Payment overview · 2025
General Payments
$191.07
9 reported records · 5 companies
Healthcare provider profile · identity verified
Raul Javier Vargas Rivera, MD
Allopathic & Osteopathic Physicians|General Practice · WINTER HAVEN, FL · NPI 1962098749
Verified facts
What the public records show
CMS Open Payments records show Raul Javier Vargas Rivera, MD received $191.07 in general payments during 2025 across 9 reported records.
SHIELD THERAPEUTICS INC accounted for 43.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis.
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 18 claims for Eliquis 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 |
|---|---|---|---|---|---|
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $82.97 | 43.4% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $37.53 | 19.6% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $25.82 | 13.5% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $25.16 | 13.2% | 1 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $19.59 | 10.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $191.07 | 9 |
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 |
|---|---|---|---|---|---|
| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $82.97 | 4 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $37.53 | 2 | 2025 |
Source payment records
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| VPRIV Normalized: vpriv |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $25.82 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $25.16 | 1 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $19.59 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $19.30 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 18 Beneficiary count suppressed |
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 |
|---|---|---|---|---|---|---|
| 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 |
18 | 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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 143 | 61 |
| Metformin Hcl | Metformin Hcl | 109 | 40 |
| Valsartan | Valsartan | 109 | 31 |
| Fenofibrate | Fenofibrate | 104 | 43 |
| Losartan Potassium | Losartan Potassium | 98 | 35 |
| Levothyroxine Sodium | Levothyroxine Sodium | 96 | 29 |
| Atorvastatin Calcium | Atorvastatin Calcium | 77 | 35 |
| Lisinopril | Lisinopril | 70 | 30 |
| Pantoprazole Sodium | Pantoprazole Sodium | 62 | 24 |
| Glimepiride | Glimepiride | 61 | 23 |
| Trazodone Hcl | Trazodone Hcl | 60 | 24 |
| Chlorthalidone | Chlorthalidone | 57 | 19 |
| Ibuprofen | Ibuprofen | 48 | 25 |
| Meloxicam | Meloxicam | 48 | 20 |
| Metoprolol Tartrate | Metoprolol Tartrate | 44 | 14 |
| Sertraline Hcl | Sertraline Hcl | 42 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 41 | 15 |
| Metoprolol Succinate | Metoprolol Succinate | 40 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 40 | 14 |
| Famotidine | Famotidine | 39 | 18 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 39 | 19 |
| Mirtazapine | Mirtazapine | 35 | 17 |
| Montelukast Sodium | Montelukast Sodium | 35 | 14 |
| Amlodipine Besylate | Amlodipine Besylate | 34 | 14 |
| Azithromycin | Azithromycin | 32 | 23 |
| Glipizide | Glipizide | 32 | suppressed |
| Methocarbamol | Methocarbamol | 32 | 20 |
| Nifedipine Er | Nifedipine | 29 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 28 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 28 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 27 | suppressed |
| Simvastatin | Simvastatin | 27 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 24 | 14 |
| Furosemide | Furosemide | 24 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 23 | 14 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 23 | 20 |
| Jardiance | Empagliflozin | 21 | suppressed |
| Omeprazole | Omeprazole | 21 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 20 | suppressed |
| Eliquis | Apixaban | 18 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 18 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 17 | 12 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 13 |
| Betamethasone Valerate | Betamethasone Valerate | 16 | 12 |
| Tresiba Flextouch U-100 | Insulin Degludec | 16 | suppressed |
| Cefdinir | Cefdinir | 15 | 12 |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 14 | suppressed |
| Carvedilol | Carvedilol | 13 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 13 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 13 | suppressed |
| Gabapentin | Gabapentin | 13 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 13 | suppressed |
| Spironolactone | Spironolactone | 13 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | 12 |
| Mupirocin | Mupirocin | 12 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 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 | $191.07 · 9 records | SHIELD THERAPEUTICS INC | ACCRUFER, Dexcom G6 Transmitter, ELIQUIS, NURTEC ODT, VPRIV, Wegovy | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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