Payment overview · 2025
General Payments
$3,667.71
159 reported records · 17 companies
Healthcare provider profile · identity verified
Carla Fulgham
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · MARSHALL, TX · NPI 1124427265
Verified facts
What the public records show
CMS Open Payments records show Carla Fulgham received $3,667.71 in general payments during 2025 across 159 reported records.
ABBVIE INC. accounted for 49.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 25 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Rinvoq.
ABBVIE 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 RINVOQ as an associated drug or biological on 279238 records involving 34343 distinct recipient NPIs. Public Medicare Part D data also shows 136 claims for Rinvoq by this doctor in 2024.
Janssen Biotech, 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 SIMPONI as an associated drug or biological on 23185 records involving 7011 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Simponi 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $1,810.34 | 49.4% | 71 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $371.16 | 10.1% | 28 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $252.14 | 6.9% | 7 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $212.05 | 5.8% | 10 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $169.10 | 4.6% | 9 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $159.86 | 4.4% | 4 | 2025 |
| Collegium Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $134.40 | 3.7% | 7 | 2025 |
| Mallinckrodt Hospital Products Inc. | Unresolved — no canonical attribution shown | $123.50 | 3.4% | 4 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $101.05 | 2.8% | 3 | 2025 |
| Fresenius Kabi USA, LLC | Unresolved — no canonical attribution shown | $88.13 | 2.4% | 5 | 2025 |
| Aurinia Pharma U.S., Inc. | Unresolved — no canonical attribution shown | $87.12 | 2.4% | 4 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $47.07 | 1.3% | 2 | 2025 |
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $24.53 | 0.7% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $23.63 | 0.6% | 1 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $23.22 | 0.6% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $20.84 | 0.6% | 1 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $19.57 | 0.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,667.71 | 159 |
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 |
|---|---|---|---|---|---|
| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $1,155.92 | 46 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $701.59 | 27 | 2025 |
Source payment records
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| Bimzelx Normalized: bimzelx |
Biological | UCB, Inc. | $252.14 | 7 | 2025 |
Source payment records
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| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $212.05 | 10 | 2025 |
Source payment records
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| TALTZ Normalized: taltz |
Drug | Lilly USA, LLC | $169.10 | 9 | 2025 |
Source payment records
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| SAPHNELO Normalized: saphnelo |
Biological | AstraZeneca Pharmaceuticals LP | $159.86 | 4 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $156.84 | 11 | 2025 |
Source payment records
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| ACTHAR Normalized: acthar |
Biological | Mallinckrodt Hospital Products Inc. | $123.50 | 4 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $104.63 | 7 | 2025 |
Source payment records
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| KEVZARA Normalized: kevzara |
Biological | GENZYME CORPORATION | $101.05 | 3 | 2025 |
Source payment records
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| Belbuca Normalized: belbuca |
Drug | Collegium Pharmaceutical, Inc. | $93.84 | 5 | 2025 |
Source payment records
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| LUPKYNIS Normalized: lupkynis |
Drug | Aurinia Pharma U.S., Inc. | $87.12 | 4 | 2025 |
Source payment records
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| TAVNEOS Normalized: tavneos |
Drug | Amgen Inc. | $83.88 | 9 | 2025 |
Source payment records
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| SIMPONI ARIA Normalized: simponi aria |
Biological | Janssen Biotech, Inc. | $72.77 | 1 | 2025 |
Source payment records
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| Tymlos Normalized: tymlos |
Drug | Radius Health, Inc. | $47.07 | 2 | 2025 |
Source payment records
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| ENBREL Normalized: enbrel |
Biological | Amgen Inc. | $41.06 | 2 | 2025 |
Source payment records
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| XTAMPZA Normalized: xtampza |
Drug | Collegium Pharmaceutical, Inc. | $40.56 | 2 | 2025 |
Source payment records
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| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $24.53 | 1 | 2025 |
Source payment records
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| BENLYSTA Normalized: benlysta |
Biological | GlaxoSmithKline, LLC. | $23.63 | 1 | 2025 |
Source payment records
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| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $23.22 | 1 | 2025 |
Source payment records
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| HUMIRA Normalized: humira |
Biological | ABBVIE INC. | $22.22 | 1 | 2025 |
Source payment records
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| XELJANZ Normalized: xeljanz |
Drug | PFIZER INC. | $20.84 | 1 | 2025 |
Source payment records
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| HADLIMA Normalized: hadlima |
Drug | Organon LLC | $19.57 | 1 | 2025 |
Source payment records
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| RENFLEXIS Normalized: renflexis |
Drug | Organon LLC | $19.57 | 1 | 2025 |
Source payment records
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| IDACIO Normalized: idacio |
Biological | Fresenius Kabi USA, LLC | $14.14 | 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 |
|---|---|---|---|---|---|---|
| RINVOQ rinvoq |
2025 | Rinvoq | 2024 | 136 | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | RINVOQ open payments reported associated product |
CMS Open Payments — General Payments 279238 supporting records · 34343 recipient NPIs · example record 1201352600 |
Rinvoq · 2024 Exact normalized brand match · 1 Part D row |
136 | 23 |
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | SIMPONI open payments reported associated product |
CMS Open Payments — General Payments 23185 supporting records · 7011 recipient NPIs · example record 1174257377 |
Simponi · 2024 Exact normalized brand match · 1 Part D row |
13 | 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 |
|---|---|---|---|
| Methotrexate | Methotrexate Sodium | 657 | 189 |
| Sulfasalazine | Sulfasalazine | 466 | 142 |
| Prednisone | Prednisone | 390 | 263 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 359 | 120 |
| Leflunomide | Leflunomide | 309 | 84 |
| Gabapentin | Gabapentin | 262 | 86 |
| Duloxetine Hcl | Duloxetine Hcl | 247 | 73 |
| Tizanidine Hcl | Tizanidine Hcl | 185 | 69 |
| Humira(Cf) Pen | Adalimumab | 172 | 30 |
| Rinvoq | Upadacitinib | 136 | 23 |
| Alendronate Sodium | Alendronate Sodium | 134 | 56 |
| Meloxicam | Meloxicam | 115 | 39 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 113 | 35 |
| Allopurinol | Allopurinol | 85 | 30 |
| Orencia Clickject | Abatacept | 83 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 60 | 32 |
| Azathioprine | Azathioprine | 53 | 18 |
| Folic Acid | Folic Acid | 48 | 16 |
| Enbrel Sureclick | Etanercept | 47 | suppressed |
| Actemra Actpen | Tocilizumab | 44 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 40 | 20 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 39 | 25 |
| Potassium Chloride | Potassium Chloride | 38 | 34 |
| Enbrel Mini | Etanercept | 34 | suppressed |
| Cimzia (2 Pack) | Certolizumab Pegol | 32 | suppressed |
| Celecoxib | Celecoxib | 30 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 29 | 13 |
| Trazodone Hcl | Trazodone Hcl | 29 | suppressed |
| Humira Pen | Adalimumab | 22 | suppressed |
| Risedronate Sodium Dr | Risedronate Sodium | 20 | suppressed |
| Methotrexate Sodium | Methotrexate Sodium/Pf | 17 | 11 |
| Risedronate Sodium | Risedronate Sodium | 17 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 16 | 15 |
| Klor-Con M20 | Potassium Chloride | 15 | 11 |
| Methocarbamol | Methocarbamol | 15 | suppressed |
| Savella | Milnacipran Hcl | 13 | suppressed |
| Simponi | Golimumab | 13 | suppressed |
| Skyrizi Pen | Risankizumab-Rzaa | 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 | $3,667.71 · 159 records | ABBVIE INC. | ACCRUFER, ACTHAR, BENLYSTA, Belbuca, Bimzelx, ENBREL, EVENITY, HADLIMA, HUMIRA, IDACIO, KEVZARA, LUPKYNIS, OTEZLA, PURIFIED CORTROPHIN GEL, RENFLEXIS, RINVOQ, SAPHNELO, SIMPONI ARIA, SKYRIZI, TALTZ, TAVNEOS, TREMFYA, Tymlos, XELJANZ, XTAMPZA | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Rinvoq play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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