Winfield Butsch, MD
Obesity Medicine · Cleveland, OHNPI 1144260761
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $83,590 of the $101,792 with a category attached, or 82.1%. 9 manufacturers reported payments, led by Novo Nordisk at 46.9% of the total. 2025 is the largest year on record at $34,108, more than ten times the $2,712 reported in 2019.
Across 146 payments — averaging $697.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$48K
- Boehringer Ingelheim$42K
- Novo Nordisk AS$6K
- Eli Lilly$5K
- Medtronic$508
- Madrigal Pharmaceuticals$245
- plus $371 from 3 others
Across 6 payments — averaging $4366.95 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.
- Eli Lilly$26K
What the payments were for
- Consulting fees$83,59082%
- Speaking & faculty fees$1,6972%
- Travel & lodging$11,42211%
- Food & beverage$5,0315%
- Education$520%
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 |
|---|---|---|
| Novo Nordisk | 80 | $47,787 |
| Boehringer Ingelheim | 36 | $42,178 |
| Novo Nordisk AS | 13 | $6,017 |
| Eli Lilly | 5 | $4,686 |
| Medtronic | 6 | $508 |
| Madrigal Pharmaceuticals | 3 | $245 |
| Boston Scientific | 1 | $148 |
| W. L. Gore & Associates, Inc. | 1 | $117 |
| Covidien LP | 1 | $106 |
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.
- ZEPBOUND$3,125
- Saxenda$1,937
- Wegovy$815
- ENDO GIA ULTRA$284
- REZDIFFRA$125
- GORE ENFORM Preperitoneal Biomaterial$117
How this compares
Too few obesity medicine providers in Ohioto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| MounjaroTirzepatide | 88 | $92,989 |
| OzempicSemaglutide | 60 | $64,614 |
| TrulicityDulaglutide | 38 | $59,071 |
| RybelsusSemaglutide | 11 | $13,696 |
| Metformin Hcl ErMetformin Hcl | 81 | $738 |
| Topiramate | 84 | $684 |
| Naltrexone Hcl | 18 | $653 |
| Bupropion Hcl SrBupropion Hcl | 15 | $122 |
| Metformin Hcl | 19 | $35 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $47,787 | $78,31071 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. There are too few obesity medicine providers in Ohioon file to place this against a meaningful peer group, so we don't.
Other obesity medicine in Cleveland
- Norma AtkinsonCleveland$295
- Irene DejakCleveland$138
- Sayuri InoueCleveland$78
- Bruce BarkerDelaware$112K
- Donald CundiffSandusky$76K
- Nina GrayCincinnati$1K
- Natasha KorenAkron$313
- Christine WallaceCincinnati$284
- Taylor KantorColumbus$157
- Vivek MathurAkron$147
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.