Payment overview · 2025
General Payments
$242.02
2 reported records · 2 companies
Healthcare provider profile · identity verified
George Nadakav
Allopathic & Osteopathic Physicians|Internal Medicine · CINCINNATI, OH · NPI 1891815205
Verified facts
What the public records show
CMS Open Payments records show George Nadakav received $242.02 in general payments during 2025 across 2 reported records.
Aimmune Therapeutics, Inc. accounted for 51.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
Otsuka America Pharmaceutical, 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 NUEDEXTA as an associated drug or biological on 393 records involving 285 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Nuedexta 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 |
|---|---|---|---|---|---|
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $124.55 | 51.5% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $117.47 | 48.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $242.02 | 2 |
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 |
|---|---|---|---|---|---|
| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $124.55 | 1 | 2025 |
Source payment records
|
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $117.47 | 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 |
|---|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | NUEDEXTA open payments reported associated product |
CMS Open Payments — General Payments 393 supporting records · 285 recipient NPIs · example record 1227268901 |
Nuedexta · 2024 Exact normalized brand match · 1 Part D row |
39 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 824 | 97 |
| Levothyroxine Sodium | Levothyroxine Sodium | 493 | 64 |
| Amlodipine Besylate | Amlodipine Besylate | 477 | 60 |
| Furosemide | Furosemide | 358 | 52 |
| Pantoprazole Sodium | Pantoprazole Sodium | 353 | 47 |
| Lisinopril | Lisinopril | 347 | 39 |
| Donepezil Hcl | Donepezil Hcl | 332 | 42 |
| Sertraline Hcl | Sertraline Hcl | 296 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 287 | 33 |
| Eliquis | Apixaban | 284 | 33 |
| Omeprazole | Omeprazole | 272 | 28 |
| Escitalopram Oxalate | Escitalopram Oxalate | 270 | 24 |
| Gabapentin | Gabapentin | 253 | 31 |
| Metoprolol Tartrate | Metoprolol Tartrate | 253 | 34 |
| Mirtazapine | Mirtazapine | 246 | 22 |
| Memantine Hcl | Memantine Hcl | 236 | 31 |
| Duloxetine Hcl | Duloxetine Hcl | 231 | 22 |
| Metformin Hcl | Metformin Hcl | 204 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 201 | 35 |
| Quetiapine Fumarate | Quetiapine Fumarate | 184 | 28 |
| Potassium Chloride | Potassium Chloride | 181 | 37 |
| Divalproex Sodium | Divalproex Sodium | 159 | 22 |
| Carvedilol | Carvedilol | 154 | 24 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 152 | 13 |
| Losartan Potassium | Losartan Potassium | 152 | 21 |
| Trazodone Hcl | Trazodone Hcl | 148 | 27 |
| Risperidone | Risperidone | 143 | 17 |
| Myrbetriq | Mirabegron | 142 | 12 |
| Olanzapine | Olanzapine | 130 | 15 |
| Levetiracetam | Levetiracetam | 124 | 14 |
| Simvastatin | Simvastatin | 113 | 11 |
| Famotidine | Famotidine | 106 | 13 |
| Bupropion Xl | Bupropion Hcl | 104 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 103 | 17 |
| Allopurinol | Allopurinol | 98 | 11 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 95 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 94 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 91 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 91 | 11 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 89 | 17 |
| Aripiprazole | Aripiprazole | 86 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 84 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 83 | suppressed |
| Xarelto | Rivaroxaban | 82 | suppressed |
| Meloxicam | Meloxicam | 81 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 77 | 12 |
| Celecoxib | Celecoxib | 68 | 11 |
| Torsemide | Torsemide | 67 | 14 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 66 | suppressed |
| Jardiance | Empagliflozin | 65 | 13 |
| Gemtesa | Vibegron | 64 | suppressed |
| Folic Acid | Folic Acid | 63 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 62 | 14 |
| Spironolactone | Spironolactone | 56 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 53 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 52 | 14 |
| Baclofen | Baclofen | 51 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 49 | 12 |
| Farxiga | Dapagliflozin Propanediol | 47 | suppressed |
| Glipizide | Glipizide | 47 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 47 | suppressed |
| Latanoprost | Latanoprost | 47 | 16 |
| Sotalol | Sotalol Hcl | 46 | suppressed |
| Digoxin | Digoxin | 45 | suppressed |
| Ezetimibe | Ezetimibe | 43 | suppressed |
| Nifedipine Er | Nifedipine | 43 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 43 | suppressed |
| Finasteride | Finasteride | 42 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 41 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 39 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 38 | suppressed |
| Januvia | Sitagliptin Phosphate | 35 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 34 | suppressed |
| Atenolol | Atenolol | 34 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 34 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 33 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 32 | suppressed |
| Entresto | Sacubitril/Valsartan | 32 | suppressed |
| Methocarbamol | Methocarbamol | 32 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 32 | suppressed |
| Amoxicillin | Amoxicillin | 31 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 31 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 31 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 30 | suppressed |
| Unifine Safecontrol Pen Needle | Pen Needle,dual Safety,diabetc | 30 | suppressed |
| Glimepiride | Glimepiride | 29 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 28 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 28 | suppressed |
| Loperamide | Loperamide Hcl | 28 | 14 |
| Amiodarone Hcl | Amiodarone Hcl | 27 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 27 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 27 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 27 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 27 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 27 | suppressed |
| Galantamine Hbr | Galantamine Hbr | 26 | suppressed |
| Lamotrigine | Lamotrigine | 26 | suppressed |
| Valsartan | Valsartan | 26 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 26 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 25 | suppressed |
| Carbamazepine | Carbamazepine | 23 | suppressed |
| Dantrolene Sodium | Dantrolene Sodium | 23 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Primidone | Primidone | 21 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 20 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 20 | suppressed |
| Lansoprazole | Lansoprazole | 20 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 20 | suppressed |
| Ibuprofen | Ibuprofen | 19 | 12 |
| Ondansetron Hcl | Ondansetron Hcl | 19 | 13 |
| Calcitriol | Calcitriol | 18 | suppressed |
| Cephalexin | Cephalexin | 18 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 18 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 18 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 17 | suppressed |
| Tradjenta | Linagliptin | 17 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 16 | suppressed |
| Nystatin | Nystatin | 16 | suppressed |
| Sucralfate | Sucralfate | 16 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 15 | suppressed |
| Amantadine | Amantadine Hcl | 14 | suppressed |
| Combigan | Brimonidine Tartrate/Timolol | 14 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 14 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 14 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 13 | suppressed |
| Dorzolamide Hcl | Dorzolamide Hcl | 13 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 13 | suppressed |
| Haloperidol | Haloperidol | 13 | suppressed |
| Medroxyprogesterone Acetate | Medroxyprogesterone Acetate | 13 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 13 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 13 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 13 | suppressed |
| Verapamil Sr | Verapamil Hcl | 13 | suppressed |
| Clonidine | Clonidine | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 12 | suppressed |
| Hydrocortisone | Hydrocortisone | 12 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 12 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 12 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 12 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 11 | suppressed |
| Glyburide-Metformin Hcl | Glyburide/Metformin Hcl | 11 | suppressed |
| Linzess | Linaclotide | 11 | suppressed |
| Nuplazid | Pimavanserin Tartrate | 11 | suppressed |
| Ranolazine Er | Ranolazine | 11 | suppressed |
| Rivastigmine | Rivastigmine | 11 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 11 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 11 | suppressed |
| Valproic Acid | Valproic Acid | 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 | $242.02 · 2 records | Aimmune Therapeutics, Inc. | REXULTI, ZENPEP | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Otsuka America Pharmaceutical, Inc.?
- 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