Payment overview · 2025
General Payments
$1,390.12
53 reported records · 29 companies
Healthcare provider profile · identity verified
Madison Butcher
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health · SANTA ROSA BEACH, FL · NPI 1053126482
Verified facts
What the public records show
CMS Open Payments records show Madison Butcher received $1,390.12 in general payments during 2025 across 53 reported records.
Exelixis Inc. accounted for 15.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 44 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 |
|---|---|---|---|---|---|
| Exelixis Inc. | Unresolved — no canonical attribution shown | $218.39 | 15.7% | 3 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $101.39 | 7.3% | 4 | 2025 |
| SEAGEN INC. | Unresolved — no canonical attribution shown | $92.99 | 6.7% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $83.23 | 6.0% | 4 | 2025 |
| BeOne Medicines USA, Inc. | Unresolved — no canonical attribution shown | $74.63 | 5.4% | 3 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $73.90 | 5.3% | 3 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $59.00 | 4.2% | 3 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $57.46 | 4.1% | 3 | 2025 |
| BeiGene USA, Inc. | Unresolved — no canonical attribution shown | $48.23 | 3.5% | 2 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $44.05 | 3.2% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $43.48 | 3.1% | 3 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $42.01 | 3.0% | 2 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $41.74 | 3.0% | 2 | 2025 |
| Aveo Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $39.51 | 2.8% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $38.00 | 2.7% | 2 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $36.51 | 2.6% | 1 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $33.97 | 2.4% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $30.54 | 2.2% | 1 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $26.43 | 1.9% | 1 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $25.04 | 1.8% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $24.06 | 1.7% | 1 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $23.67 | 1.7% | 1 | 2025 |
| Novocure Inc. | Unresolved — no canonical attribution shown | $23.52 | 1.7% | 1 | 2025 |
| SERVIER PHARMACEUTICALS LLC | Unresolved — no canonical attribution shown | $23.42 | 1.7% | 1 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $20.23 | 1.5% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $18.56 | 1.3% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $16.01 | 1.1% | 1 | 2025 |
| Rigel Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.09 | 1.1% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $15.06 | 1.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,105.14 | 50 |
| Education | $284.98 | 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 |
|---|---|---|---|---|---|
| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $101.39 | 4 | 2025 |
Source payment records
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| BRUKINSA Normalized: brukinsa |
Drug | BeOne Medicines USA, Inc., BeiGene USA, Inc. | $97.12 | 4 | 2025 |
Source payment records
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $73.90 | 3 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $70.48 | 2 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Merck Sharp & Dohme LLC | $70.30 | 3 | 2025 |
Source payment records
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| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $59.00 | 3 | 2025 |
Source payment records
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| Lenvima Normalized: lenvima |
Drug | Eisai Inc. | $57.46 | 3 | 2025 |
Source payment records
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| MONJUVI Normalized: monjuvi |
Drug | Incyte Corporation | $44.05 | 2 | 2025 |
Source payment records
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| Polivy Normalized: polivy |
Biological | Genentech USA, Inc. | $41.74 | 2 | 2025 |
Source payment records
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC. | $39.64 | 2 | 2025 |
Source payment records
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| FOTIVDA Normalized: fotivda |
Drug | Aveo Pharmaceuticals, Inc. | $39.51 | 2 | 2025 |
Source payment records
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $38.00 | 2 | 2025 |
Source payment records
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| FRUZAQLA Normalized: fruzaqla |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $30.54 | 1 | 2025 |
Source payment records
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| ADCETRIS Normalized: adcetris |
Biological | PFIZER INC. | $28.55 | 2 | 2025 |
Source payment records
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| ELREXFIO Normalized: elrexfio |
Drug | PFIZER INC. | $28.55 | 2 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $26.43 | 1 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $26.43 | 1 | 2025 |
Source payment records
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| CABOMETYX Normalized: cabometyx |
Drug | Exelixis Inc. | $26.40 | 1 | 2025 |
Source payment records
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| TEVIMBRA Normalized: tevimbra |
Drug | BeOne Medicines USA, Inc. | $25.74 | 1 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $25.08 | 1 | 2025 |
Source payment records
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| OPDUALAG Normalized: opdualag |
Drug | E.R. Squibb & Sons, L.L.C. | $24.62 | 1 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $24.19 | 1 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $24.06 | 1 | 2025 |
Source payment records
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| Stivarga Normalized: stivarga |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $24.06 | 1 | 2025 |
Source payment records
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| Vitrakvi Normalized: vitrakvi |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $24.06 | 1 | 2025 |
Source payment records
|
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| POTELIGEO Normalized: poteligeo |
Drug | KYOWA KIRIN, INC. | $23.67 | 1 | 2025 |
Source payment records
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| Optune Gio Normalized: optune gio |
Device | Novocure Inc. | $23.52 | 1 | 2025 |
Source payment records
|
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| Tibsovo Normalized: tibsovo |
Drug | SERVIER PHARMACEUTICALS LLC | $23.42 | 1 | 2025 |
Source payment records
|
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $21.95 | 1 | 2025 |
Source payment records
|
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| ZYNYZ Normalized: zynyz |
Drug | Incyte Corporation | $20.99 | 1 | 2025 |
Source payment records
|
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| Onivyde Normalized: onivyde |
Drug | Ipsen Biopharmaceuticals, Inc | $20.23 | 1 | 2025 |
Source payment records
|
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $20.14 | 1 | 2025 |
Source payment records
|
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| ENHERTU Normalized: enhertu |
Biological | AstraZeneca Pharmaceuticals LP | $18.91 | 1 | 2025 |
Source payment records
|
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| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $18.56 | 1 | 2025 |
Source payment records
|
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| OPDIVO Normalized: opdivo |
Biological | E.R. Squibb & Sons, L.L.C. | $17.39 | 1 | 2025 |
Source payment records
|
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| AKEEGA Normalized: akeega |
Drug | Janssen Biotech, Inc. | $16.01 | 1 | 2025 |
Source payment records
|
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| BALVERSA Normalized: balversa |
Drug | Janssen Biotech, Inc. | $16.01 | 1 | 2025 |
Source payment records
|
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $16.01 | 1 | 2025 |
Source payment records
|
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| Gavreto Normalized: gavreto |
Drug | Rigel Pharmaceuticals, Inc. | $15.09 | 1 | 2025 |
Source payment records
|
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| Rezlidhia Normalized: rezlidhia |
Drug | Rigel Pharmaceuticals, Inc. | $15.09 | 1 | 2025 |
Source payment records
|
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| TAVALISSE Normalized: tavalisse |
Drug | Rigel Pharmaceuticals, Inc. | $15.09 | 1 | 2025 |
Source payment records
|
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| Padcev Normalized: padcev |
Drug | Astellas Pharma US Inc | $15.06 | 1 | 2025 |
Source payment records
|
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| TIVDAK Normalized: tivdak |
Biological | PFIZER INC. | $14.93 | 1 | 2025 |
Source payment records
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| BOSULIF Normalized: bosulif |
Drug | PFIZER INC. | $11.95 | 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.
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 | $1,390.12 · 53 records | Exelixis Inc. | ADCETRIS, AKEEGA, AYVAKIT, BALVERSA, BOSULIF, BRUKINSA, CABOMETYX, CALQUENCE, DATROWAY, ELREXFIO, ENHERTU, EPKINLY, ERLEADA, FOTIVDA, FRUZAQLA, Gavreto, IMBRUVICA, IMFINZI, KEYTRUDA, KEYTRUDA QLEX, LIBTAYO, LYNPARZA, Lenvima, MONJUVI, Nubeqa, OPDIVO, OPDUALAG, Onivyde, Optune Gio, PLUVICTO, POTELIGEO, Padcev, Polivy, Rezlidhia, Stivarga, TAVALISSE, TEVIMBRA, TIVDAK, Tibsovo, VYVGART, VYVGART HYTRULO, Vitrakvi, WELIREG, ZYNYZ | — | — |
| 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