Payment overview · 2025
General Payments
$41,368.70
137 reported records · 30 companies
Healthcare provider profile · identity verified
James M Tracy, D.O.
Allopathic & Osteopathic Physicians|Allergy & Immunology · OMAHA, NE · NPI 1801888300
Verified facts
What the public records show
CMS Open Payments records show James M Tracy, D.O. received $41,368.70 in general payments during 2025 across 137 reported records.
Consortium of Independent Immunology Clinics, LLC accounted for 56.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 34 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Orladeyo, Trelegy Ellipta.
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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Symbicort by this doctor in 2024.
BioCryst US Sales Co., 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 ORLADEYO as an associated drug or biological on 6240 records involving 2093 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Orladeyo by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 59 claims for Trelegy Ellipta 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 |
|---|---|---|---|---|---|
| Consortium of Independent Immunology Clinics, LLC | Unresolved — no canonical attribution shown | $23,226.25 | 56.1% | 2 | 2025 |
| Ionis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $12,094.31 | 29.2% | 9 | 2025 |
| Regeneron Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $2,532.00 | 6.1% | 1 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $621.73 | 1.5% | 26 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $528.38 | 1.3% | 16 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $353.82 | 0.9% | 10 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $195.57 | 0.5% | 7 | 2025 |
| Pharming Healthcare, Inc. | Unresolved — no canonical attribution shown | $193.13 | 0.5% | 5 | 2025 |
| ADMA BioManufacturing LLC | Unresolved — no canonical attribution shown | $179.44 | 0.4% | 2 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $175.45 | 0.4% | 2 | 2025 |
| BioCryst US Sales Co., LLC | Unresolved — no canonical attribution shown | $159.77 | 0.4% | 12 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $102.28 | 0.2% | 4 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $99.99 | 0.2% | 1 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $99.21 | 0.2% | 4 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $97.99 | 0.2% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $95.69 | 0.2% | 5 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $93.08 | 0.2% | 4 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $63.49 | 0.1% | 4 | 2025 |
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $58.07 | 0.1% | 2 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $56.93 | 0.1% | 1 | 2025 |
| Insmed, Inc. | Unresolved — no canonical attribution shown | $55.90 | 0.1% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $53.16 | 0.1% | 2 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $49.44 | 0.1% | 3 | 2025 |
| HOSPIRA, INC. | Unresolved — no canonical attribution shown | $44.93 | 0.1% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $35.05 | 0.1% | 2 | 2025 |
| LEO Pharma Inc. | Unresolved — no canonical attribution shown | $25.82 | 0.1% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $24.17 | 0.1% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $20.53 | 0.1% | 1 | 2025 |
| GC Biopharma USA, Inc. | Unresolved — no canonical attribution shown | $18.34 | 0.0% | 1 | 2025 |
| Galderma Laboratories, L.P. | Unresolved — no canonical attribution shown | $14.78 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $25,937.69 | 5 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $10,425.00 | 2 |
| Food and Beverage | $3,273.42 | 124 |
| Travel and Lodging | $1,632.60 | 5 |
| Education | $99.99 | 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 |
|---|---|---|---|---|---|
| DAWNZERA Normalized: dawnzera |
Drug | Ionis Pharmaceuticals, Inc. | $12,094.31 | 9 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc., Regeneron Pharmaceuticals, Inc., SANOFI-AVENTIS U.S. LLC | $3,307.26 | 30 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $384.43 | 10 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $220.53 | 8 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $209.23 | 3 | 2025 |
Source payment records
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| Xolair Normalized: xolair |
Biological | Genentech USA, Inc. | $195.57 | 7 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $195.36 | 3 | 2025 |
Source payment records
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| RUCONEST Normalized: ruconest |
Biological | Pharming Healthcare, Inc. | $193.13 | 5 | 2025 |
Source payment records
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| ORLADEYO Normalized: orladeyo |
Drug | BioCryst US Sales Co., LLC | $137.61 | 11 | 2025 |
Source payment records
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| Andembry Normalized: andembry |
Biological | CSL Behring | $133.29 | 2 | 2025 |
Source payment records
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| TEZSPIRE Normalized: tezspire |
Biological | Amgen Inc., AstraZeneca Pharmaceuticals LP | $108.52 | 5 | 2025 |
Source payment records
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| EBGLYSS Normalized: ebglyss |
Drug | Lilly USA, LLC | $95.69 | 5 | 2025 |
Source payment records
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| Xembify Normalized: xembify |
Biological | Grifols USA, LLC | $74.43 | 3 | 2025 |
Source payment records
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| Xhance Normalized: xhance |
Drug | Optinose US, Inc. | $58.07 | 2 | 2025 |
Source payment records
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $49.44 | 3 | 2025 |
Source payment records
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| CUTAQUIG Normalized: cutaquig |
Biological | HOSPIRA, INC. | $44.93 | 2 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | HOSPIRA, INC. | $44.93 | 2 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | HOSPIRA, INC. | $44.93 | 2 | 2025 |
Source payment records
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| CIBINQO Normalized: cibinqo |
Drug | PFIZER INC. | $35.05 | 2 | 2025 |
Source payment records
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| Brinsupri Normalized: brinsupri |
Drug | Insmed, Inc. | $33.68 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $32.41 | 2 | 2025 |
Source payment records
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| EOHILIA Normalized: eohilia |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $32.10 | 1 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $31.08 | 2 | 2025 |
Source payment records
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| ADBRY Normalized: adbry |
Biological | LEO Pharma Inc. | $25.82 | 1 | 2025 |
Source payment records
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| Prolastin-C Liquid Normalized: prolastin c liquid |
Biological | Grifols USA, LLC | $24.78 | 1 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $24.17 | 1 | 2025 |
Source payment records
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| Arikayce Normalized: arikayce |
Drug | Insmed, Inc. | $22.22 | 1 | 2025 |
Source payment records
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| TAKHZYRO Normalized: takhzyro |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $21.06 | 1 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $20.53 | 1 | 2025 |
Source payment records
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| VAXNEUVANCE Normalized: vaxneuvance |
Biological | Merck Sharp & Dohme LLC | $20.53 | 1 | 2025 |
Source payment records
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| ALYGLO Normalized: alyglo |
Drug | GC Biopharma USA, Inc. | $18.34 | 1 | 2025 |
Source payment records
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| LITFULO Normalized: litfulo |
Drug | PFIZER INC. | $15.88 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $15.76 | 1 | 2025 |
Source payment records
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| NEMLUVIO Normalized: nemluvio |
Drug | Galderma Laboratories, L.P. | $14.78 | 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 |
|---|---|---|---|---|---|---|
| ORLADEYO orladeyo |
2025 | Orladeyo | 2024 | 25 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 59 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
21 | suppressed by CMS |
| BioCryst US Sales Co., LLC Exact reporting entity; no affiliate inference |
2025 | ORLADEYO open payments reported associated product |
CMS Open Payments — General Payments 6240 supporting records · 2093 recipient NPIs · example record 1222001397 |
Orladeyo · 2024 Exact normalized brand match · 1 Part D row |
25 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
59 | 18 |
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 |
|---|---|---|---|
| Montelukast Sodium | Montelukast Sodium | 493 | 118 |
| Fluticasone Propionate | Fluticasone Propionate | 118 | 38 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 86 | 26 |
| Azelastine Hcl | Azelastine Hcl | 59 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 59 | 15 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 59 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 57 | 24 |
| Famotidine | Famotidine | 46 | 15 |
| Cyproheptadine Hcl | Cyproheptadine Hcl | 34 | suppressed |
| Dupixent Pen | Dupilumab | 31 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 27 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 26 | suppressed |
| Orladeyo | Berotralstat Hydrochloride | 25 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 23 | suppressed |
| Prednisone | Prednisone | 22 | 17 |
| Symbicort | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 18 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 17 | 11 |
| Omeprazole | Omeprazole | 15 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 13 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 12 | suppressed |
| Epinephrine | Epinephrine | 12 | 11 |
| Ipratropium Bromide | Ipratropium Bromide | 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 | $41,368.70 · 137 records | Consortium of Independent Immunology Clinics, LLC | ADBRY, AIRSUPRA, ALYGLO, AREXVY, AYVAKIT, Andembry, Arikayce, Brinsupri, CAPVAXIVE, CIBINQO, CUTAQUIG, DAWNZERA, DUPIXENT, EBGLYSS, EOHILIA, FASENRA, Hizentra, LITFULO, NEFFY, NEMLUVIO, NUCALA, OCTAGAM IMMUNE GLOBULIN (HUMAN), ORLADEYO, PANZYGA, Prolastin-C Liquid, RINVOQ, RUCONEST, TAKHZYRO, TEZSPIRE, TRELEGY ELLIPTA, VAXNEUVANCE, Xembify, Xhance, Xolair | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Orladeyo play in your treatment recommendations for me?
- 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