Payment overview · 2025
General Payments
$193,957.87
189 reported records · 19 companies
Healthcare provider profile · identity verified
Julio A Gutierrez, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Transplant Hepatology · LOS ANGELES, CA · NPI 1801092440
Verified facts
What the public records show
CMS Open Payments records show Julio A Gutierrez, MD received $193,957.87 in general payments during 2025 across 189 reported records.
Madrigal Pharmaceuticals accounted for 76.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Xifaxan.
Gilead Sciences, 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 Vemlidy as an associated drug or biological on 782 records involving 554 distinct recipient NPIs. Public Medicare Part D data also shows 52 claims for Vemlidy by this doctor in 2024.
Salix Pharmaceuticals, a division of Bausch Health US, 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 XIFAXAN as an associated drug or biological on 101901 records involving 33018 distinct recipient NPIs. Public Medicare Part D data also shows 48 claims for Xifaxan 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 |
|---|---|---|---|---|---|
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $148,318.57 | 76.5% | 120 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $27,106.09 | 14.0% | 22 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $11,732.14 | 6.0% | 16 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $6,253.14 | 3.2% | 11 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $107.29 | 0.1% | 5 | 2025 |
| Perspectum Diagnostics Ltd | Unresolved — no canonical attribution shown | $79.50 | 0.0% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $70.36 | 0.0% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $35.52 | 0.0% | 2 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $33.79 | 0.0% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $33.72 | 0.0% | 1 | 2025 |
| Genmab U.S., Inc. | Unresolved — no canonical attribution shown | $24.67 | 0.0% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $23.68 | 0.0% | 1 | 2025 |
| EVOKE PHARMA, INC. | Unresolved — no canonical attribution shown | $23.55 | 0.0% | 1 | 2025 |
| Agios Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $23.05 | 0.0% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $22.02 | 0.0% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $21.13 | 0.0% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $19.14 | 0.0% | 1 | 2025 |
| ORPHALAN INC | Unresolved — no canonical attribution shown | $16.58 | 0.0% | 1 | 2025 |
| Eurofins Viracor, LLC | Unresolved — no canonical attribution shown | $13.93 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $165,574.25 | 42 |
| Travel and Lodging | $17,837.03 | 28 |
| Food and Beverage | $7,726.59 | 118 |
| Consulting Fee | $2,820.00 | 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 |
|---|---|---|---|---|---|
| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $148,318.57 | 120 | 2025 |
Source payment records
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| IQIRVO Normalized: iqirvo |
Drug | Ipsen Biopharmaceuticals, Inc | $27,106.09 | 22 | 2025 |
Source payment records
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| Epclusa Normalized: epclusa |
Drug | Gilead Sciences, Inc. | $11,574.87 | 11 | 2025 |
Source payment records
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| MAVYRET Normalized: mavyret |
Drug | ABBVIE INC. | $6,215.65 | 9 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $107.29 | 5 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $55.81 | 2 | 2025 |
Source payment records
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| CREON Normalized: creon |
Drug | ABBVIE INC. | $37.49 | 2 | 2025 |
Source payment records
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| LINZESS Normalized: linzess |
Drug | ABBVIE INC. | $37.49 | 2 | 2025 |
Source payment records
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| PREVYMIS Normalized: prevymis |
Drug | Merck Sharp & Dohme LLC | $35.52 | 2 | 2025 |
Source payment records
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| LIVTENCITY Normalized: livtencity |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $33.72 | 1 | 2025 |
Source payment records
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| Epkinly Normalized: epkinly |
Drug | Genmab U.S., Inc. | $24.67 | 1 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $23.68 | 1 | 2025 |
Source payment records
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| Stivarga Normalized: stivarga |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $23.68 | 1 | 2025 |
Source payment records
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| Vitrakvi Normalized: vitrakvi |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $23.68 | 1 | 2025 |
Source payment records
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| GIMOTI Normalized: gimoti |
Drug | EVOKE PHARMA, INC. | $23.55 | 1 | 2025 |
Source payment records
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| PYRUKYND Normalized: pyrukynd |
Drug | Agios Pharmaceuticals, Inc. | $23.05 | 1 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $21.13 | 1 | 2025 |
Source payment records
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| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $19.14 | 1 | 2025 |
Source payment records
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| CUVRIOR Normalized: cuvrior |
Drug | ORPHALAN INC | $16.58 | 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 |
|---|---|---|---|---|---|---|
| XIFAXAN xifaxan |
2025 | Xifaxan | 2024 | 48 | 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 |
|---|---|---|---|---|---|---|
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Vemlidy open payments reported associated product |
CMS Open Payments — General Payments 782 supporting records · 554 recipient NPIs · example record 1234350906 |
Vemlidy · 2024 Exact normalized brand match · 1 Part D row |
52 | suppressed by CMS |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC Exact reporting entity; no affiliate inference |
2025 | XIFAXAN open payments reported associated product |
CMS Open Payments — General Payments 101901 supporting records · 33018 recipient NPIs · example record 1231775337 |
Xifaxan · 2024 Exact normalized brand match · 1 Part D row |
48 | 13 |
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 |
|---|---|---|---|
| Ursodiol | Ursodiol | 74 | 16 |
| Tacrolimus | Tacrolimus | 52 | 14 |
| Vemlidy | Tenofovir Alafenamide | 52 | suppressed |
| Furosemide | Furosemide | 50 | 25 |
| Xifaxan | Rifaximin | 48 | 13 |
| Amiloride Hcl | Amiloride Hcl | 36 | 14 |
| Carvedilol | Carvedilol | 30 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 30 | 11 |
| Lactulose | Lactulose | 25 | 11 |
| Spironolactone | Spironolactone | 22 | 12 |
| Tamsulosin Hcl | Tamsulosin Hcl | 20 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 17 | suppressed |
| Amlodipine Besylate | Amlodipine Besylate | 16 | suppressed |
| Famotidine | Famotidine | 16 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 16 | suppressed |
| Entecavir | Entecavir | 14 | suppressed |
| Omeprazole | Omeprazole | 14 | suppressed |
| Tenofovir Disoproxil Fumarate | Tenofovir Disoproxil Fumarate | 14 | suppressed |
| Everolimus | Everolimus | 12 | 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 | $193,957.87 · 189 records | Madrigal Pharmaceuticals | CREON, CUVRIOR, DUPIXENT, Epclusa, Epkinly, GIMOTI, IQIRVO, LINZESS, LIVTENCITY, MAVYRET, Nubeqa, PREVYMIS, PYRUKYND, REZDIFFRA, Stivarga, TREMFYA, VOQUEZNA, Vitrakvi, XIFAXAN | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Xifaxan play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Gilead Sciences, 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