Payment overview · 2025
General Payments
$1,421.45
37 reported records · 12 companies
Healthcare provider profile · identity verified
Robert E Butler, M.D.
Allopathic & Osteopathic Physicians|Otolaryngology · AUSTIN, TX · NPI 1477646917
Verified facts
What the public records show
CMS Open Payments records show Robert E Butler, M.D. received $1,421.45 in general payments during 2025 across 37 reported records.
Regeneron Healthcare Solutions, Inc. accounted for 28.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Xhance.
Optinose US, 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 Xhance as an associated drug or biological on 10863 records involving 5058 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Xhance 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 |
|---|---|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $404.11 | 28.4% | 10 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $371.88 | 26.2% | 11 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $196.74 | 13.8% | 3 | 2025 |
| Acera Surgical, Inc. | Unresolved — no canonical attribution shown | $162.37 | 11.4% | 1 | 2025 |
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $94.85 | 6.7% | 4 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $52.36 | 3.7% | 2 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $37.89 | 2.7% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $25.06 | 1.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $22.87 | 1.6% | 1 | 2025 |
| AERIN MEDICAL INC. | Unresolved — no canonical attribution shown | $19.94 | 1.4% | 1 | 2025 |
| Hikma Pharmaceuticals USA | Unresolved — no canonical attribution shown | $17.47 | 1.2% | 1 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $15.91 | 1.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,421.45 | 37 |
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 |
|---|---|---|---|---|---|
| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $775.99 | 21 | 2025 |
Source payment records
|
|||||
| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $196.74 | 3 | 2025 |
Source payment records
|
|||||
| Restrata Wound Matrix Normalized: restrata wound matrix |
Device | Acera Surgical, Inc. | $162.37 | 1 | 2025 |
Source payment records
|
|||||
| Xhance Normalized: xhance |
Drug | Optinose US, Inc. | $94.85 | 4 | 2025 |
Source payment records
|
|||||
| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $52.36 | 2 | 2025 |
Source payment records
|
|||||
| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $25.06 | 1 | 2025 |
Source payment records
|
|||||
| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $25.06 | 1 | 2025 |
Source payment records
|
|||||
| TEZSPIRE Normalized: tezspire |
Biological | AstraZeneca Pharmaceuticals LP | $22.87 | 1 | 2025 |
Source payment records
|
|||||
| RHINAER STYLUS Normalized: rhinaer stylus |
Device | AERIN MEDICAL INC. | $19.94 | 1 | 2025 |
Source payment records
|
|||||
| VIVAER STYLUS Normalized: vivaer stylus |
Device | AERIN MEDICAL INC. | $19.94 | 1 | 2025 |
Source payment records
|
|||||
| Ryaltris Normalized: ryaltris |
Drug | Hikma Pharmaceuticals USA | $17.47 | 1 | 2025 |
Source payment records
|
|||||
| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $15.91 | 1 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|---|---|---|
| Xhance xhance |
2025 | Xhance | 2024 | 14 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 |
|---|---|---|---|---|---|---|
| Optinose US, Inc. Exact reporting entity; no affiliate inference |
2025 | Xhance open payments reported associated product |
CMS Open Payments — General Payments 10863 supporting records · 5058 recipient NPIs · example record 1163252000 |
Xhance · 2024 Exact normalized brand match · 1 Part D row |
14 | 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 |
|---|---|---|---|
| Famotidine | Famotidine | 178 | 76 |
| Omeprazole | Omeprazole | 87 | 25 |
| Ipratropium Bromide | Ipratropium Bromide | 74 | 40 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 68 | 57 |
| Levothyroxine Sodium | Levothyroxine Sodium | 65 | 14 |
| Mupirocin | Mupirocin | 55 | 44 |
| Pilocarpine Hcl | Pilocarpine Hcl | 55 | 12 |
| Epinephrine | Epinephrine | 53 | 48 |
| Doxycycline Hyclate | Doxycycline Hyclate | 52 | 36 |
| Fluticasone Propionate | Fluticasone Propionate | 41 | 19 |
| Azelastine Hcl | Azelastine Hcl | 40 | 19 |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 31 | 30 |
| Ofloxacin | Ofloxacin | 30 | 21 |
| Cephalexin | Cephalexin | 29 | 29 |
| Dupixent Pen | Dupilumab | 27 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 27 | 17 |
| Cevimeline Hcl | Cevimeline Hcl | 23 | 13 |
| Levoxyl | Levothyroxine Sodium | 23 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 23 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | 17 |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 17 | 16 |
| Synthroid | Levothyroxine Sodium | 14 | suppressed |
| Xhance | Fluticasone Propionate | 14 | suppressed |
| Clotrimazole | Clotrimazole | 11 | suppressed |
| Prednisone | Prednisone | 11 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 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 | $1,421.45 · 37 records | Regeneron Healthcare Solutions, Inc. | DUPIXENT, INSPIRE, KEYTRUDA, KEYTRUDA QLEX, NEFFY, NUCALA, RHINAER STYLUS, Restrata Wound Matrix, Ryaltris, TEZSPIRE, VIVAER STYLUS, Xhance | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Xhance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Optinose US, 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