Payment overview · 2025
General Payments
$405.50
6 reported records · 5 companies
Healthcare provider profile · identity verified
Gulnara Nadeau
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · NINOLE, HI · NPI 1851930630
Verified facts
What the public records show
CMS Open Payments records show Gulnara Nadeau received $405.50 in general payments during 2025 across 6 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 37.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Paxlovid.
E.R. Squibb & Sons, L.L.C. 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 27956 records involving 14870 distinct recipient NPIs. Public Medicare Part D data also shows 74 claims for Eliquis 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 74 claims for Eliquis 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Paxlovid 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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $150.00 | 37.0% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $144.16 | 35.5% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $70.40 | 17.4% | 2 | 2025 |
| Kowa Pharmaceuticals America, Inc. | Unresolved — no canonical attribution shown | $20.73 | 5.1% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $20.21 | 5.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $405.50 | 6 |
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 |
|---|---|---|---|---|---|
| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $150.00 | 1 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $150.00 | 1 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $144.16 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $38.24 | 1 | 2025 |
Source payment records
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| ZORYVE Normalized: zoryve |
Drug | Kowa Pharmaceuticals America, Inc. | $20.73 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $20.21 | 1 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $20.21 | 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 |
|---|---|---|---|---|---|---|
| PAXLOVID paxlovid |
2025 | Paxlovid | 2024 | 24 | 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 |
|---|---|---|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 27956 supporting records · 14870 recipient NPIs · example record 1184377713 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
74 | 20 |
| 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 |
74 | 20 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
24 | 24 |
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 | 540 | 190 |
| Losartan Potassium | Losartan Potassium | 413 | 139 |
| Amlodipine Besylate | Amlodipine Besylate | 209 | 71 |
| Metformin Hcl | Metformin Hcl | 182 | 55 |
| Lisinopril | Lisinopril | 154 | 55 |
| Ozempic | Semaglutide | 147 | 49 |
| Hydrochlorothiazide | Hydrochlorothiazide | 136 | 45 |
| Levothyroxine Sodium | Levothyroxine Sodium | 129 | 40 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 126 | 45 |
| Metoprolol Succinate | Metoprolol Succinate | 100 | 36 |
| Allopurinol | Allopurinol | 98 | 29 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 95 | 28 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 92 | 28 |
| Tamsulosin Hcl | Tamsulosin Hcl | 89 | 35 |
| Simvastatin | Simvastatin | 80 | 30 |
| Alendronate Sodium | Alendronate Sodium | 77 | 28 |
| Furosemide | Furosemide | 77 | 31 |
| Eliquis | Apixaban | 74 | 20 |
| Fluticasone Propionate | Fluticasone Propionate | 69 | 26 |
| Gabapentin | Gabapentin | 69 | 27 |
| Trazodone Hcl | Trazodone Hcl | 68 | 24 |
| Farxiga | Dapagliflozin Propanediol | 60 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 57 | 19 |
| Pantoprazole Sodium | Pantoprazole Sodium | 56 | 21 |
| Carvedilol | Carvedilol | 50 | 16 |
| Glipizide | Glipizide | 50 | 17 |
| Prednisone | Prednisone | 48 | 34 |
| Lovastatin | Lovastatin | 44 | 17 |
| Omeprazole | Omeprazole | 43 | 16 |
| Pravastatin Sodium | Pravastatin Sodium | 39 | 14 |
| Celecoxib | Celecoxib | 35 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 35 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 34 | 13 |
| Tramadol Hcl | Tramadol Hcl | 33 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 33 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 31 | 12 |
| Meloxicam | Meloxicam | 31 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 30 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 30 | suppressed |
| Ibuprofen | Ibuprofen | 29 | 16 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 29 | 16 |
| Mirtazapine | Mirtazapine | 28 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 27 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 26 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 26 | suppressed |
| Potassium Chloride | Potassium Chloride | 25 | suppressed |
| Pregabalin | Pregabalin | 25 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 25 | suppressed |
| Finasteride | Finasteride | 24 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 24 | suppressed |
| Januvia | Sitagliptin Phosphate | 24 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 24 | 24 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 22 | suppressed |
| Atenolol | Atenolol | 21 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 21 | suppressed |
| Entresto | Sacubitril/Valsartan | 21 | suppressed |
| Lorazepam | Lorazepam | 20 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 19 | 14 |
| Montelukast Sodium | Montelukast Sodium | 18 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 18 | suppressed |
| Xarelto | Rivaroxaban | 18 | suppressed |
| Azithromycin | Azithromycin | 17 | 16 |
| Hydralazine Hcl | Hydralazine Hcl | 17 | 12 |
| Advair Hfa | Fluticasone Propion/Salmeterol | 16 | suppressed |
| Ketoconazole | Ketoconazole | 16 | 12 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 16 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 16 | 14 |
| Novolog Flexpen | Insulin Aspart | 16 | suppressed |
| Famotidine | Famotidine | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 15 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 14 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 14 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 14 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 14 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 14 | suppressed |
| Nifedipine Er | Nifedipine | 14 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 14 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | 12 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 13 | suppressed |
| Ezetimibe | Ezetimibe | 13 | suppressed |
| Valsartan | Valsartan | 13 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 12 | suppressed |
| Dutasteride | Dutasteride | 12 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 12 | suppressed |
| Colchicine | Colchicine | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Latanoprost | Latanoprost | 11 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Naproxen | Naproxen | 11 | suppressed |
| Nystatin | Nystatin | 11 | suppressed |
| Rybelsus | Semaglutide | 11 | suppressed |
| Ultra-Fine Micro 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 | $405.50 · 6 records | Otsuka America Pharmaceutical, Inc. | ABILIFY ASIMTUFII, ABILIFY MAINTENA, COBENFY, NURTEC ODT, PAXLOVID, The Cologuard Plus Collection Kit, ZORYVE | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Paxlovid play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with E.R. Squibb & Sons, L.L.C.?
- 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