Manish Butte
Pediatric Allergy/Immunology · Los Angeles, CANPI 1801861216
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $227,943 of the $356,720 with a category attached, or 63.9%. 22 manufacturers reported payments, led by Grifols USA, LLC at 41.8% of the total. Reporting peaked in 2024 at $88,257 and has fallen 55.9% since, to $38,878 in 2025. Among pediatric allergy/immunology clinicians in CA 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 418 payments — averaging $853.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Grifols USA, LLC$149K
- CSL Behring$96K
- Pharming Healthcare, Inc.$25K
- Amgen$22K
- Chiesi USA, Inc.$18K
- Octapharma USA, Inc.$16K
- plus $30K from 16 others
Across 36 payments — averaging $22,458 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.
- Shire North American Group Inc$320K
- Takeda Pharmaceuticals U.S.A., Inc.$207K
- Pharming Healthcare, Inc.$159K
- Chiesi USA, Inc.$59K
- Swedish Orphan Biovitrum AB$33K
- Regeneron$31K
What the payments were for
- Consulting fees$69,50719%
- Speaking & faculty fees$227,94364%
- Travel & lodging$44,02112%
- Food & beverage$15,2394%
- Education$100%
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 |
|---|---|---|
| Grifols USA, LLC | 142 | $149,104 |
| CSL Behring | 88 | $95,606 |
| Pharming Healthcare, Inc. | 53 | $25,082 |
| Amgen(2 entities) | 38 | $22,176 |
| Chiesi USA, Inc. | 9 | $18,432 |
| Octapharma USA, Inc. | 6 | $15,920 |
| Sanofi | 13 | $11,159 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $9,484 |
| ADMA Biomanufacturing LLC | 16 | $4,769 |
| Grifols Shared Services North America, Inc. | 20 | $2,635 |
| Regeneron | 8 | $1,139 |
| AstraZeneca | 2 | $183 |
| Regeneron Healthcare Solutions, Inc. | 4 | $182 |
| Incyte Corporation | 2 | $144 |
| LEO Pharma Inc. | 1 | $134 |
| Blueprint Medicines Corporation | 1 | $132 |
| GSK | 1 | $121 |
| Sobi, Inc | 2 | $108 |
| X4 Pharmaceuticals, Inc. | 1 | $106 |
| Dermavant Sciences, Inc. | 1 | $67 |
| Jubilant Hollisterstier LLC | 1 | $22 |
| Shire North American Group Inc | 1 | $15 |
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
$356,720 in reported general payments places this provider in the 95th percentile of 48 pediatric allergy/immunology providers in California.
See all pediatric allergy/immunology providers in California →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 17 | $116,174 |
| Doxycycline Hyclate | 11 | $32 |
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 | $95,606 | $116,17417 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 48 pediatric allergy/immunology providers in California.
Other pediatric allergy/immunology in Los Angeles
- Peck OngLos Angeles$83K
- Maria Garcia-LloretLos Angeles$39K
- Talal ChatilaLos Angeles$30K
- Ewald StiehmLos Angeles$24K
- Neema IzadiLos Angeles$6K
- Elizabeth FeuilleLos Angeles$6K
- Marilyn LiLos Angeles$5K
- Caroline KuoLos Angeles$418
- Joseph ChurchLos Angeles$222
- Stephanie RodriguezLos Angeles$157
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.