Payment overview · 2025
General Payments
$1,232.73
59 reported records · 20 companies
Healthcare provider profile · identity verified
Jonathan William Buttram, MD
Allopathic & Osteopathic Physicians|Allergy & Immunology · TYLER, TX · NPI 1497714984
Verified facts
What the public records show
CMS Open Payments records show Jonathan William Buttram, MD received $1,232.73 in general payments during 2025 across 59 reported records.
Novartis Pharmaceuticals Corporation accounted for 18.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 23 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Hizentra.
CSL Behring reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Hizentra as an associated drug or biological on 13634 records involving 4691 distinct recipient NPIs. Public Medicare Part D data also shows 56 claims for Hizentra by this doctor in 2024.
Takeda Pharmaceuticals U.S.A., 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 CUVITRU as an associated drug or biological on 7118 records involving 2610 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Cuvitru 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 |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $224.90 | 18.2% | 10 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $145.54 | 11.8% | 10 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $120.66 | 9.8% | 6 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $102.89 | 8.3% | 4 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $92.80 | 7.5% | 4 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $89.81 | 7.3% | 3 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $73.66 | 6.0% | 4 | 2025 |
| BioCryst US Sales Co., LLC | Unresolved — no canonical attribution shown | $66.48 | 5.4% | 3 | 2025 |
| Kowa Pharmaceuticals America, Inc. | Unresolved — no canonical attribution shown | $40.89 | 3.3% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $34.00 | 2.8% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $29.57 | 2.4% | 1 | 2025 |
| HOSPIRA, INC. | Unresolved — no canonical attribution shown | $28.84 | 2.3% | 2 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $28.09 | 2.3% | 2 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $25.40 | 2.1% | 1 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $24.17 | 2.0% | 1 | 2025 |
| Pharming Healthcare, Inc. | Unresolved — no canonical attribution shown | $23.96 | 1.9% | 1 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $23.80 | 1.9% | 1 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $21.83 | 1.8% | 1 | 2025 |
| Hikma Pharmaceuticals USA | Unresolved — no canonical attribution shown | $18.39 | 1.5% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $17.05 | 1.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,198.73 | 58 |
| Education | $34.00 | 1 |
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. | $216.98 | 13 | 2025 |
Source payment records
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| XOLAIR Normalized: xolair |
Biological, Drug | Genentech USA, Inc., Novartis Pharmaceuticals Corporation | $121.85 | 6 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $92.80 | 4 | 2025 |
Source payment records
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| Rhapsido Normalized: rhapsido |
Drug | Novartis Pharmaceuticals Corporation | $91.70 | 4 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $73.66 | 4 | 2025 |
Source payment records
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| ORLADEYO Normalized: orladeyo |
Drug | BioCryst US Sales Co., LLC | $66.48 | 3 | 2025 |
Source payment records
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| Xembify Normalized: xembify |
Biological | Grifols USA, LLC | $62.88 | 3 | 2025 |
Source payment records
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| EOHILIA Normalized: eohilia |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $61.94 | 2 | 2025 |
Source payment records
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| Gamunex-C Normalized: gamunex c |
Biological | Grifols USA, LLC | $57.78 | 3 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $55.62 | 2 | 2025 |
Source payment records
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| CUTAQUIG Normalized: cutaquig |
Biological | HOSPIRA, INC., PFIZER INC. | $45.89 | 3 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | HOSPIRA, INC., PFIZER INC. | $45.89 | 3 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | HOSPIRA, INC., PFIZER INC. | $45.89 | 3 | 2025 |
Source payment records
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| ZORYVE Normalized: zoryve |
Drug | Kowa Pharmaceuticals America, Inc. | $40.89 | 2 | 2025 |
Source payment records
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| EBGLYSS Normalized: ebglyss |
Drug | Lilly USA, LLC | $29.57 | 1 | 2025 |
Source payment records
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| TALTZ Normalized: taltz |
Drug | Lilly USA, LLC | $29.57 | 1 | 2025 |
Source payment records
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| XHANCE Normalized: xhance |
Drug | Paratek Pharmaceuticals, Inc. | $28.09 | 2 | 2025 |
Source payment records
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| TAKHZYRO Normalized: takhzyro |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $27.87 | 1 | 2025 |
Source payment records
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $25.40 | 1 | 2025 |
Source payment records
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| RUCONEST Normalized: ruconest |
Biological | Pharming Healthcare, Inc. | $23.96 | 1 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $21.83 | 1 | 2025 |
Source payment records
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| Privigen Normalized: privigen |
Biological | CSL Behring | $21.83 | 1 | 2025 |
Source payment records
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| Ryaltris Normalized: ryaltris |
Drug | Hikma Pharmaceuticals USA | $18.39 | 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 |
|---|---|---|---|---|---|---|
| Hizentra hizentra |
2025 | Hizentra | 2024 | 56 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 |
|---|---|---|---|---|---|---|
| CSL Behring Exact reporting entity; no affiliate inference |
2025 | Hizentra open payments reported associated product |
CMS Open Payments — General Payments 13634 supporting records · 4691 recipient NPIs · example record 1232339012 |
Hizentra · 2024 Exact normalized brand match · 1 Part D row |
56 | suppressed by CMS |
| Takeda Pharmaceuticals U.S.A., Inc. Exact reporting entity; no affiliate inference |
2025 | CUVITRU open payments reported associated product |
CMS Open Payments — General Payments 7118 supporting records · 2610 recipient NPIs · example record 1223616510 |
Cuvitru · 2024 Exact normalized brand match · 1 Part D row |
24 | 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 |
|---|---|---|---|
| Fluticasone Propionate | Fluticasone Propionate | 192 | 76 |
| Ipratropium Bromide | Ipratropium Bromide | 89 | 23 |
| Montelukast Sodium | Montelukast Sodium | 74 | 18 |
| Azelastine Hcl | Azelastine Hcl | 58 | 22 |
| Hizentra | Immun Glob G(Igg)/Pro/Iga 0-50 | 56 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 47 | 14 |
| Olopatadine Hcl | Olopatadine Hcl | 30 | suppressed |
| Cuvitru | Immun Glob G(Igg)/Gly/Iga Ov50 | 24 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 22 | 12 |
| Mometasone Furoate | Mometasone Furoate | 21 | suppressed |
| Epinephrine | Epinephrine | 20 | 20 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 20 | suppressed |
| Cyproheptadine Hcl | Cyproheptadine Hcl | 18 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 18 | 12 |
| Dulera | Mometasone/Formoterol | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 14 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 12 | suppressed |
| Azelastine-Fluticasone | Azelastine/Fluticasone | 12 | suppressed |
| Azithromycin | Azithromycin | 12 | 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 | $1,232.73 · 59 records | Novartis Pharmaceuticals Corporation | AIRSUPRA, AYVAKIT, CUTAQUIG, DUPIXENT, EBGLYSS, EOHILIA, Gamunex-C, Hizentra, NEFFY, NUCALA, OCTAGAM IMMUNE GLOBULIN (HUMAN), ORLADEYO, PANZYGA, Privigen, RUCONEST, Rhapsido, Ryaltris, TAKHZYRO, TALTZ, XHANCE, XOLAIR, Xembify, ZORYVE | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Hizentra play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with CSL Behring?
- 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