Payment overview · 2025
General Payments
$25.15
1 reported records · 1 companies
Healthcare provider profile · identity verified
Sandra Jean Smith, MD
Allopathic & Osteopathic Physicians|Family Medicine · PAHRUMP, NV · NPI 1801912985
Verified facts
What the public records show
CMS Open Payments records show Sandra Jean Smith, MD received $25.15 in general payments during 2025 across 1 reported records.
Medline Industries LP accounted for 100.0% of that reported general-payment amount.
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 |
|---|---|---|---|---|---|
| Medline Industries LP | Unresolved — no canonical attribution shown | $25.15 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $25.15 | 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
Payment records were found, but the reported records did not identify a specific associated product for this analysis.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 569 | 155 |
| Atorvastatin Calcium | Atorvastatin Calcium | 496 | 163 |
| Lisinopril | Lisinopril | 353 | 112 |
| Losartan Potassium | Losartan Potassium | 306 | 95 |
| Amlodipine Besylate | Amlodipine Besylate | 296 | 97 |
| Gabapentin | Gabapentin | 265 | 58 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 248 | 80 |
| Metoprolol Succinate | Metoprolol Succinate | 189 | 53 |
| Simvastatin | Simvastatin | 179 | 48 |
| Tramadol Hcl | Tramadol Hcl | 147 | 42 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 139 | 58 |
| Metformin Hcl | Metformin Hcl | 137 | 41 |
| Omeprazole | Omeprazole | 129 | 44 |
| Metformin Hcl Er | Metformin Hcl | 124 | 41 |
| Famotidine | Famotidine | 117 | 43 |
| Tamsulosin Hcl | Tamsulosin Hcl | 112 | 37 |
| Hydrochlorothiazide | Hydrochlorothiazide | 111 | 42 |
| Montelukast Sodium | Montelukast Sodium | 97 | 35 |
| Alendronate Sodium | Alendronate Sodium | 92 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 91 | 29 |
| Trazodone Hcl | Trazodone Hcl | 78 | 28 |
| Sertraline Hcl | Sertraline Hcl | 75 | 24 |
| Ezetimibe | Ezetimibe | 72 | 25 |
| Pravastatin Sodium | Pravastatin Sodium | 72 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 71 | 22 |
| Fluticasone Propionate | Fluticasone Propionate | 68 | 22 |
| Carvedilol | Carvedilol | 65 | 17 |
| Finasteride | Finasteride | 63 | 19 |
| Buspirone Hcl | Buspirone Hcl | 60 | 20 |
| Allopurinol | Allopurinol | 57 | 16 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 53 | 15 |
| Furosemide | Furosemide | 52 | 19 |
| Trulicity | Dulaglutide | 52 | 13 |
| Baclofen | Baclofen | 49 | 18 |
| Citalopram Hbr | Citalopram Hydrobromide | 44 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 44 | 16 |
| Spironolactone | Spironolactone | 42 | 14 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 41 | suppressed |
| Glipizide Er | Glipizide | 40 | suppressed |
| Alprazolam | Alprazolam | 39 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 38 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 38 | 24 |
| Celecoxib | Celecoxib | 35 | 14 |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 35 | suppressed |
| Lovastatin | Lovastatin | 34 | 11 |
| Synthroid | Levothyroxine Sodium | 34 | 11 |
| Chlorthalidone | Chlorthalidone | 32 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 31 | 27 |
| Fluoxetine Hcl | Fluoxetine Hcl | 31 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 31 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 30 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 30 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 29 | suppressed |
| Potassium Chloride | Potassium Chloride | 29 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 28 | 11 |
| Hydralazine Hcl | Hydralazine Hcl | 27 | suppressed |
| Lorazepam | Lorazepam | 27 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 27 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 26 | suppressed |
| Np Thyroid | Thyroid,pork | 26 | suppressed |
| Ozempic | Semaglutide | 26 | suppressed |
| Azithromycin | Azithromycin | 25 | 23 |
| Bupropion Hcl Sr | Bupropion Hcl | 25 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 25 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 25 | suppressed |
| Valsartan | Valsartan | 25 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 23 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | suppressed |
| Glipizide | Glipizide | 23 | suppressed |
| Ibuprofen | Ibuprofen | 23 | suppressed |
| Myrbetriq | Mirabegron | 23 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 23 | suppressed |
| Xarelto | Rivaroxaban | 23 | suppressed |
| Atenolol | Atenolol | 22 | suppressed |
| Bupropion Xl | Bupropion Hcl | 22 | suppressed |
| Eliquis | Apixaban | 22 | suppressed |
| Pregabalin | Pregabalin | 22 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 22 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 21 | suppressed |
| Mounjaro | Tirzepatide | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 20 | suppressed |
| Ondansetron Odt | Ondansetron | 20 | 14 |
| Estradiol | Estradiol | 19 | suppressed |
| Nystatin | Nystatin | 19 | 15 |
| Sumatriptan Succinate | Sumatriptan Succinate | 19 | suppressed |
| Acyclovir | Acyclovir | 18 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Paroxetine Er | Paroxetine Hcl | 17 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 17 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 16 | suppressed |
| Jardiance | Empagliflozin | 15 | suppressed |
| Meloxicam | Meloxicam | 15 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 15 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 14 | suppressed |
| Colchicine | Colchicine | 14 | suppressed |
| Linzess | Linaclotide | 14 | suppressed |
| Alogliptin | Alogliptin Benzoate | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | 12 |
| Fluconazole | Fluconazole | 12 | suppressed |
| Prednisone | Prednisone | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | suppressed |
| Tacrolimus | Tacrolimus | 12 | suppressed |
| Diazepam | Diazepam | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
| Rezvoglar Kwikpen | Insulin Glargine-Aglr | 11 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 11 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 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 | $25.15 · 1 records | Medline Industries LP | — | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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