Payment overview · 2025
General Payments
$97.37
3 reported records · 2 companies
Healthcare provider profile · identity verified
Rafael E Paz
Allopathic & Osteopathic Physicians|General Practice · ARECIBO, PR · NPI 1740805191
Verified facts
What the public records show
CMS Open Payments records show Rafael E Paz received $97.37 in general payments during 2025 across 3 reported records.
Lilly USA, LLC accounted for 66.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Farxiga by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Symbicort by this doctor in 2024.
Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Jardiance 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $64.51 | 66.2% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $32.86 | 33.8% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $97.37 | 3 |
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 |
|---|---|---|---|---|---|
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $64.51 | 1 | 2025 |
Source payment records
|
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| LOKELMA Normalized: lokelma |
Drug | AstraZeneca Pharmaceuticals LP | $18.31 | 1 | 2025 |
Source payment records
|
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $14.55 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 23 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
17 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
31 | 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 |
|---|---|---|---|
| Simvastatin | Simvastatin | 530 | 90 |
| Gabapentin | Gabapentin | 458 | 84 |
| Famotidine | Famotidine | 397 | 95 |
| Metformin Hcl | Metformin Hcl | 356 | 68 |
| Lisinopril | Lisinopril | 333 | 61 |
| Atorvastatin Calcium | Atorvastatin Calcium | 293 | 69 |
| Amlodipine Besylate | Amlodipine Besylate | 275 | 54 |
| Losartan Potassium | Losartan Potassium | 263 | 61 |
| Synthroid | Levothyroxine Sodium | 248 | 47 |
| Omeprazole | Omeprazole | 222 | 50 |
| Tamsulosin Hcl | Tamsulosin Hcl | 210 | 39 |
| Montelukast Sodium | Montelukast Sodium | 202 | 46 |
| Dexamethasone | Dexamethasone | 196 | 122 |
| Azithromycin | Azithromycin | 186 | 136 |
| Levothyroxine Sodium | Levothyroxine Sodium | 183 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 167 | 35 |
| Hydrochlorothiazide | Hydrochlorothiazide | 164 | 43 |
| Diclofenac Potassium | Diclofenac Potassium | 150 | 78 |
| Glipizide | Glipizide | 144 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 142 | 38 |
| Carvedilol | Carvedilol | 136 | 22 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 125 | 23 |
| Clonazepam | Clonazepam | 122 | 29 |
| Enalapril Maleate | Enalapril Maleate | 112 | 20 |
| Metoprolol Succinate | Metoprolol Succinate | 101 | 21 |
| Finasteride | Finasteride | 97 | 15 |
| Clopidogrel | Clopidogrel Bisulfate | 96 | 17 |
| Alendronate Sodium | Alendronate Sodium | 93 | 28 |
| Metoprolol Tartrate | Metoprolol Tartrate | 87 | 17 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 86 | suppressed |
| Glimepiride | Glimepiride | 85 | 16 |
| Sertraline Hcl | Sertraline Hcl | 81 | 15 |
| Atenolol | Atenolol | 78 | 12 |
| Furosemide | Furosemide | 78 | 20 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 71 | 27 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 71 | 47 |
| Nabumetone | Nabumetone | 65 | 32 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 64 | 58 |
| Meclizine Hcl | Meclizine Hcl | 63 | 19 |
| Temazepam | Temazepam | 61 | 15 |
| Lorazepam | Lorazepam | 59 | suppressed |
| Xarelto | Rivaroxaban | 57 | suppressed |
| Spironolactone | Spironolactone | 55 | suppressed |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 53 | suppressed |
| Allopurinol | Allopurinol | 51 | 11 |
| Alprazolam | Alprazolam | 51 | 11 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 49 | 14 |
| Trazodone Hcl | Trazodone Hcl | 48 | 16 |
| Buspirone Hcl | Buspirone Hcl | 47 | suppressed |
| Meloxicam | Meloxicam | 47 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 46 | 44 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 45 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 45 | 24 |
| Donepezil Hcl | Donepezil Hcl | 41 | suppressed |
| Eliquis | Apixaban | 41 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 38 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 38 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 36 | suppressed |
| Verapamil Er | Verapamil Hcl | 34 | suppressed |
| Humalog | Insulin Lispro | 33 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 33 | 11 |
| Irbesartan | Irbesartan | 31 | suppressed |
| Jardiance | Empagliflozin | 31 | suppressed |
| Levetiracetam | Levetiracetam | 30 | suppressed |
| Pentoxifylline | Pentoxifylline | 30 | suppressed |
| Baclofen | Baclofen | 29 | suppressed |
| Gemfibrozil | Gemfibrozil | 29 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 28 | 24 |
| Cilostazol | Cilostazol | 27 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 26 | suppressed |
| Ezetimibe | Ezetimibe | 26 | suppressed |
| Januvia | Sitagliptin Phosphate | 26 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 26 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 26 | suppressed |
| Tradjenta | Linagliptin | 26 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 24 | suppressed |
| Latanoprost | Latanoprost | 24 | suppressed |
| Nifedipine Er | Nifedipine | 24 | suppressed |
| Orphenadrine Citrate Er | Orphenadrine Citrate | 24 | 18 |
| Sucralfate | Sucralfate | 24 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 24 | 20 |
| Farxiga | Dapagliflozin Propanediol | 23 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 23 | suppressed |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 22 | suppressed |
| Chlorthalidone | Chlorthalidone | 22 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 22 | suppressed |
| Memantine Hcl | Memantine Hcl | 22 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 22 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 21 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 21 | 18 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 21 | 20 |
| Quetiapine Fumarate | Quetiapine Fumarate | 21 | suppressed |
| Sulindac | Sulindac | 21 | suppressed |
| Glipizide Er | Glipizide | 20 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 20 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 20 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 20 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 19 | 18 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 19 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 19 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 19 | suppressed |
| Haloperidol | Haloperidol | 19 | suppressed |
| Benzonatate | Benzonatate | 18 | 16 |
| Divalproex Sodium | Divalproex Sodium | 18 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Mirtazapine | Mirtazapine | 17 | suppressed |
| Naproxen | Naproxen | 17 | 12 |
| Symbicort | Budesonide/Formoterol Fumarate | 17 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 16 | suppressed |
| Hydroxyurea | Hydroxyurea | 16 | suppressed |
| Jentadueto | Linagliptin/Metformin Hcl | 16 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 15 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 14 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 14 | suppressed |
| Lumigan | Bimatoprost | 14 | suppressed |
| Digoxin | Digoxin | 13 | suppressed |
| Fluconazole | Fluconazole | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 13 | suppressed |
| Olanzapine | Olanzapine | 13 | suppressed |
| Ramipril | Ramipril | 13 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | suppressed |
| Anastrozole | Anastrozole | 12 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 12 | suppressed |
| Diclofenac Sodium Er | Diclofenac Sodium | 12 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 11 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 11 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 11 | suppressed |
| Glyxambi | Empagliflozin/Linagliptin | 11 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 11 | suppressed |
| Pilocarpine Hcl | Pilocarpine Hcl | 11 | suppressed |
| Propafenone Hcl | Propafenone Hcl | 11 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 11 | suppressed |
| Timolol Maleate | Timolol Maleate | 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 | $97.37 · 3 records | Lilly USA, LLC | FARXIGA, LOKELMA, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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