Payment overview · 2025
General Payments
$113.98
6 reported records · 5 companies
Healthcare provider profile · identity verified
David Alan Ballance, MD
Allopathic & Osteopathic Physicians|Family Medicine · BOISE, ID · NPI 1881654820
Verified facts
What the public records show
CMS Open Payments records show David Alan Ballance, MD received $113.98 in general payments during 2025 across 6 reported records.
Lilly USA, LLC accounted for 39.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
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 25 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 26 claims for Mounjaro 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 | $45.00 | 39.5% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $42.22 | 37.0% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $15.12 | 13.3% | 1 | 2025 |
| MAYNE PHARMA COMMERCIAL LLC | Unresolved — no canonical attribution shown | $6.05 | 5.3% | 1 | 2025 |
| Corium, LLC | Unresolved — no canonical attribution shown | $5.59 | 4.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $68.98 | 5 |
| Education | $45.00 | 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 |
|---|---|---|---|---|---|
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $42.22 | 2 | 2025 |
Source payment records
|
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $15.12 | 1 | 2025 |
Source payment records
|
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| Azstarys Normalized: azstarys |
Drug | Corium, LLC | $5.59 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
25 | 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 |
26 | suppressed by CMS |
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 | 295 | 82 |
| Atorvastatin Calcium | Atorvastatin Calcium | 278 | 83 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 241 | 82 |
| Lisinopril | Lisinopril | 234 | 67 |
| Gabapentin | Gabapentin | 206 | 50 |
| Metformin Hcl | Metformin Hcl | 174 | 54 |
| Omeprazole | Omeprazole | 174 | 51 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 155 | 32 |
| Alprazolam | Alprazolam | 125 | 23 |
| Losartan Potassium | Losartan Potassium | 122 | 46 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 116 | 39 |
| Tamsulosin Hcl | Tamsulosin Hcl | 114 | 40 |
| Amlodipine Besylate | Amlodipine Besylate | 113 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 109 | 37 |
| Trazodone Hcl | Trazodone Hcl | 107 | 34 |
| Eliquis | Apixaban | 101 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 99 | 28 |
| Zolpidem Tartrate | Zolpidem Tartrate | 82 | 19 |
| Methylprednisolone | Methylprednisolone | 79 | 50 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 79 | 23 |
| Montelukast Sodium | Montelukast Sodium | 75 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 68 | 16 |
| Tizanidine Hcl | Tizanidine Hcl | 68 | 16 |
| Diazepam | Diazepam | 67 | 11 |
| Allopurinol | Allopurinol | 66 | 20 |
| Simvastatin | Simvastatin | 65 | 23 |
| Donepezil Hcl | Donepezil Hcl | 64 | 12 |
| Meloxicam | Meloxicam | 62 | 19 |
| Metformin Hcl Er | Metformin Hcl | 58 | 20 |
| Ezetimibe | Ezetimibe | 56 | 15 |
| Metoprolol Tartrate | Metoprolol Tartrate | 55 | 16 |
| Furosemide | Furosemide | 48 | 20 |
| Celecoxib | Celecoxib | 45 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 45 | 17 |
| Citalopram Hbr | Citalopram Hydrobromide | 43 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 43 | 13 |
| Potassium Chloride | Potassium Chloride | 43 | 13 |
| Azelastine Hcl | Azelastine Hcl | 42 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 41 | 17 |
| Bupropion Xl | Bupropion Hcl | 40 | 15 |
| Pravastatin Sodium | Pravastatin Sodium | 39 | 14 |
| Glimepiride | Glimepiride | 38 | 11 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 36 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 36 | suppressed |
| Memantine Hcl | Memantine Hcl | 35 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 34 | suppressed |
| Carisoprodol | Carisoprodol | 33 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 33 | 19 |
| Finasteride | Finasteride | 33 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 32 | suppressed |
| Cephalexin | Cephalexin | 31 | 24 |
| Pantoprazole Sodium | Pantoprazole Sodium | 31 | 13 |
| Alendronate Sodium | Alendronate Sodium | 30 | suppressed |
| Clonazepam | Clonazepam | 30 | suppressed |
| Famotidine | Famotidine | 30 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 30 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 20 |
| Estradiol | Estradiol | 29 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 29 | suppressed |
| Lovastatin | Lovastatin | 28 | suppressed |
| Atenolol | Atenolol | 27 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 27 | suppressed |
| Mounjaro | Tirzepatide | 26 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 26 | suppressed |
| Jardiance | Empagliflozin | 25 | suppressed |
| Pregabalin | Pregabalin | 25 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 12 |
| Carvedilol | Carvedilol | 24 | suppressed |
| Glipizide | Glipizide | 24 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 24 | suppressed |
| Azithromycin | Azithromycin | 23 | 15 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 23 | suppressed |
| Mupirocin | Mupirocin | 23 | 17 |
| Synthroid | Levothyroxine Sodium | 23 | suppressed |
| Tramadol Hcl Er | Tramadol Hcl | 22 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 21 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 21 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 21 | suppressed |
| Ozempic | Semaglutide | 21 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 20 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 20 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 19 | suppressed |
| Lorazepam | Lorazepam | 19 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 19 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 19 | suppressed |
| Baclofen | Baclofen | 18 | suppressed |
| Ondansetron Odt | Ondansetron | 18 | 12 |
| Acyclovir | Acyclovir | 17 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Fluconazole | Fluconazole | 17 | 11 |
| Valacyclovir | Valacyclovir Hcl | 17 | 11 |
| Ulticare Pen Needle | Pen Needle, Diabetic | 16 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 16 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 15 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 15 | suppressed |
| Ibuprofen | Ibuprofen | 15 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 15 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 13 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Spironolactone | Spironolactone | 14 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | 12 |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 12 | suppressed |
| Myrbetriq | Mirabegron | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Keppra | Levetiracetam | 11 | suppressed |
| Latanoprost | Latanoprost | 11 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 11 | suppressed |
| Lidocaine | Lidocaine | 11 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 11 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 11 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 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 | $113.98 · 6 records | Lilly USA, LLC | Azstarys, Cologuard Collection Kit, LEQVIO | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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