Payment overview · 2025
General Payments
$138.52
8 reported records · 3 companies
Healthcare provider profile · identity verified
Paul Cassian Kramm, M.D.
Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine · BATON ROUGE, LA · NPI 1891877130
Verified facts
What the public records show
CMS Open Payments records show Paul Cassian Kramm, M.D. received $138.52 in general payments during 2025 across 8 reported records.
Virtus Pharmaceuticals LLC accounted for 41.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Levorphanol Tartrate.
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 |
|---|---|---|---|---|---|
| Virtus Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $57.81 | 41.7% | 3 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $48.74 | 35.2% | 3 | 2025 |
| Collegium Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $31.97 | 23.1% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $138.52 | 8 |
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 |
|---|---|---|---|---|---|
| LEVORPHANOL TARTRATE Normalized: levorphanol tartrate |
Drug | Virtus Pharmaceuticals LLC | $57.81 | 3 | 2025 |
Source payment records
|
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| RELISTOR Normalized: relistor |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $48.74 | 3 | 2025 |
Source payment records
|
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| Belbuca Normalized: belbuca |
Drug | Collegium Pharmaceutical, Inc. | $31.97 | 2 | 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 |
|---|---|---|---|---|---|---|
| LEVORPHANOL TARTRATE levorphanol tartrate |
2025 | Levorphanol Tartrate | 2024 | 18 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.
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.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 793 | 81 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 723 | 85 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 373 | 53 |
| Morphine Sulfate Er | Morphine Sulfate | 358 | 35 |
| Tramadol Hcl | Tramadol Hcl | 269 | 40 |
| Gabapentin | Gabapentin | 256 | 37 |
| Tizanidine Hcl | Tizanidine Hcl | 202 | 32 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 131 | 22 |
| Fentanyl | Fentanyl | 99 | suppressed |
| Pregabalin | Pregabalin | 89 | 11 |
| Promethazine Hcl | Promethazine Hcl | 89 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 76 | 12 |
| Methadone Hcl | Methadone Hcl | 75 | suppressed |
| Meloxicam | Meloxicam | 67 | 12 |
| Xtampza Er | Oxycodone Myristate | 63 | suppressed |
| Baclofen | Baclofen | 62 | 16 |
| Hydromorphone Hcl | Hydromorphone Hcl | 59 | suppressed |
| Alprazolam | Alprazolam | 49 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 49 | suppressed |
| Oxycontin | Oxycodone Hcl | 41 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 40 | suppressed |
| Diazepam | Diazepam | 36 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 34 | 13 |
| Methocarbamol | Methocarbamol | 34 | suppressed |
| Ibuprofen | Ibuprofen | 32 | suppressed |
| Clonazepam | Clonazepam | 28 | suppressed |
| Oxymorphone Hcl Er | Oxymorphone Hcl | 27 | suppressed |
| Movantik | Naloxegol Oxalate | 26 | 11 |
| Ondansetron Hcl | Ondansetron Hcl | 24 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 22 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 21 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 18 | suppressed |
| Levorphanol Tartrate | Levorphanol Tartrate | 18 | suppressed |
| Lubiprostone | Lubiprostone | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Topiramate | Topiramate | 18 | suppressed |
| Ubrelvy | Ubrogepant | 16 | suppressed |
| Celecoxib | Celecoxib | 15 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 14 | suppressed |
| Carisoprodol | Carisoprodol | 13 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 13 | suppressed |
| Ondansetron Odt | Ondansetron | 13 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 12 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 12 | suppressed |
| Eszopiclone | Eszopiclone | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 11 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 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 | $138.52 · 8 records | Virtus Pharmaceuticals LLC | Belbuca, LEVORPHANOL TARTRATE, RELISTOR | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Levorphanol Tartrate play in your treatment recommendations for me?
- 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