Product Program year 2023 Source: CMS Open Payments

Krystexxa

Biological Krystexxa

NDC 75987-080-10

Open in the dashboard

General payments

$23,264,940

126,190 payments

Research payments

$33,506,693

522 payments

Through program year 2023, $23,264,940 in general payments and $33,506,693 in research payments were reported against Krystexxa (Krystexxa).

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

10 rows
Year Kind Amount Payments
2023 General $5,953,806 35,387
2023 Research $7,201,748 100
2022 General $6,472,758 31,283
2022 Research $7,349,783 123
2021 General $3,367,094 25,007
2021 Research $7,605,763 119
2020 General $2,512,784 14,571
2020 Research $7,964,504 98
2019 General $4,958,497 19,942
2019 Research $3,384,896 82

Breakdown

Who paid General payments · program years 2019–2023
  1. Horizon Therapeutics plc $23,264,940 126,190 payments
Top recipients General payments · program year 2023
  1. John Cozzarelli Podiatrist, Foot & Ankle Surgery · Belleville, NJ $198,273 3% · 251 payments
  2. Jeff Peterson Rheumatology · Bothell, WA $156,684 3% · 117 payments
  3. Abdul Abdellatif Nephrology · Webster, TX $147,197 2% · 158 payments
  4. Namrata Goel Nephrology · Houston, TX $142,966 2% · 150 payments
  5. John Botson Rheumatology · Anchorage, AK $137,239 2% · 91 payments

The top 5 of the 100 largest recipients; each share is of general payments naming this product in 2023.

The top 25 recipients, free in the app

Specialties paid General payments · program year 2023
  1. Rheumatology Internal Medicine $2,653,867 45% · 1,534 practitioners
  2. Nephrology Internal Medicine $1,637,056 28% · 2,139 practitioners
  3. Podiatrist, Foot & Ankle Surgery Podiatrist $448,459 8% · 913 practitioners
  4. Nurse Practitioner, Family Nurse Practitioner $263,979 5% · 1,004 practitioners
  5. Nurse Practitioner $207,489 4% · 421 practitioners

The top 5 of 128 specialties; each share is of general payments naming this product to practitioners with a specialty in 2023. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

Where the money went General payments · program year 2023
  1. Texas $797,047 13% · 1,152 recipients
  2. California $575,966 10% · 924 recipients
  3. Florida $473,684 8% · 1,091 recipients
  4. New York $351,834 6% · 555 recipients
  5. Georgia $278,661 5% · 553 recipients

The top 5 of 52 states; each share is of general payments naming this product in 2023 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

3,656

Prescriptions dispensed, refills included

Drug cost

$156,245,093

Paid at the pharmacy, in all

Prescribers

163

With 11 or more claims of it

Medicare Part D drugs matched to KRYSTEXXA, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Krystexxa Pegloticase Same name 163 3,656 $156,245,093

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
Elvin Garcia Rheumatology TX 230 $13,732,442 $11,229
Sunil Patel Nephrology CA 99 $5,413,334 $93,129
Shree Mulay Nephrology TN 87 $2,510,355 $5,959
Victor Carabello Internal Medicine CA 78 $4,392,908 $38,399
James Hunt Rheumatology GA 71 $2,489,760 $14,723

"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 KRYSTEXXA
Billing code Providers Services Paid by Medicare
Injection, pegloticase, 1 mg J2507 7 6,712 $18,017,284

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.

126,190 general · 522 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 2023

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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