James Abraham, MD
Rheumatology · Little Rock, ARNPI 1417985714
Payments from drug & device makers
What this record shows
3 manufacturers reported payments, led by Amgen at 51.5% of the total. 2024 is the largest year on record at $66, 2.7 times the $24 reported in 2019. That places this record below the midpoint for rheumatology clinicians in AR, where the typical reported total is $4,419.
Across 7 payments — averaging $24.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$87
- E.r. Squibb & Sons, L.L.C.$50
- Pfizer$32
What the payments were for
- Food & beverage$9054%
- Education$7846%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Amgen(2 entities) | 3 | $87 |
| E.r. Squibb & Sons, L.L.C. | 2 | $50 |
| Pfizer | 2 | $32 |
How this compares
$168 in reported general payments places this provider in the 10th percentile of 48 rheumatology providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Enbrel SureclickEtanercept | 66 | $610,655 |
| Humira(Cf) PenAdalimumab | 41 | $318,764 |
| Humira(Cf)Adalimumab | 17 | $159,616 |
| EnbrelEtanercept | 20 | $155,510 |
| Xeljanz XrTofacitinib Citrate | 21 | $115,815 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 15 | $103,567 |
| MethotrexateMethotrexate Sodium | 931 | $21,432 |
| Hydroxychloroquine Sulfate | 460 | $12,990 |
| Azathioprine | 157 | $8,061 |
| PlaquenilHydroxychloroquine Sulfate | 12 | $4,600 |
| Leflunomide | 140 | $4,345 |
| Prednisone | 407 | $2,899 |
| Pilocarpine Hcl | 21 | $1,786 |
| Mycophenolate Mofetil | 24 | $1,633 |
| Naproxen | 38 | $1,351 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenEnbrel | $87 | $155,51020 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 10th percentile of 48 rheumatology providers in Arkansas.
Other rheumatology in Little Rock
- Cummins LueLittle Rock$76K
- Jasen ChiLittle Rock$30K
- Richard HoukLittle Rock$25K
- Columbus BrownLittle Rock$18K
- Renee Peterkin-MccalmanLittle Rock$16K
- Daniel GonzalezLittle Rock$12K
- Safwan SakrLittle Rock$11K
- Alina VoineaLittle Rock$8K
- Tamer AlsebaiLittle Rock$6K
- Mavi Rivera PavonLittle Rock$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.