Payment overview · 2025
General Payments
$328.63
14 reported records · 10 companies
Healthcare provider profile · identity verified
Timothy Thomas Saunders, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · DUBUQUE, IA · NPI 1770147902
Verified facts
What the public records show
CMS Open Payments records show Timothy Thomas Saunders, ARNP received $328.63 in general payments during 2025 across 14 reported records.
AstraZeneca Pharmaceuticals LP accounted for 28.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
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 14 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $94.30 | 28.7% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $36.92 | 11.2% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $34.64 | 10.5% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $30.99 | 9.4% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $29.33 | 8.9% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $28.70 | 8.7% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $21.39 | 6.5% | 1 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $19.16 | 5.8% | 1 | 2025 |
| Dynavax Technologies Corporation | Unresolved — no canonical attribution shown | $17.90 | 5.5% | 1 | 2025 |
| Celltrion USA Inc. | Unresolved — no canonical attribution shown | $15.30 | 4.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $328.63 | 14 |
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 |
|---|---|---|---|---|---|
| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $94.30 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $34.64 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $34.64 | 2 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $30.99 | 2 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $29.33 | 1 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $28.70 | 2 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $28.70 | 2 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $21.39 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $19.46 | 1 | 2025 |
Source payment records
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| Heplisav-B Normalized: heplisav b |
Drug | Dynavax Technologies Corporation | $17.90 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $17.46 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $16.32 | 1 | 2025 |
Source payment records
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| VEGZELMA Normalized: vegzelma |
Biological | Celltrion USA Inc. | $15.30 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
14 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 142 | 45 |
| Losartan Potassium | Losartan Potassium | 97 | 33 |
| Lisinopril | Lisinopril | 91 | 33 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 86 | 29 |
| Gabapentin | Gabapentin | 79 | 18 |
| Amlodipine Besylate | Amlodipine Besylate | 76 | 28 |
| Omeprazole | Omeprazole | 75 | 25 |
| Furosemide | Furosemide | 72 | 28 |
| Levothyroxine Sodium | Levothyroxine Sodium | 65 | 23 |
| Cephalexin | Cephalexin | 53 | 48 |
| Duloxetine Hcl | Duloxetine Hcl | 52 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 50 | 17 |
| Potassium Chloride | Potassium Chloride | 49 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 47 | 18 |
| Lorazepam | Lorazepam | 46 | suppressed |
| Simvastatin | Simvastatin | 44 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 43 | 12 |
| Cefdinir | Cefdinir | 40 | 37 |
| Eliquis | Apixaban | 38 | 12 |
| Metoprolol Succinate | Metoprolol Succinate | 38 | 15 |
| Prednisone | Prednisone | 38 | 34 |
| Tramadol Hcl | Tramadol Hcl | 36 | 17 |
| Warfarin Sodium | Warfarin Sodium | 33 | 12 |
| Irbesartan | Irbesartan | 32 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 32 | 11 |
| Sertraline Hcl | Sertraline Hcl | 31 | 14 |
| Carvedilol | Carvedilol | 30 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 30 | 11 |
| Trazodone Hcl | Trazodone Hcl | 29 | suppressed |
| Metformin Hcl | Metformin Hcl | 28 | suppressed |
| Ibuprofen | Ibuprofen | 27 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 26 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 26 | 16 |
| Spironolactone | Spironolactone | 26 | 12 |
| Pregabalin | Pregabalin | 25 | suppressed |
| Alprazolam | Alprazolam | 24 | suppressed |
| Glimepiride | Glimepiride | 24 | suppressed |
| Atenolol | Atenolol | 22 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Allopurinol | Allopurinol | 20 | suppressed |
| Glipizide | Glipizide | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 18 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 18 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 18 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 18 | suppressed |
| Baclofen | Baclofen | 17 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 13 |
| Loperamide | Loperamide Hcl | 16 | suppressed |
| Clonazepam | Clonazepam | 15 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | 13 |
| Jardiance | Empagliflozin | 14 | suppressed |
| Meloxicam | Meloxicam | 14 | suppressed |
| Mirtazapine | Mirtazapine | 14 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 14 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 13 | suppressed |
| Topiramate | Topiramate | 13 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 12 | suppressed |
| Azithromycin | Azithromycin | 11 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 11 | suppressed |
| Finasteride | Finasteride | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Ondansetron Odt | Ondansetron | 11 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 11 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 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 | $328.63 · 14 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, AREXVY, Cologuard Collection Kit, Heplisav-B, MOUNJARO, OTEZLA, Ozempic, REPATHA, SHINGRIX, VEGZELMA, VRAYLAR, Wegovy, ZEPBOUND | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Lilly USA, 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