Payment overview · 2025
General Payments
$22.28
1 reported records · 1 companies
Healthcare provider profile · identity verified
Karthik Ramakrishnan, MD
Allopathic & Osteopathic Physicians|Internal Medicine · BECKLEY, WV · NPI 1942248943
Verified facts
What the public records show
CMS Open Payments records show Karthik Ramakrishnan, MD received $22.28 in general payments during 2025 across 1 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
A separate comparison found the same explicitly named product in public Medicare Part D data: Rexulti.
Otsuka America Pharmaceutical, 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 REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Rexulti 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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $22.28 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $22.28 | 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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $22.28 | 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 |
|---|---|---|---|---|---|---|
| REXULTI rexulti |
2025 | Rexulti | 2024 | 23 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 |
|---|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Gabapentin | Gabapentin | 463 | 60 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 419 | 85 |
| Lorazepam | Lorazepam | 251 | 38 |
| Levothyroxine Sodium | Levothyroxine Sodium | 160 | 45 |
| Alprazolam | Alprazolam | 115 | 22 |
| Eliquis | Apixaban | 112 | 28 |
| Famotidine | Famotidine | 109 | 33 |
| Omeprazole | Omeprazole | 109 | 36 |
| Furosemide | Furosemide | 104 | 34 |
| Clonazepam | Clonazepam | 103 | 11 |
| Potassium Chloride | Potassium Chloride | 96 | 28 |
| Atorvastatin Calcium | Atorvastatin Calcium | 94 | 36 |
| Metoprolol Succinate | Metoprolol Succinate | 94 | 28 |
| Amlodipine Besylate | Amlodipine Besylate | 83 | 33 |
| Losartan Potassium | Losartan Potassium | 82 | 30 |
| Lisinopril | Lisinopril | 81 | 31 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 76 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 76 | 21 |
| Escitalopram Oxalate | Escitalopram Oxalate | 75 | 16 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 71 | 16 |
| Quetiapine Fumarate | Quetiapine Fumarate | 58 | 12 |
| Tramadol Hcl | Tramadol Hcl | 54 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 53 | 17 |
| Allopurinol | Allopurinol | 50 | 16 |
| Trazodone Hcl | Trazodone Hcl | 48 | 12 |
| Buspirone Hcl | Buspirone Hcl | 46 | 12 |
| Jardiance | Empagliflozin | 46 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 45 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 45 | 14 |
| Ondansetron Hcl | Ondansetron Hcl | 45 | 28 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 44 | 17 |
| Azithromycin | Azithromycin | 43 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 43 | 14 |
| Amitriptyline Hcl | Amitriptyline Hcl | 41 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 41 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 41 | 19 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 38 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 37 | 13 |
| Sertraline Hcl | Sertraline Hcl | 37 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 36 | 15 |
| Donepezil Hcl | Donepezil Hcl | 35 | suppressed |
| Methylprednisolone | Methylprednisolone | 34 | 29 |
| Ropinirole Hcl | Ropinirole Hcl | 33 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 32 | 15 |
| Glipizide | Glipizide | 31 | suppressed |
| Pregabalin | Pregabalin | 31 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 30 | suppressed |
| Baclofen | Baclofen | 28 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 28 | 22 |
| Fenofibrate | Fenofibrate Nanocrystallized | 28 | suppressed |
| Ozempic | Semaglutide | 28 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 27 | suppressed |
| Atenolol | Atenolol | 26 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 26 | suppressed |
| Januvia | Sitagliptin Phosphate | 26 | suppressed |
| Nystatin | Nystatin | 26 | 19 |
| Memantine Hcl | Memantine Hcl | 25 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | suppressed |
| Diazepam | Diazepam | 24 | suppressed |
| Ezetimibe | Ezetimibe | 24 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 24 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 24 | suppressed |
| Amoxicillin | Amoxicillin | 23 | 21 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 21 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 23 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 23 | suppressed |
| Rexulti | Brexpiprazole | 23 | suppressed |
| Risperidone | Risperidone | 23 | suppressed |
| Finasteride | Finasteride | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Lactulose | Lactulose | 21 | suppressed |
| Metformin Hcl | Metformin Hcl | 21 | suppressed |
| Prednisone | Prednisone | 21 | 12 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 21 | suppressed |
| Xarelto | Rivaroxaban | 21 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 20 | 12 |
| Zolpidem Tartrate | Zolpidem Tartrate | 20 | suppressed |
| Cefdinir | Cefdinir | 19 | 17 |
| Ibuprofen | Ibuprofen | 19 | suppressed |
| Lovastatin | Lovastatin | 19 | suppressed |
| Meloxicam | Meloxicam | 19 | suppressed |
| Olanzapine | Olanzapine | 19 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Cephalexin | Cephalexin | 17 | 14 |
| Diclofenac Sodium | Diclofenac Sodium | 17 | suppressed |
| Dronabinol | Dronabinol | 17 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | suppressed |
| Simvastatin | Simvastatin | 17 | suppressed |
| Lamotrigine | Lamotrigine | 16 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 14 |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 15 | suppressed |
| Fentanyl | Fentanyl | 15 | suppressed |
| Naloxone Hcl | Naloxone Hcl | 15 | 15 |
| Paroxetine Hcl | Paroxetine Hcl | 15 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 15 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 15 | suppressed |
| Torsemide | Torsemide | 15 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Glimepiride | Glimepiride | 14 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 14 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 14 | suppressed |
| Valsartan | Valsartan | 14 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Methocarbamol | Methocarbamol | 13 | suppressed |
| Movantik | Naloxegol Oxalate | 13 | suppressed |
| Cilostazol | Cilostazol | 12 | suppressed |
| Estradiol | Estradiol | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 12 | 11 |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Primidone | Primidone | 12 | suppressed |
| Silver Sulfadiazine | Silver Sulfadiazine | 12 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 12 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 12 | suppressed |
| Trulicity | Dulaglutide | 12 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Fenofibrate | Fenofibrate | 11 | suppressed |
| Humalog | Insulin Lispro | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Lidocaine Hcl | Lidocaine Hcl | 11 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 11 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 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 | $22.28 · 1 records | Otsuka America Pharmaceutical, Inc. | REXULTI | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Rexulti play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Otsuka America Pharmaceutical, 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