Jonathan Buttram, MD
Allergy & Immunology · Tyler, TXNPI 1497714984
Payments from drug & device makers
Across 265 payments — averaging $21.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$920
- AstraZeneca$808
- Takeda Pharmaceuticals U.S.A., Inc.$598
- GSK$582
- Grifols USA, LLC$506
- Novartis$356
- plus $2K from 23 others
What the payments were for
- Food & beverage$5,65398%
- Education$1002%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 50 | $920 |
| AstraZeneca | 26 | $808 |
| Takeda Pharmaceuticals U.S.A., Inc. | 26 | $598 |
| GSK | 35 | $582 |
| Grifols USA, LLC | 19 | $506 |
| Novartis | 18 | $356 |
| Sanofi | 11 | $269 |
| Pfizer | 11 | $217 |
| CSL Behring | 10 | $199 |
| Alk-abello, Inc | 1 | $187 |
| Kaleo, Inc. | 10 | $153 |
| Sanofi-aventis U.S. LLC | 8 | $132 |
| Genentech USA, Inc. | 7 | $131 |
| Pharming Healthcare, Inc. | 5 | $111 |
| Biocryst US Sales Co., LLC | 3 | $66 |
| AbbVie | 4 | $65 |
| Teva Pharmaceuticals USA, Inc. | 4 | $62 |
| Amgen | 2 | $57 |
| Shire North American Group Inc | 1 | $48 |
| Hospira, Inc. | 3 | $42 |
| Kowa Pharmaceuticals America, Inc. | 2 | $41 |
| Biocryst Pharmaceuticals, Inc. | 1 | $38 |
| Lilly USA, LLC | 1 | $30 |
| Paratek Pharmaceuticals, Inc. | 2 | $28 |
| Incyte Corporation | 1 | $26 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $25 |
| Blueprint Medicines Corporation | 1 | $24 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Boehringer Ingelheim | 1 | $13 |
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
$5,753 in reported general payments places this provider in the 45th percentile of 336 allergy & immunology providers in Texas.
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 |
|---|---|---|
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 56 | $238,124 |
| CuvitruImmun Glob G(Igg)/Gly/Iga Ov50 | 24 | $190,887 |
| DuleraMometasone/Formoterol | 17 | $8,156 |
| Epinephrine | 20 | $6,666 |
| Arnuity ElliptaFluticasone Furoate | 12 | $4,912 |
| Ipratropium Bromide | 89 | $2,949 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $2,858 |
| Fluticasone Propionate | 192 | $2,714 |
| Azelastine-FluticasoneAzelastine/Fluticasone | 12 | $1,853 |
| Azelastine Hcl | 58 | $1,759 |
| Olopatadine Hcl | 30 | $1,523 |
| Mometasone Furoate | 21 | $1,400 |
| Levocetirizine Dihydrochloride | 47 | $909 |
| Cyproheptadine Hcl | 18 | $835 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 22 | $697 |
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 |
|---|---|---|
| CSL BehringHizentra | $199 | $238,12456 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Cuvitru | $598 | $190,88724 claims |
| Hikma Pharmaceuticals USAEpinephrine | $18 | $6,66620 claims |
| GSKArnuity Ellipta | $582 | $4,91212 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 45th percentile of 336 allergy & immunology providers in Texas.
Other allergy & immunology in Tyler
- William HowlandAustin$3.6M
- Russell PerryBeaumont$3.2M
- Barbara BaxterDallas$2.5M
- Lyndon MansfieldEl Paso$2.4M
- Dale MoharKerrville$2.3M
- Erika GonzalezSan Antonio$2.2M
- Richard WassermanDallas$1.9M
- Joseph DiazSan Antonio$1.8M
- Niran AmarWaco$840K
- Robert JacobsSan Antonio$757K
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.