Product Program year 2022 Source: CMS Open Payments

Botox

Biological Spasticity

NDC 0023-1145-01

Open in the dashboard

General payments

$89,998

1,268 payments

Research payments

$173,607

5 payments

Through program year 2022, $89,998 in general payments and $173,607 in research payments were reported against Botox (Spasticity).

No combined total These are different kinds of money, reported under different rules. A meal and a clinical trial grant do not add up to anything meaningful, so this site does not add them.

By program year

6 rows
Year Kind Amount Payments
2022 General $19,724 1,050
2022 Research $71,463 1
2021 General $3,040 159
2021 Research $72,413 3
2020 General $67,235 59
2020 Research $29,732 1

Breakdown

Who paid General payments · program years 2020–2022
  1. Allergan Inc. $71,625 274 payments
  2. AbbVie, Inc. $18,373 994 payments
Top recipients General payments · program year 2022
  1. David Hoang Surgery · Albuquerque, NM $400 2% · 1 payment
  2. Lizette Alvarez Physical Medicine & Rehabilitation · Saint Louis, MO $135 <1% · 2 payments
  3. Robert Brunner Physical Medicine & Rehabilitation · Birmingham, AL $119 <1% · 1 payment
  4. Atul Patel Physical Medicine & Rehabilitation · Overland Park, KS $114 <1% · 2 payments
  5. David Houghton Neurology with Special Qualifications in Child Neurology · New Orleans, LA $98 <1% · 1 payment

The top 5 of the 100 largest recipients; each share is of general payments naming this product in 2022.

The top 25 recipients, free in the app

Specialties paid General payments · program year 2022
  1. Neurology Psychiatry & Neurology $7,549 39% · 276 practitioners
  2. Physical Medicine & Rehabilitation $3,429 18% · 121 practitioners
  3. Nurse Practitioner, Family Nurse Practitioner $1,349 7% · 65 practitioners
  4. Physician Assistant $1,049 5% · 46 practitioners
  5. Nurse Practitioner $749 4% · 34 practitioners

The top 5 of 45 specialties; each share is of general payments naming this product to practitioners with a specialty in 2022. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

Where the money went General payments · program year 2022
  1. New York $4,150 21% · 132 recipients
  2. Florida $2,482 13% · 97 recipients
  3. California $2,049 10% · 68 recipients
  4. Indiana $1,619 8% · 69 recipients
  5. Colorado $1,334 7% · 56 recipients

The top 5 of 39 states; each share is of general payments naming this product in 2022 where a state was reported.

The top 25 states, free in the app

Prescribed to Medicare patients

Part D · data year 2024

Part D claims

71,233

Prescriptions dispensed, refills included

Drug cost

$98,448,340

Paid at the pharmacy, in all

Prescribers

2,055

With 11 or more claims of it

Medicare Part D drugs matched to BOTOX, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Botox Onabotulinumtoxina Same name 2,055 71,233 $98,448,340

Matched to this product by name; CMS does not link its files to Open Payments, so a similar name can be a different strength, form or brand. Prescriber counts include only prescribers with 11 or more claims of the drug, because CMS publishes nothing below that. Part D covers drugs dispensed to Medicare beneficiaries at a pharmacy; it does not include drugs given in a clinic or hospital, or patients with other insurance.

Largest prescribers

First 5 of 100 by claims · 2024

Two separate records. Claims come from Medicare and related payments from Open Payments. They are shown in one row because they name the same product; they do not show that a payment affected a prescription.

The prescribers with the most Part D claims of this drug in 2024
Prescriber Specialty State Claims Drug cost Related payments
Warren Spinner Neurology NY 478 $630,804 $50,524
Christina Kwasnica Physical Medicine and Rehabilitation AZ 343 $824,941 $1,457
Jay Mahajan Neurology NV 339 $536,635 $289
Stuart Hetrick Neurology AZ 320 $444,778 None on record
Hamid Sami Neurology CT 305 $442,480 $150

"No profile" means the prescriber has no Open Payments record here; "None on record" means no payment naming this product in the payment year. Related payments are general payments, and one that names several products is split evenly, so an amount is payments related to the product, not money paid for it. The list is the prescribers with the most claims, up to 100 per drug.

See more in the dashboard: 25 with a free account, all 100 with Patron

Given in the clinic

Part B · billing code
Medicare Part B billing codes matched to BOTOX
Billing code Providers Services Paid by Medicare
Injection, onabotulinumtoxina, 1 unit J0585 3,723 46,383,230 $225,551,789

Drugs given by a clinician are billed to Medicare Part B, not Part D. The product is tied to a billing code through the NDC on CMS's crosswalk, which was published for a later quarter than the payments, so a code that changed in between can be missed. Providers with fewer than 11 patients for the code are not published. Medicare's payment here is what it paid for the services, to the billing practice.

1,268 general · 5 research

Every payment, record by record

Date, amount, who was paid and what for — filter by year and kind, or download as CSV, free, in files of 5,000 rows.

What you are looking at

Manufacturers name the drug, biological or device a payment relates to. CMS does not give products their own identifiers, so a product here is assembled from how it was reported — a brand may appear under more than one spelling, and this page covers one of them rather than the brand as a whole.

Provenance

Source: CMS Open Payments · through program year 2022

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.

How to dispute or correct a record