Payment overview · 2025
General Payments
$72.54
3 reported records · 3 companies
Healthcare provider profile · identity verified
Brian M Smith, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · LAKE ST LOUIS, MO · NPI 1780645408
Verified facts
What the public records show
CMS Open Payments records show Brian M Smith, M.D. received $72.54 in general payments during 2025 across 3 reported records.
Janssen Pharmaceuticals, Inc accounted for 39.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
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 19 claims for Farxiga 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 Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $28.34 | 39.1% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $26.03 | 35.9% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $18.17 | 25.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $72.54 | 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 |
|---|---|---|---|---|---|
| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $28.34 | 1 | 2025 |
Source payment records
|
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $26.03 | 1 | 2025 |
Source payment records
|
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $18.17 | 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 |
|---|---|---|---|---|---|---|
| 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 |
19 | 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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 808 | 211 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 567 | 162 |
| Levothyroxine Sodium | Levothyroxine Sodium | 470 | 113 |
| Atorvastatin Calcium | Atorvastatin Calcium | 402 | 107 |
| Lisinopril | Lisinopril | 394 | 105 |
| Duloxetine Hcl | Duloxetine Hcl | 341 | 85 |
| Escitalopram Oxalate | Escitalopram Oxalate | 291 | 87 |
| Pantoprazole Sodium | Pantoprazole Sodium | 289 | 79 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 278 | 48 |
| Losartan Potassium | Losartan Potassium | 271 | 74 |
| Gabapentin | Gabapentin | 252 | 66 |
| Hydrochlorothiazide | Hydrochlorothiazide | 227 | 60 |
| Omeprazole | Omeprazole | 227 | 58 |
| Warfarin Sodium | Warfarin Sodium | 214 | 26 |
| Pravastatin Sodium | Pravastatin Sodium | 206 | 52 |
| Metoprolol Succinate | Metoprolol Succinate | 194 | 48 |
| Glimepiride | Glimepiride | 189 | 50 |
| Metformin Hcl | Metformin Hcl | 189 | 51 |
| Simvastatin | Simvastatin | 176 | 37 |
| Metformin Hcl Er | Metformin Hcl | 175 | 51 |
| Alprazolam | Alprazolam | 170 | 39 |
| Tramadol Hcl | Tramadol Hcl | 170 | 36 |
| Carvedilol | Carvedilol | 159 | 38 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 146 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 134 | 46 |
| Furosemide | Furosemide | 132 | 31 |
| Metoprolol Tartrate | Metoprolol Tartrate | 126 | 34 |
| Tamsulosin Hcl | Tamsulosin Hcl | 117 | 37 |
| Eliquis | Apixaban | 116 | 25 |
| Oxycodone Hcl | Oxycodone Hcl | 108 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 106 | 29 |
| Famotidine | Famotidine | 106 | 37 |
| Atenolol | Atenolol | 102 | 23 |
| Sertraline Hcl | Sertraline Hcl | 101 | 28 |
| Jardiance | Empagliflozin | 99 | 24 |
| Clopidogrel | Clopidogrel Bisulfate | 89 | 25 |
| Finasteride | Finasteride | 89 | 23 |
| Potassium Chloride | Potassium Chloride | 87 | 23 |
| Bupropion Xl | Bupropion Hcl | 85 | 23 |
| Montelukast Sodium | Montelukast Sodium | 84 | 22 |
| Ozempic | Semaglutide | 84 | 23 |
| Hydralazine Hcl | Hydralazine Hcl | 76 | 21 |
| Lorazepam | Lorazepam | 74 | 22 |
| Mounjaro | Tirzepatide | 70 | 16 |
| Tizanidine Hcl | Tizanidine Hcl | 70 | 17 |
| Meloxicam | Meloxicam | 66 | 16 |
| Donepezil Hcl | Donepezil Hcl | 64 | suppressed |
| Allopurinol | Allopurinol | 63 | 18 |
| Zolpidem Tartrate | Zolpidem Tartrate | 63 | 13 |
| Memantine Hcl | Memantine Hcl | 62 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 62 | 18 |
| Spironolactone | Spironolactone | 60 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 59 | 23 |
| Ezetimibe | Ezetimibe | 56 | 17 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 55 | 20 |
| Trulicity | Dulaglutide | 49 | suppressed |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 48 | 48 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 47 | 14 |
| Lovastatin | Lovastatin | 47 | 14 |
| Citalopram Hbr | Citalopram Hydrobromide | 45 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 43 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 42 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 39 | 12 |
| Pregabalin | Pregabalin | 39 | 12 |
| Torsemide | Torsemide | 37 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 36 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 35 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 35 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 34 | 30 |
| Folic Acid | Folic Acid | 32 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 31 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 31 | suppressed |
| Prednisone | Prednisone | 30 | 16 |
| Mirtazapine | Mirtazapine | 29 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 29 | 12 |
| Fenofibrate | Fenofibrate | 28 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 28 | suppressed |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 27 | 27 |
| Baclofen | Baclofen | 27 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 27 | suppressed |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Levetiracetam | Levetiracetam | 26 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 25 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 24 | suppressed |
| Topiramate | Topiramate | 24 | suppressed |
| Diazepam | Diazepam | 23 | suppressed |
| Zaleplon | Zaleplon | 22 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 21 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 21 | suppressed |
| Cephalexin | Cephalexin | 20 | 15 |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 20 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 20 | suppressed |
| Januvia | Sitagliptin Phosphate | 20 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 20 | suppressed |
| Celecoxib | Celecoxib | 19 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 19 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 18 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 12 |
| Fenofibrate | Fenofibrate Nanocrystallized | 17 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 17 | suppressed |
| Eszopiclone | Eszopiclone | 16 | suppressed |
| Glipizide | Glipizide | 15 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 15 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 15 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 15 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 14 | suppressed |
| Valsartan | Valsartan | 14 | suppressed |
| Clonazepam | Clonazepam | 13 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 13 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Oxycontin | Oxycodone Hcl | 13 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 13 | suppressed |
| Verapamil Er | Verapamil Hcl | 13 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 12 | suppressed |
| Irbesartan | Irbesartan | 12 | suppressed |
| Mupirocin | Mupirocin | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Ramipril | Ramipril | 11 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 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 | $72.54 · 3 records | Janssen Pharmaceuticals, Inc | BREZTRI, CAPLYTA, SPRAVATO | 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 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