Payment overview · 2025
General Payments
$107.33
6 reported records · 5 companies
Healthcare provider profile · identity verified
Howard James Raphael, MD
Allopathic & Osteopathic Physicians|Family Medicine · HAMMOND, LA · NPI 1881639797
Verified facts
What the public records show
CMS Open Payments records show Howard James Raphael, MD received $107.33 in general payments during 2025 across 6 reported records.
Novo Nordisk Inc accounted for 36.6% 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: Ozempic.
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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 96 claims for Linzess by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 93 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $39.28 | 36.6% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $19.07 | 17.8% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $17.67 | 16.5% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $17.46 | 16.3% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $13.85 | 12.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $107.33 | 6 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $21.52 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $19.07 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $17.67 | 1 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $17.46 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $17.46 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $13.85 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 93 | 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 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
96 | 13 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
93 | 19 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 644 | 142 |
| Amlodipine Besylate | Amlodipine Besylate | 445 | 103 |
| Pantoprazole Sodium | Pantoprazole Sodium | 297 | 66 |
| Levothyroxine Sodium | Levothyroxine Sodium | 285 | 50 |
| Hydrochlorothiazide | Hydrochlorothiazide | 275 | 70 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 255 | 58 |
| Lisinopril | Lisinopril | 223 | 47 |
| Metformin Hcl | Metformin Hcl | 220 | 48 |
| Potassium Chloride | Potassium Chloride | 203 | 52 |
| Gabapentin | Gabapentin | 194 | 44 |
| Metoprolol Succinate | Metoprolol Succinate | 190 | 47 |
| Furosemide | Furosemide | 189 | 38 |
| Meloxicam | Meloxicam | 176 | 53 |
| Losartan Potassium | Losartan Potassium | 153 | 41 |
| Pravastatin Sodium | Pravastatin Sodium | 120 | 26 |
| Tamsulosin Hcl | Tamsulosin Hcl | 114 | 25 |
| Carvedilol | Carvedilol | 111 | 26 |
| Allopurinol | Allopurinol | 100 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 99 | 38 |
| Linzess | Linaclotide | 96 | 13 |
| Mounjaro | Tirzepatide | 93 | 20 |
| Ozempic | Semaglutide | 93 | 19 |
| Montelukast Sodium | Montelukast Sodium | 89 | 17 |
| Metformin Hcl Er | Metformin Hcl | 88 | 25 |
| Tramadol Hcl | Tramadol Hcl | 88 | 30 |
| Trazodone Hcl | Trazodone Hcl | 87 | 18 |
| Fluticasone Propionate | Fluticasone Propionate | 86 | 30 |
| Omeprazole | Omeprazole | 86 | 22 |
| Benazepril Hcl | Benazepril Hcl | 85 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 85 | 14 |
| Famotidine | Famotidine | 80 | 14 |
| Alprazolam | Alprazolam | 75 | 21 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 68 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 67 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 65 | 30 |
| Ezetimibe | Ezetimibe | 61 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 60 | 12 |
| Buspirone Hcl | Buspirone Hcl | 57 | 12 |
| Eliquis | Apixaban | 57 | 14 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 55 | suppressed |
| Simvastatin | Simvastatin | 53 | 11 |
| Glipizide Er | Glipizide | 48 | 11 |
| Atenolol | Atenolol | 47 | 11 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 45 | suppressed |
| Diazepam | Diazepam | 44 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 44 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 43 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 42 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 42 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 40 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 40 | suppressed |
| Lorazepam | Lorazepam | 40 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 38 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 36 | suppressed |
| Spironolactone | Spironolactone | 36 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 34 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 33 | suppressed |
| Clonazepam | Clonazepam | 33 | suppressed |
| Nifedipine Er | Nifedipine | 33 | suppressed |
| Januvia | Sitagliptin Phosphate | 32 | suppressed |
| Levetiracetam | Levetiracetam | 31 | suppressed |
| Tradjenta | Linagliptin | 31 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 31 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 30 | suppressed |
| Lovastatin | Lovastatin | 30 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 28 | suppressed |
| Jardiance | Empagliflozin | 28 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 27 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 25 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 25 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 25 | 12 |
| Pregabalin | Pregabalin | 24 | suppressed |
| Valsartan | Valsartan | 24 | suppressed |
| Verapamil Er | Verapamil Hcl | 24 | suppressed |
| Prednisone | Prednisone | 23 | 22 |
| Celecoxib | Celecoxib | 22 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 22 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 22 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 22 | suppressed |
| Bupropion Xl | Bupropion Hcl | 21 | suppressed |
| Chlorthalidone | Chlorthalidone | 21 | suppressed |
| Glipizide | Glipizide | 21 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 20 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 20 | suppressed |
| Mupirocin | Mupirocin | 19 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 18 | suppressed |
| Ondansetron Odt | Ondansetron | 18 | 11 |
| Promethazine Hcl | Promethazine Hcl | 18 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 17 | suppressed |
| Lactulose | Lactulose | 17 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 17 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 17 | suppressed |
| Telmisartan | Telmisartan | 17 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 16 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 15 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 15 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 15 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 15 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 15 | suppressed |
| Fenofibrate | Fenofibrate | 14 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | 12 |
| Trulicity | Dulaglutide | 14 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 14 | suppressed |
| Azithromycin | Azithromycin | 13 | 12 |
| Dilantin | Phenytoin Sodium Extended | 13 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 13 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 13 | 11 |
| Meclizine Hcl | Meclizine Hcl | 13 | suppressed |
| Naproxen | Naproxen | 13 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 13 | suppressed |
| Risperidone | Risperidone | 13 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 12 | suppressed |
| Carbamazepine | Carbamazepine | 12 | suppressed |
| Lansoprazole | Lansoprazole | 12 | suppressed |
| Ultra-Fine Original Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Memantine Hcl | Memantine Hcl | 11 | suppressed |
| Premarin | Estrogens, Conjugated | 11 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 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 | $107.33 · 6 records | Novo Nordisk Inc | Cologuard Collection Kit, Kerendia, Ozempic, QULIPTA, TRELEGY ELLIPTA, UBRELVY | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic 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