Payment overview · 2025
General Payments
$825.15
25 reported records · 14 companies
Healthcare provider profile · identity verified
Rene'E Danielle Romero, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · FREDERICKSBURG, VA · NPI 1740875475
Verified facts
What the public records show
CMS Open Payments records show Rene'E Danielle Romero, FNP-C received $825.15 in general payments during 2025 across 25 reported records.
Amgen Inc. accounted for 20.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 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 |
|---|---|---|---|---|---|
| Amgen Inc. | Unresolved — no canonical attribution shown | $165.04 | 20.0% | 4 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $157.39 | 19.1% | 3 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $148.97 | 18.1% | 3 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $96.39 | 11.7% | 1 | 2025 |
| CARDIVA MEDICAL, INC. | Unresolved — no canonical attribution shown | $47.50 | 5.8% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $41.09 | 5.0% | 2 | 2025 |
| CVRx, Inc. | Unresolved — no canonical attribution shown | $39.43 | 4.8% | 3 | 2025 |
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $22.74 | 2.8% | 1 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $21.47 | 2.6% | 1 | 2025 |
| Biosense Webster, Inc. | Unresolved — no canonical attribution shown | $21.09 | 2.6% | 1 | 2025 |
| AtriCure, Inc. | Unresolved — no canonical attribution shown | $19.87 | 2.4% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $18.55 | 2.2% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $17.62 | 2.1% | 1 | 2025 |
| VivaQuant Inc, dba Rhythm Express | Unresolved — no canonical attribution shown | $8.00 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $825.15 | 25 |
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 |
|---|---|---|---|---|---|
| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $165.04 | 4 | 2025 |
Source payment records
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| Extended Holter Normalized: extended holter |
Device | Philips North America LLC | $136.56 | 2 | 2025 |
Source payment records
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| OptiCross Normalized: opticross |
Device | Boston Scientific Corporation | $122.89 | 1 | 2025 |
Source payment records
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| EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) Normalized: edwards sapien 3 transcatheter heart valve thv |
Device | Edwards Lifesciences Corporation | $96.39 | 1 | 2025 |
Source payment records
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| Barostim Neo System Normalized: barostim neo system |
Device | CVRx, Inc. | $39.43 | 3 | 2025 |
Source payment records
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| CARDIVA VASCADE MVP VVCS 6-12F Normalized: cardiva vascade mvp vvcs 6 12f |
Device | CARDIVA MEDICAL, INC. | $27.72 | 1 | 2025 |
Source payment records
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| WATCHMAN Access System Normalized: watchman access system |
Device | Boston Scientific Corporation | $26.08 | 2 | 2025 |
Source payment records
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| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP | $24.93 | 1 | 2025 |
Source payment records
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| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $22.74 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $21.47 | 1 | 2025 |
Source payment records
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| CARTO 3 Normalized: carto 3 |
Device | Biosense Webster, Inc. | $21.09 | 1 | 2025 |
Source payment records
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| MCOT Normalized: mcot |
Device | Philips North America LLC | $20.83 | 1 | 2025 |
Source payment records
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| ATRICLIP LAA EXCLUSION SYSTEM Normalized: atriclip laa exclusion system |
Device | AtriCure, Inc. | $19.87 | 1 | 2025 |
Source payment records
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| EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX Normalized: epi sense guided coagulation system with visitrax |
Device | AtriCure, Inc. | $19.87 | 1 | 2025 |
Source payment records
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| OPTOWIRE Normalized: optowire |
Device | CARDIVA MEDICAL, INC. | $19.78 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $18.55 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $17.62 | 1 | 2025 |
Source payment records
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| LOKELMA Normalized: lokelma |
Drug | AstraZeneca Pharmaceuticals LP | $16.16 | 1 | 2025 |
Source payment records
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| RHYTHM EXPRESS Normalized: rhythm express |
Device | VivaQuant Inc, dba Rhythm Express | $8.00 | 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
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 |
|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 68 | 29 |
| Carvedilol | Carvedilol | 58 | 27 |
| Atorvastatin Calcium | Atorvastatin Calcium | 57 | 24 |
| Furosemide | Furosemide | 57 | 26 |
| Amlodipine Besylate | Amlodipine Besylate | 50 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 47 | 20 |
| Losartan Potassium | Losartan Potassium | 40 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 38 | 18 |
| Lisinopril | Lisinopril | 38 | 16 |
| Eliquis | Apixaban | 36 | 16 |
| Amiodarone Hcl | Amiodarone Hcl | 25 | 11 |
| Ezetimibe | Ezetimibe | 19 | suppressed |
| Bumetanide | Bumetanide | 15 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 15 | suppressed |
| Nitroglycerin | Nitroglycerin | 15 | 11 |
| Valsartan | Valsartan | 14 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 13 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 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 | $825.15 · 25 records | Amgen Inc. | ATRICLIP LAA EXCLUSION SYSTEM, Attruby, Barostim Neo System, CARDIVA VASCADE MVP VVCS 6-12F, CARTO 3, EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV), EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX, Extended Holter, LEQVIO, LOKELMA, LifeVest, MCOT, OPTOWIRE, OptiCross, REPATHA, RHYTHM EXPRESS, WAINUA, WATCHMAN Access System, Wegovy | — | — |
| 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