Succinate | Metoprolol Succinate | 143 | 38 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 140 | 88 |
| Sertraline Hcl | Sertraline Hcl | 135 | 34 |
| Trazodone Hcl | Trazodone Hcl | 130 | 33 |
| Januvia | Sitagliptin Phosphate | 123 | 26 |
| Ramipril | Ramipril | 122 | 35 |
| Metoprolol Tartrate | Metoprolol Tartrate | 119 | 35 |
| Synthroid | Levothyroxine Sodium | 117 | 32 |
| Hydrochlorothiazide | Hydrochlorothiazide | 114 | 36 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 113 | 93 |
| Furosemide | Furosemide | 108 | 42 |
| Carvedilol | Carvedilol | 91 | 27 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 91 | 23 |
| Gabapentin | Gabapentin | 90 | 27 |
| Mupirocin | Mupirocin | 90 | 61 |
| Clopidogrel | Clopidogrel Bisulfate | 88 | 26 |
| Azithromycin | Azithromycin | 85 | 71 |
| Meloxicam | Meloxicam | 83 | 27 |
| Allopurinol | Allopurinol | 81 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 81 | 20 |
| Potassium Chloride | Potassium Chloride | 78 | 31 |
| Ezetimibe | Ezetimibe | 76 | 22 |
| Citalopram Hbr | Citalopram Hydrobromide | 74 | 23 |
| Famotidine | Famotidine | 72 | 17 |
| Montelukast Sodium | Montelukast Sodium | 71 | 22 |
| Tamsulosin Hcl | Tamsulosin Hcl | 71 | 20 |
| Xarelto | Rivaroxaban | 71 | 14 |
| Azelastine Hcl | Azelastine Hcl | 70 | 30 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 70 | 22 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 67 | 17 |
| Valacyclovir | Valacyclovir Hcl | 66 | 34 |
| Atenolol | Atenolol | 64 | 18 |
| Zolpidem Tartrate | Zolpidem Tartrate | 63 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 62 | 17 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 60 | 43 |
| Spironolactone | Spironolactone | 60 | 20 |
| Cefdinir | Cefdinir | 59 | 47 |
| Prednisone | Prednisone | 58 | 43 |
| Clonazepam | Clonazepam | 54 | suppressed |
| Eliquis | Apixaban | 51 | 17 |
| Fluoxetine Hcl | Fluoxetine Hcl | 51 | 13 |
| Fluticasone Propionate | Fluticasone Propionate | 50 | 15 |
| Donepezil Hcl | Donepezil Hcl | 46 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 43 | 36 |
| Valsartan | Valsartan | 42 | 16 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 41 | 26 |
| Glimepiride | Glimepiride | 40 | 11 |
| Rizatriptan | Rizatriptan Benzoate | 38 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 37 | 13 |
| Paxlovid | Nirmatrelvir/Ritonavir | 37 | 36 |
| Pioglitazone Hcl | Pioglitazone Hcl | 37 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | 20 |
| Methylprednisolone | Methylprednisolone | 33 | 31 |
| Bupropion Xl | Bupropion Hcl | 32 | suppressed |
| Lorazepam | Lorazepam | 31 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 28 | suppressed |
| Cephalexin | Cephalexin | 28 | 23 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 27 | suppressed |
| Lovastatin | Lovastatin | 27 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 27 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 27 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 27 | suppressed |
| Celecoxib | Celecoxib | 25 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 25 | suppressed |
| Folic Acid | Folic Acid | 25 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 24 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 24 | 15 |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 23 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 22 | suppressed |
| Nifedipine Er | Nifedipine | 22 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 21 | suppressed |
| Aripiprazole | Aripiprazole | 20 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 19 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 19 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 19 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 19 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 19 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 19 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 18 | suppressed |
| Fluconazole | Fluconazole | 18 | 14 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 18 | suppressed |
| Trulicity | Dulaglutide | 18 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 17 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Tobramycin | Tobramycin | 17 | 16 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 17 | suppressed |
| Acyclovir | Acyclovir | 16 | suppressed |
| Amoxicillin | Amoxicillin | 16 | 12 |
| Baclofen | Baclofen | 16 | suppressed |
| Gemfibrozil | Gemfibrozil | 16 | suppressed |
| Topiramate | Topiramate | 16 | suppressed |
| Verapamil Er | Verapamil Hcl | 16 | suppressed |
| Finasteride | Finasteride | 15 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 15 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 15 | suppressed |
| Vascepa | Icosapent Ethyl | 15 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 14 | suppressed |
| Fenofibrate | Fenofibrate | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Memantine Hcl | Memantine Hcl | 14 | suppressed |
| Diclofenac Sodium Er | Diclofenac Sodium | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 13 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 13 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 12 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 12 | 12 |
| Ipratropium Bromide | Ipratropium Bromide | 12 | suppressed |
| Lansoprazole | Lansoprazole | 12 | suppressed |
| Latanoprost | Latanoprost | 12 | suppressed |
| Primidone | Primidone | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 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 | $22.21 · 1 records | PFIZER INC. | PAXLOVID | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Paxlovid play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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