Payment overview · 2025
General Payments
$547.42
32 reported records · 7 companies
Healthcare provider profile · identity verified
Robert A Lien, NP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · SPRINGFIELD, MO · NPI 1821578956
Verified facts
What the public records show
CMS Open Payments records show Robert A Lien, NP received $547.42 in general payments during 2025 across 32 reported records.
Lilly USA, LLC accounted for 26.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Mounjaro, Ozempic.
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 12 claims for Farxiga by this doctor in 2024.
Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Jardiance by this doctor in 2024.
Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 42 claims for Mounjaro by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Ozempic 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 61 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $144.01 | 26.3% | 10 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $137.89 | 25.2% | 8 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $115.85 | 21.2% | 7 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $65.39 | 11.9% | 3 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $45.81 | 8.4% | 2 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $24.14 | 4.4% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.33 | 2.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $547.42 | 32 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $115.85 | 7 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $90.95 | 7 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $75.78 | 6 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $62.18 | 3 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $61.75 | 4 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $53.06 | 3 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $45.81 | 2 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $45.60 | 2 | 2025 |
Source payment records
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| FABRAZYME Normalized: fabrazyme |
Biological | GENZYME CORPORATION | $42.30 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $33.32 | 2 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $24.14 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $14.33 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $14.33 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 42 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 33 Beneficiary count suppressed |
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 | 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 |
12 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
42 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
33 | 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 |
61 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 320 | 85 |
| Lisinopril | Lisinopril | 228 | 65 |
| Amlodipine Besylate | Amlodipine Besylate | 188 | 49 |
| Trazodone Hcl | Trazodone Hcl | 184 | 40 |
| Levothyroxine Sodium | Levothyroxine Sodium | 162 | 41 |
| Losartan Potassium | Losartan Potassium | 162 | 45 |
| Omeprazole | Omeprazole | 155 | 40 |
| Gabapentin | Gabapentin | 130 | 43 |
| Simvastatin | Simvastatin | 130 | 36 |
| Tamsulosin Hcl | Tamsulosin Hcl | 122 | 35 |
| Metformin Hcl | Metformin Hcl | 109 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 105 | 33 |
| Metoprolol Succinate | Metoprolol Succinate | 94 | 25 |
| Furosemide | Furosemide | 90 | 27 |
| Fluticasone Propionate | Fluticasone Propionate | 86 | 31 |
| Escitalopram Oxalate | Escitalopram Oxalate | 74 | 11 |
| Azithromycin | Azithromycin | 63 | 60 |
| Cephalexin | Cephalexin | 61 | 48 |
| Eliquis | Apixaban | 61 | 18 |
| Duloxetine Hcl | Duloxetine Hcl | 60 | 14 |
| Montelukast Sodium | Montelukast Sodium | 60 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 57 | 20 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 56 | 23 |
| Hydrochlorothiazide | Hydrochlorothiazide | 56 | 14 |
| Donepezil Hcl | Donepezil Hcl | 55 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 55 | 19 |
| Citalopram Hbr | Citalopram Hydrobromide | 54 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 53 | 17 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 52 | 19 |
| Carvedilol | Carvedilol | 49 | 17 |
| Pravastatin Sodium | Pravastatin Sodium | 49 | 11 |
| Metformin Hcl Er | Metformin Hcl | 46 | suppressed |
| Famotidine | Famotidine | 45 | 20 |
| Prednisone | Prednisone | 44 | 39 |
| Xarelto | Rivaroxaban | 44 | suppressed |
| Allopurinol | Allopurinol | 42 | 12 |
| Mounjaro | Tirzepatide | 42 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 41 | 22 |
| Chlorthalidone | Chlorthalidone | 41 | 12 |
| Valsartan | Valsartan | 41 | suppressed |
| Memantine Hcl | Memantine Hcl | 40 | suppressed |
| Meloxicam | Meloxicam | 39 | 11 |
| Bupropion Hcl Sr | Bupropion Hcl | 38 | suppressed |
| Spironolactone | Spironolactone | 38 | 14 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 37 | suppressed |
| Mirtazapine | Mirtazapine | 34 | suppressed |
| Finasteride | Finasteride | 33 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 33 | suppressed |
| Ozempic | Semaglutide | 33 | suppressed |
| Synthroid | Levothyroxine Sodium | 33 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 32 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 31 | 27 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 31 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 30 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 29 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 29 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 28 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 27 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 26 | 11 |
| Potassium Chloride | Potassium Chloride | 26 | 11 |
| Ipratropium Bromide | Ipratropium Bromide | 25 | 13 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Glipizide | Glipizide | 24 | suppressed |
| Atenolol | Atenolol | 23 | suppressed |
| Nitroglycerin | Nitroglycerin | 23 | suppressed |
| Nystatin | Nystatin | 22 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 20 | 16 |
| Fluoxetine Hcl | Fluoxetine Hcl | 19 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 19 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 17 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 17 | 12 |
| Topiramate | Topiramate | 17 | suppressed |
| Cilostazol | Cilostazol | 16 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 16 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 14 |
| Dicyclomine Hcl | Dicyclomine Hcl | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 15 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 14 | suppressed |
| Fluconazole | Fluconazole | 14 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Linzess | Linaclotide | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 14 | suppressed |
| Amoxicillin | Amoxicillin | 13 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 13 | suppressed |
| Bumetanide | Bumetanide | 12 | suppressed |
| Colchicine | Colchicine | 12 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 12 | suppressed |
| Febuxostat | Febuxostat | 12 | suppressed |
| Glimepiride | Glimepiride | 12 | suppressed |
| Jardiance | Empagliflozin | 12 | suppressed |
| Methylprednisolone | Methylprednisolone | 12 | 12 |
| Spiriva Respimat | Tiotropium Bromide | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Celecoxib | Celecoxib | 11 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 11 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 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 | $547.42 · 32 records | Lilly USA, LLC | AIRSUPRA, BREZTRI, Dexcom G6 Transmitter, FABRAZYME, FARXIGA, INSPIRE, KISUNLA, MOUNJARO, NURTEC ODT, Ozempic, Rybelsus, ZAVZPRET, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga 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