Payment overview · 2025
General Payments
$20.95
1 reported records · 1 companies
Healthcare provider profile · identity verified
Alex Manuel Rivera, M.D.
Allopathic & Osteopathic Physicians|General Practice · DORADO, PR · NPI 1730196114
Verified facts
What the public records show
CMS Open Payments records show Alex Manuel Rivera, M.D. received $20.95 in general payments during 2025 across 1 reported records.
Merck Sharp & Dohme LLC accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
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 |
|---|---|---|---|---|---|
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $20.95 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $20.95 | 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 |
|---|---|---|---|---|---|
| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $20.95 | 1 | 2025 |
Source payment records
|
|||||
| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $20.95 | 1 | 2025 |
Source payment records
|
|||||
* 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Gabapentin | Gabapentin | 508 | 168 |
| Simvastatin | Simvastatin | 428 | 140 |
| Omeprazole | Omeprazole | 394 | 82 |
| Famotidine | Famotidine | 350 | 91 |
| Pregabalin | Pregabalin | 302 | 63 |
| Levothyroxine Sodium | Levothyroxine Sodium | 295 | 91 |
| Losartan Potassium | Losartan Potassium | 265 | 83 |
| Synthroid | Levothyroxine Sodium | 263 | 65 |
| Atorvastatin Calcium | Atorvastatin Calcium | 250 | 88 |
| Metformin Hcl | Metformin Hcl | 231 | 73 |
| Cilostazol | Cilostazol | 221 | 74 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 221 | 83 |
| Amlodipine Besylate | Amlodipine Besylate | 219 | 77 |
| Metoprolol Succinate | Metoprolol Succinate | 214 | 71 |
| Azithromycin | Azithromycin | 203 | 156 |
| Clonazepam | Clonazepam | 202 | 36 |
| Hydrochlorothiazide | Hydrochlorothiazide | 189 | 60 |
| Tizanidine Hcl | Tizanidine Hcl | 185 | 58 |
| Glipizide | Glipizide | 181 | 61 |
| Lorazepam | Lorazepam | 175 | 40 |
| Lisinopril | Lisinopril | 172 | 60 |
| Etodolac | Etodolac | 164 | 57 |
| Baclofen | Baclofen | 155 | 48 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 152 | 50 |
| Meloxicam | Meloxicam | 151 | 55 |
| Temazepam | Temazepam | 147 | 43 |
| Trazodone Hcl | Trazodone Hcl | 140 | 29 |
| Nabumetone | Nabumetone | 138 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 132 | 51 |
| Carvedilol | Carvedilol | 129 | 48 |
| Diclofenac Sodium | Diclofenac Sodium | 126 | 48 |
| Montelukast Sodium | Montelukast Sodium | 121 | 49 |
| Pioglitazone Hcl | Pioglitazone Hcl | 117 | 39 |
| Fluconazole | Fluconazole | 112 | 83 |
| Pantoprazole Sodium | Pantoprazole Sodium | 109 | 34 |
| Alendronate Sodium | Alendronate Sodium | 108 | 28 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 106 | 69 |
| Sertraline Hcl | Sertraline Hcl | 103 | 31 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 101 | 82 |
| Fluticasone Propionate | Fluticasone Propionate | 101 | 37 |
| Clopidogrel | Clopidogrel Bisulfate | 99 | 39 |
| Fenofibrate | Fenofibrate Nanocrystallized | 96 | 34 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 88 | 29 |
| Donepezil Hcl | Donepezil Hcl | 88 | 20 |
| Belsomra | Suvorexant | 86 | 23 |
| Pentoxifylline | Pentoxifylline | 85 | 28 |
| Duloxetine Hcl | Duloxetine Hcl | 84 | 20 |
| Levofloxacin | Levofloxacin | 84 | 72 |
| Diclofenac Potassium | Diclofenac Potassium | 83 | 19 |
| Enalapril Maleate | Enalapril Maleate | 78 | 26 |
| Candesartan Cilexetil | Candesartan Cilexetil | 76 | 21 |
| Sulindac | Sulindac | 75 | 27 |
| Pravastatin Sodium | Pravastatin Sodium | 74 | 29 |
| Eliquis | Apixaban | 73 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 73 | 25 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 70 | 17 |
| Neomycin-Polymyxin-Hydrocort | Neomycin/Polymyxin B/Hydrocort | 70 | 61 |
| Allopurinol | Allopurinol | 68 | 22 |
| Irbesartan | Irbesartan | 66 | 20 |
| Sucralfate | Sucralfate | 66 | 23 |
| Dexamethasone | Dexamethasone | 65 | 49 |
| Furosemide | Furosemide | 63 | 24 |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 63 | 43 |
| Glimepiride | Glimepiride | 61 | 21 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 59 | 23 |
| Quetiapine Fumarate | Quetiapine Fumarate | 58 | 12 |
| Verapamil Er | Verapamil Hcl | 58 | 15 |
| Clonidine Hcl | Clonidine Hcl | 56 | 21 |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 50 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 50 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 50 | 43 |
| Ketoconazole | Ketoconazole | 49 | 36 |
| Naproxen | Naproxen | 47 | 15 |
| Glipizide-Metformin | Glipizide/Metformin Hcl | 46 | 18 |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 46 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 46 | 19 |
| Prednisone | Prednisone | 44 | 20 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 44 | 14 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 42 | 12 |
| Calcitriol | Calcitriol | 42 | 13 |
| Humalog | Insulin Lispro | 41 | suppressed |
| Xarelto | Rivaroxaban | 38 | suppressed |
| Atenolol | Atenolol | 37 | 13 |
| Buspirone Hcl | Buspirone Hcl | 37 | 15 |
| Latanoprost | Latanoprost | 36 | suppressed |
| Spironolactone | Spironolactone | 36 | 13 |
| Cefadroxil | Cefadroxil | 35 | 30 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 35 | 12 |
| Bupropion Xl | Bupropion Hcl | 34 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 34 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 34 | 31 |
| Fluoxetine Hcl | Fluoxetine Hcl | 33 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 32 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 31 | 26 |
| Clobetasol Propionate | Clobetasol Propionate | 31 | 14 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 31 | 12 |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 30 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 27 | 11 |
| Hydrocortisone | Hydrocortisone | 27 | suppressed |
| Jardiance | Empagliflozin | 27 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 26 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 26 | 11 |
| Zolpidem Tartrate | Zolpidem Tartrate | 26 | suppressed |
| Desonide | Desonide | 25 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 25 | suppressed |
| Ibuprofen | Ibuprofen | 25 | 12 |
| Verapamil Hcl | Verapamil Hcl | 25 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 23 | suppressed |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Methylprednisolone | Methylprednisolone | 23 | 21 |
| Sildenafil Citrate | Sildenafil Citrate | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 22 | suppressed |
| Silver Sulfadiazine | Silver Sulfadiazine | 22 | 15 |
| Valsartan | Valsartan | 22 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 22 | 13 |
| Finasteride | Finasteride | 21 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 21 | suppressed |
| Terconazole | Terconazole | 21 | 20 |
| Colchicine | Colchicine | 20 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 20 | suppressed |
| Nifedipine Er | Nifedipine | 20 | suppressed |
| Sure Comfort | Syring-Needl,disp,insul,0.3 Ml | 20 | suppressed |
| Metronidazole | Metronidazole | 19 | 16 |
| Ramipril | Ramipril | 19 | suppressed |
| Trulicity | Dulaglutide | 19 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 18 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 18 | suppressed |
| Jentadueto | Linagliptin/Metformin Hcl | 18 | suppressed |
| Rivastigmine | Rivastigmine | 18 | suppressed |
| Lactulose | Lactulose | 17 | 16 |
| Naproxen Sodium | Naproxen Sodium | 17 | suppressed |
| Olanzapine | Olanzapine | 17 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 17 | suppressed |
| Alprazolam | Alprazolam | 16 | suppressed |
| Procto-Med Hc | Hydrocortisone | 16 | 13 |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 16 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 15 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 15 | suppressed |
| Etodolac Er | Etodolac | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Timolol Maleate | Timolol Maleate | 15 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 14 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 14 | suppressed |
| Estazolam | Estazolam | 14 | suppressed |
| Ibu | Ibuprofen | 14 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 14 | 12 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Lumigan | Bimatoprost | 14 | suppressed |
| Memantine Hcl | Memantine Hcl | 14 | suppressed |
| Celecoxib | Celecoxib | 13 | suppressed |
| Humira | Adalimumab | 13 | suppressed |
| Lansoprazole | Lansoprazole | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Methotrexate | Methotrexate Sodium | 12 | suppressed |
| Multaq | Dronedarone Hcl | 12 | suppressed |
| Novolin N | Insulin Nph Human Isophane | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | 11 |
| Betamethasone Valerate | Betamethasone Valerate | 11 | suppressed |
| Lamictal | Lamotrigine | 11 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 11 | suppressed |
| Ozempic | Semaglutide | 11 | suppressed |
| Tradjenta | Linagliptin | 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 | $20.95 · 1 records | Merck Sharp & Dohme LLC | CAPVAXIVE, GARDASIL 9 | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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