Payment overview · 2025
General Payments
$2,177.11
131 reported records · 16 companies
Healthcare provider profile · identity verified
Shane Cox, CRNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care · ANNISTON, AL · NPI 1780264226
Verified facts
What the public records show
CMS Open Payments records show Shane Cox, CRNP received $2,177.11 in general payments during 2025 across 131 reported records.
Janssen Biotech, Inc. accounted for 19.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
Janssen Biotech, 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 XARELTO as an associated drug or biological on 24 records involving 23 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Xarelto 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 150 claims for Eliquis 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 |
|---|---|---|---|---|---|
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $413.58 | 19.0% | 17 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $329.76 | 15.2% | 25 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $292.86 | 13.4% | 18 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $209.67 | 9.6% | 16 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $161.18 | 7.4% | 12 | 2025 |
| QOL Medical, LLC | Unresolved — no canonical attribution shown | $153.35 | 7.0% | 6 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $135.69 | 6.2% | 11 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $103.40 | 4.8% | 4 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $99.12 | 4.5% | 7 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $72.92 | 3.4% | 5 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $56.27 | 2.6% | 3 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $45.15 | 2.1% | 2 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $31.90 | 1.5% | 2 | 2025 |
| Electromed, Inc. | Unresolved — no canonical attribution shown | $28.35 | 1.3% | 1 | 2025 |
| IRONWOOD PHARMACEUTICALS, INC | Unresolved — no canonical attribution shown | $22.38 | 1.0% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $21.53 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,093.11 | 130 |
| Education | $84.00 | 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 |
|---|---|---|---|---|---|
| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $413.58 | 17 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $292.86 | 18 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $209.67 | 16 | 2025 |
Source payment records
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| CREON Normalized: creon |
Drug | ABBVIE INC. | $204.13 | 17 | 2025 |
Source payment records
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| VIBERZI Normalized: viberzi |
Drug | ABBVIE INC. | $173.91 | 13 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $161.18 | 12 | 2025 |
Source payment records
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| Sucraid Normalized: sucraid |
Drug | QOL Medical, LLC | $153.35 | 6 | 2025 |
Source payment records
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| LINZESS Normalized: linzess |
Drug | ABBVIE INC., IRONWOOD PHARMACEUTICALS, INC | $125.01 | 10 | 2025 |
Source payment records
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| IQIRVO Normalized: iqirvo |
Drug | Ipsen Biopharmaceuticals, Inc | $103.40 | 4 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $99.12 | 7 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $78.69 | 6 | 2025 |
Source payment records
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| MAVYRET Normalized: mavyret |
Drug | ABBVIE INC. | $75.36 | 5 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $72.92 | 5 | 2025 |
Source payment records
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| RELISTOR Normalized: relistor |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $57.00 | 5 | 2025 |
Source payment records
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| VELSIPITY Normalized: velsipity |
Drug | PFIZER INC. | $56.27 | 3 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $50.27 | 3 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $50.27 | 3 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION | $45.15 | 2 | 2025 |
Source payment records
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| SMARTVEST Normalized: smartvest |
Device | Electromed, Inc. | $28.35 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $21.53 | 1 | 2025 |
Source payment records
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| XELJANZ Normalized: xeljanz |
Drug | PFIZER INC. | $17.10 | 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 |
|---|---|---|---|---|---|---|
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | XARELTO open payments reported associated product |
CMS Open Payments — General Payments 24 supporting records · 23 recipient NPIs · example record 1174259978 |
Xarelto · 2024 Exact normalized brand match · 1 Part D row |
32 | suppressed by CMS |
| 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 |
150 | 38 |
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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 237 | 91 |
| Carvedilol | Carvedilol | 201 | 76 |
| Atorvastatin Calcium | Atorvastatin Calcium | 159 | 66 |
| Eliquis | Apixaban | 150 | 38 |
| Losartan Potassium | Losartan Potassium | 134 | 57 |
| Lisinopril | Lisinopril | 133 | 46 |
| Metoprolol Succinate | Metoprolol Succinate | 127 | 47 |
| Entresto | Sacubitril/Valsartan | 118 | 27 |
| Clopidogrel | Clopidogrel Bisulfate | 74 | 34 |
| Furosemide | Furosemide | 63 | 23 |
| Amiodarone Hcl | Amiodarone Hcl | 50 | 14 |
| Clonidine Hcl | Clonidine Hcl | 49 | 15 |
| Metoprolol Tartrate | Metoprolol Tartrate | 45 | 13 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 42 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 41 | 13 |
| Potassium Chloride | Potassium Chloride | 36 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 35 | 12 |
| Simvastatin | Simvastatin | 35 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 33 | 12 |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Nitroglycerin | Nitroglycerin | 31 | 19 |
| Sotalol | Sotalol Hcl | 28 | suppressed |
| Brilinta | Ticagrelor | 27 | suppressed |
| Digoxin | Digoxin | 27 | 11 |
| Felodipine Er | Felodipine | 26 | suppressed |
| Spironolactone | Spironolactone | 26 | suppressed |
| Minoxidil | Minoxidil | 24 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 22 | 11 |
| Doxazosin Mesylate | Doxazosin Mesylate | 21 | suppressed |
| Ezetimibe | Ezetimibe | 18 | suppressed |
| Valsartan | Valsartan | 18 | suppressed |
| Atenolol | Atenolol | 17 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 12 | suppressed |
| Fenofibrate | Fenofibrate | 11 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | suppressed |
| Ranolazine Er | Ranolazine | 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 | $2,177.11 · 131 records | Janssen Biotech, Inc. | CREON, DUPIXENT, ENTYVIO, IBSRELA, IQIRVO, LINZESS, MAVYRET, RELISTOR, REZDIFFRA, RINVOQ, SKYRIZI, SMARTVEST, Sucraid, TREMFYA, VELSIPITY, VIBERZI, VOQUEZNA, Wegovy, XELJANZ, XIFAXAN, ZENPEP | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Janssen Biotech, 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