Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Raphael Higginbotham

Nephrology Opelousas, LA Medical Doctor

NPI 1477507531 CMS profile 1258639

927 E Prudhomme St, Opelousas, LA 70570

Open in the dashboard

General payments

$6,495

296 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Raphael Higginbotham of Opelousas, LA is reported in the CMS Open Payments database as having received $6,495 across 296 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 84th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,775 67
2024 General $894 47
2023 General $1,185 63
2022 General $1,115 44
2021 General $770 33
2020 General $346 19
2019 General $410 23

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Raphael Higginbotham
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Raphael Higginbotham were reported at $1,775. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Raphael Higginbotham Nephrology median Middle half National median
2019 $410 $236 $90–$588 $163
2020 $346 $135 $46–$364 $114
2021 $770 $202 $67–$551 $132
2022 $1,115 $242 $77–$695 $149
2023 $1,185 $254 $84–$766 $160
2024 $894 $300 $99–$852 $164
2025 $1,775 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $865 38 payments
  2. Otsuka America Pharmaceutical, Inc. $711 34 payments
  3. Mallinckrodt Hospital Products Inc. $660 20 payments
  4. OPKO Pharmaceuticals, LLC $575 40 payments
  5. Bayer HealthCare Pharmaceuticals Inc. $499 18 payments
  6. Novo Nordisk Inc $450 13 payments
  7. Calliditas Therapeutics US Inc. $442 19 payments
  8. Retrophin, Inc. $334 22 payments
  9. Fresenius USA Marketing, Inc. $317 16 payments
  10. Amgen Inc. $292 8 payments
  11. Other $1,350 68 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,189 290 payments
  2. Education $306 6 payments
Products named General payments · program years 2019–2025
  1. ACTHAR $625 18 payments
  2. JYNARQUE $610 27 payments
  3. Kerendia $499 18 payments
  4. FARXIGA $452 16 payments
  5. RAYALDEE $418 29 payments
  6. LOKELMA $337 21 payments
  7. Velphoro $317 16 payments
  8. TARPEYO $299 14 payments
  9. Ozempic $282 8 payments
  10. JARDIANCE $241 4 payments
  11. Other $2,122 104 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 109 drugs

Part D claims

8,939

Median for Nephrology: 954

Drug cost

$1,748,751

Median for Nephrology: $127,050

Branded share of claims

20.8%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Jynarque Tolvaptan Brand 18 $343,294
Farxiga Dapagliflozin Propanediol Brand 328 $277,246
Mounjaro Tirzepatide Brand 142 $155,945
Trulicity Dulaglutide Brand 121 $147,264
Ozempic Semaglutide Brand 108 $143,089
Jardiance Empagliflozin Brand 167 $127,806
Velphoro Sucroferric Oxyhydroxide Brand 30 $96,866
Rayaldee Calcifediol Brand 47 $70,646
Linzess Linaclotide Brand 91 $65,617
Entresto Sacubitril/Valsartan Brand 38 $42,794

The 10 drugs with the highest cost, of 109 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 30 billing codes

Paid by Medicare

$200,436

Medicare's payments for the services billed

Medicare patients

595

Average age 75

Services billed

2,410

259 women, 336 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Chronic kidney disease 75%
Diabetes 60%
Ischemic heart disease 59%
Heart failure 54%
Arthritis 50%
Atrial fibrillation 34%
Depression 30%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 11 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
PURIFIED CORTROPHIN GEL
  • ANI Pharmaceuticals, Inc. $149
$149 — —
JARDIANCE
  • Boehringer Ingelheim Pharmaceuticals, Inc. $129
  • Lilly USA, LLC $18
$148 167 —
RAYALDEE
  • OPKO Pharmaceuticals, LLC $111
$111 47 —
JYNARQUE
  • Otsuka America Pharmaceutical, Inc. $94
$94 18 —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $71
$71 17 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 11 in the dashboard with a free account

Records

296 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Nephrology in Louisiana

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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