Payment overview · 2025
General Payments
$131.99
7 reported records · 4 companies
Healthcare provider profile · identity verified
Paula C Leferman, MSN, RN, APRN- BC
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · WASHINGTON, MI · NPI 1861804155
Verified facts
What the public records show
CMS Open Payments records show Paula C Leferman, MSN, RN, APRN- BC received $131.99 in general payments during 2025 across 7 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 28.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 | $38.00 | 28.8% | 2 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $34.36 | 26.0% | 2 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $32.37 | 24.5% | 2 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $27.26 | 20.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $131.99 | 7 |
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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $38.00 | 2 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $34.36 | 2 | 2025 |
Source payment records
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $32.37 | 2 | 2025 |
Source payment records
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| WaveWriter Alpha Prime 16 Normalized: wavewriter alpha prime 16 |
Device | Boston Scientific Corporation | $27.26 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Eliquis | Apixaban | 417 | 95 |
| Atorvastatin Calcium | Atorvastatin Calcium | 355 | 159 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 234 | 66 |
| Furosemide | Furosemide | 232 | 92 |
| Gabapentin | Gabapentin | 228 | 66 |
| Metoprolol Tartrate | Metoprolol Tartrate | 220 | 68 |
| Levothyroxine Sodium | Levothyroxine Sodium | 206 | 88 |
| Metoprolol Succinate | Metoprolol Succinate | 182 | 78 |
| Lisinopril | Lisinopril | 164 | 60 |
| Potassium Chloride | Potassium Chloride | 164 | 62 |
| Omeprazole | Omeprazole | 136 | 116 |
| Losartan Potassium | Losartan Potassium | 130 | 61 |
| Amlodipine Besylate | Amlodipine Besylate | 114 | 53 |
| Tamsulosin Hcl | Tamsulosin Hcl | 113 | 57 |
| Carvedilol | Carvedilol | 108 | 42 |
| Xarelto | Rivaroxaban | 107 | 19 |
| Famotidine | Famotidine | 101 | 31 |
| Midodrine Hcl | Midodrine Hcl | 101 | 22 |
| Levetiracetam | Levetiracetam | 100 | 22 |
| Mirtazapine | Mirtazapine | 95 | 34 |
| Quetiapine Fumarate | Quetiapine Fumarate | 94 | 32 |
| Metformin Hcl | Metformin Hcl | 92 | 37 |
| Prednisone | Prednisone | 83 | 24 |
| Donepezil Hcl | Donepezil Hcl | 79 | 27 |
| Sertraline Hcl | Sertraline Hcl | 78 | 39 |
| Ondansetron Hcl | Ondansetron Hcl | 75 | 21 |
| Memantine Hcl | Memantine Hcl | 72 | 16 |
| Clopidogrel | Clopidogrel Bisulfate | 67 | 36 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 63 | 26 |
| Duloxetine Hcl | Duloxetine Hcl | 60 | 30 |
| Methocarbamol | Methocarbamol | 60 | 42 |
| Tramadol Hcl | Tramadol Hcl | 56 | 34 |
| Sucralfate | Sucralfate | 55 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 54 | 24 |
| Alprazolam | Alprazolam | 45 | 19 |
| Clozapine | Clozapine | 43 | suppressed |
| Latanoprost | Latanoprost | 43 | 20 |
| Spironolactone | Spironolactone | 43 | 17 |
| Trazodone Hcl | Trazodone Hcl | 43 | 24 |
| Fluoxetine Hcl | Fluoxetine Hcl | 42 | suppressed |
| Nifedipine Er | Nifedipine | 42 | 12 |
| Nyamyc | Nystatin | 42 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 40 | 19 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 39 | 22 |
| Lorazepam | Lorazepam | 39 | 13 |
| Warfarin Sodium | Warfarin Sodium | 37 | suppressed |
| Digoxin | Digoxin | 35 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 33 | 22 |
| Pregabalin | Pregabalin | 32 | 13 |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 31 | suppressed |
| Ezetimibe | Ezetimibe | 30 | 13 |
| Baclofen | Baclofen | 28 | suppressed |
| Entresto | Sacubitril/Valsartan | 28 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 28 | 17 |
| Brimonidine Tartrate | Brimonidine Tartrate | 27 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 27 | 20 |
| Clonazepam | Clonazepam | 27 | suppressed |
| Finasteride | Finasteride | 27 | 13 |
| Incruse Ellipta | Umeclidinium Bromide | 27 | 14 |
| Alendronate Sodium | Alendronate Sodium | 26 | suppressed |
| Carbamazepine Er | Carbamazepine | 26 | suppressed |
| Lamotrigine | Lamotrigine | 26 | suppressed |
| Methadone Hcl | Methadone Hcl | 25 | suppressed |
| Primidone | Primidone | 25 | suppressed |
| Risperidone | Risperidone | 25 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 24 | 16 |
| Bumetanide | Bumetanide | 24 | 16 |
| Tizanidine Hcl | Tizanidine Hcl | 24 | suppressed |
| Allopurinol | Allopurinol | 23 | 15 |
| Cephalexin | Cephalexin | 23 | 18 |
| Farxiga | Dapagliflozin Propanediol | 23 | suppressed |
| Torsemide | Torsemide | 23 | 11 |
| Azathioprine | Azathioprine | 22 | suppressed |
| Bupropion Xl | Bupropion Hcl | 22 | 12 |
| Carbamazepine | Carbamazepine | 22 | suppressed |
| Tradjenta | Linagliptin | 22 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 21 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 21 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 21 | 15 |
| Pravastatin Sodium | Pravastatin Sodium | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 21 | 11 |
| Simvastatin | Simvastatin | 21 | 13 |
| Insulin Lispro | Insulin Lispro | 20 | suppressed |
| Topiramate | Topiramate | 19 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 17 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 16 | 13 |
| Lubiprostone | Lubiprostone | 16 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 15 | 14 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 15 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | 14 |
| Montelukast Sodium | Montelukast Sodium | 15 | suppressed |
| Constulose | Lactulose | 14 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 14 | suppressed |
| Meloxicam | Meloxicam | 14 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 14 | suppressed |
| Spironolactone-Hctz | Spironolact/Hydrochlorothiazid | 14 | suppressed |
| Timolol Maleate | Timolol Maleate | 14 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 13 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | suppressed |
| Ursodiol | Ursodiol | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 12 | suppressed |
| Nitroglycerin | Nitroglycerin | 12 | 11 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 12 | suppressed |
| Ranolazine Er | Ranolazine | 12 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 11 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 11 | suppressed |
| Steglatro | Ertugliflozin Pidolate | 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 | $131.99 · 7 records | Otsuka America Pharmaceutical, Inc. | AUSTEDO XR, NUPLAZID, REXULTI, WaveWriter Alpha Prime 16 | — | — |
| 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