Payment overview · 2025
General Payments
$81.13
3 reported records · 3 companies
Healthcare provider profile · identity verified
Tres Barrera, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · ROUND ROCK, TX · NPI 1942356522
Verified facts
What the public records show
CMS Open Payments records show Tres Barrera, M.D. received $81.13 in general payments during 2025 across 3 reported records.
Sequel Med Tech, LLC accounted for 52.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 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 |
|---|---|---|---|---|---|
| Sequel Med Tech, LLC | Unresolved — no canonical attribution shown | $42.71 | 52.6% | 1 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $20.49 | 25.3% | 1 | 2025 |
| Tandem Diabetes Care, Inc. | Unresolved — no canonical attribution shown | $17.93 | 22.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $81.13 | 3 |
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 |
|---|---|---|---|---|---|
| TWIIST Normalized: twiist |
Device | Sequel Med Tech, LLC | $42.71 | 1 | 2025 |
Source payment records
|
|||||
| CRENESSITY Normalized: crenessity |
Drug | Neurocrine BioSciences, Inc. | $20.49 | 1 | 2025 |
Source payment records
|
|||||
| t:slim X2 Insulin Pump with Control-IQ Normalized: t slim x2 insulin pump with control iq |
Device | Tandem Diabetes Care, Inc. | $17.93 | 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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 814 | 199 |
| Ozempic | Semaglutide | 474 | 87 |
| Atorvastatin Calcium | Atorvastatin Calcium | 434 | 132 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 434 | 128 |
| Metformin Hcl | Metformin Hcl | 349 | 103 |
| Jardiance | Empagliflozin | 344 | 73 |
| Synthroid | Levothyroxine Sodium | 287 | 58 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 254 | 97 |
| Novolog Flexpen | Insulin Aspart | 227 | 68 |
| Metformin Hcl Er | Metformin Hcl | 221 | 62 |
| Mounjaro | Tirzepatide | 219 | 42 |
| Januvia | Sitagliptin Phosphate | 213 | 38 |
| Humalog Kwikpen U-100 | Insulin Lispro | 212 | 66 |
| Lisinopril | Lisinopril | 208 | 63 |
| Trulicity | Dulaglutide | 178 | 43 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 165 | 51 |
| Losartan Potassium | Losartan Potassium | 160 | 49 |
| Tresiba Flextouch U-100 | Insulin Degludec | 143 | 41 |
| Glimepiride | Glimepiride | 142 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 134 | 40 |
| Tresiba Flextouch U-200 | Insulin Degludec | 117 | 25 |
| Ezetimibe | Ezetimibe | 92 | 25 |
| Methimazole | Methimazole | 76 | 16 |
| Glipizide | Glipizide | 75 | 23 |
| Pioglitazone Hcl | Pioglitazone Hcl | 63 | 16 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 60 | 21 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 60 | 18 |
| Alendronate Sodium | Alendronate Sodium | 57 | 16 |
| Hydrochlorothiazide | Hydrochlorothiazide | 54 | 20 |
| Levoxyl | Levothyroxine Sodium | 54 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 54 | 19 |
| Glipizide Er | Glipizide | 50 | 14 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 49 | 15 |
| Simvastatin | Simvastatin | 48 | 13 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 48 | 25 |
| Liothyronine Sodium | Liothyronine Sodium | 47 | 12 |
| Tradjenta | Linagliptin | 47 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 46 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 43 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 42 | 12 |
| Carvedilol | Carvedilol | 41 | 12 |
| Tirosint | Levothyroxine Sodium | 40 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 40 | 12 |
| Gabapentin | Gabapentin | 38 | 11 |
| Potassium Chloride | Potassium Chloride | 36 | suppressed |
| Spironolactone | Spironolactone | 35 | 13 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 35 | 11 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 31 | suppressed |
| Rybelsus | Semaglutide | 30 | suppressed |
| Cabergoline | Cabergoline | 29 | suppressed |
| Vascepa | Icosapent Ethyl | 29 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 28 | suppressed |
| Calcitriol | Calcitriol | 27 | suppressed |
| Testosterone | Testosterone | 27 | suppressed |
| Humalog | Insulin Lispro | 26 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 26 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 25 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 25 | suppressed |
| Euthyrox | Levothyroxine Sodium | 24 | suppressed |
| Incontrol Pen Needle | Pen Needle, Diabetic | 24 | 15 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 24 | 13 |
| Repatha Sureclick | Evolocumab | 24 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 23 | suppressed |
| Hydrocortisone | Hydrocortisone | 23 | suppressed |
| Invokana | Canagliflozin | 23 | suppressed |
| Novolin N | Insulin Nph Human Isophane | 23 | suppressed |
| Levemir Flexpen | Insulin Detemir | 22 | 15 |
| Droplet Pen Needle | Pen Needle, Diabetic | 21 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 20 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 20 | suppressed |
| Comfort Ez Pen Needle | Pen Needle, Diabetic | 19 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 19 | suppressed |
| Insulin Lispro | Insulin Lispro | 19 | suppressed |
| Prednisone | Prednisone | 19 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Novolog | Insulin Aspart | 17 | suppressed |
| Genotropin | Somatropin | 16 | suppressed |
| Glyburide | Glyburide | 15 | suppressed |
| Humulin N Kwikpen | Insulin Nph Human Isophane | 15 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 14 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 14 | suppressed |
| Atenolol | Atenolol | 13 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 13 | suppressed |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 13 | suppressed |
| Dexamethasone | Dexamethasone | 12 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Tresiba | Insulin Degludec | 12 | suppressed |
| Baqsimi | Glucagon | 11 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 11 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 11 | suppressed |
| Novolin R Flexpen | Insulin Regular, Human | 11 | suppressed |
| Ramipril | Ramipril | 11 | suppressed |
| Tirosint-Sol | Levothyroxine Sodium | 11 | suppressed |
| Unifine Pentips Plus | 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 | $81.13 · 3 records | Sequel Med Tech, LLC | CRENESSITY, TWIIST, t:slim X2 Insulin Pump with Control-IQ | — | — |
| 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