Jill Cramer, MD
Neurology · Christiansburg, VANPI 1730120965
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $453,973 of the $597,766 with a category attached, or 75.9%. 46 manufacturers reported payments, led by AbbVie at 30.6% of the total. Reporting peaked in 2022 at $116,106 and has fallen 59.6% since, to $46,909 in 2025. Among neurology clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,335 payments — averaging $447.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$183K
- EMD Serono, Inc.$136K
- Biogen$94K
- Sanofi$50K
- Genentech USA, Inc.$49K
- AstraZeneca$22K
- plus $64K from 40 others
Across 237 payments — averaging $651.73 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Roche Products Limited$85K
- Acadia Pharmaceuticals Inc$40K
- EMD Serono, Inc.$28K
- Novartis$843
What the payments were for
- Consulting fees$71,75812%
- Speaking & faculty fees$453,97376%
- Travel & lodging$45,7298%
- Food & beverage$25,5874%
- Education$7190%
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.
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$597,766 in reported general payments places this provider in the 95th percentile of 474 neurology providers in Virginia.
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 |
|---|---|---|
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 40 | $884,560 |
| PanzygaImmun Glob G(Igg)-Ifas/Glycine | 37 | $869,733 |
| Avonex (4 Pack)Interferon Beta-1a | 30 | $321,797 |
| TecfideraDimethyl Fumarate | 33 | $303,318 |
| TysabriNatalizumab | 23 | $185,022 |
| BetaseronInterferon Beta-1b | 18 | $169,609 |
| CopaxoneGlatiramer Acetate | 15 | $132,360 |
| VumerityDiroximel Fumarate | 15 | $130,929 |
| Teriflunomide | 78 | $119,021 |
| Kesimpta PenOfatumumab | 13 | $113,901 |
| MayzentSiponimod | 11 | $105,636 |
| Dimethyl Fumarate | 34 | $89,828 |
| QuliptaAtogepant | 48 | $70,394 |
| Glatiramer Acetate | 31 | $65,424 |
| UbrelvyUbrogepant | 40 | $57,456 |
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 |
|---|---|---|
| BiogenAvonex (4 Pack), Tecfidera, Tysabri, Vumerity | $93,653 | $941,067101 claims |
| CSL BehringPrivigen | $96 | $884,56040 claims |
| PfizerPanzyga, Dilantin | $317 | $872,75652 claims |
| AbbVieQulipta, Ubrelvy, Botox | $182,659 | $160,089113 claims |
| Teva Pharmaceuticals USA, Inc.Copaxone | $281 | $132,36015 claims |
| NovartisMayzent | $922 | $105,63611 claims |
| Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide | $100 | $29,92338 claims |
| Supernus Pharmaceuticals, Inc.Trokendi Xr | $223 | $16,63813 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 95th percentile of 474 neurology providers in Virginia.
Other neurology in Christiansburg
- Ramsey FalconerAlexandria$2M
- Robert ShinCharlottesville$1.7M
- Heidi CraytonVienna$1.5M
- Mark LandrioWinchester$631K
- Catherine HamRichmond$603K
- Rahul DaveFairfax$540K
- Daniel HardyRichmond$382K
- Ingrid Loma MillerNorfolk$364K
- Carmen FuentesNorfolk$339K
- Kermit LloydNewport News$257K
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.