Product Program year 2025 Source: CMS Open Payments

Xeomin

Biological musculoskeletal

NDC 0259-1605-01

Open in the dashboard

General payments

$1,651,422

15,277 payments

Research payments

$3,147,646

357 payments

Through program year 2025, $1,651,422 in general payments and $3,147,646 in research payments were reported against Xeomin (musculoskeletal).

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

4 rows
Year Kind Amount Payments
2025 General $906,132 8,702
2025 Research $2,309,779 250
2024 General $745,290 6,575
2024 Research $837,867 107

Breakdown

Who paid General payments · program years 2024–2025
  1. Merz Pharmaceuticals, LLC $1,648,937 15,271 payments
  2. Merz North America, Inc. $2,485 6 payments
Top recipients General payments · program year 2025
  1. Heather Walker Spinal Cord Injury Medicine · North Charleston, SC $75,193 8% · 12 payments
  2. Ryan Hafner Physical Medicine & Rehabilitation · Sarasota, FL $57,167 6% · 79 payments
  3. Montefiore Medical Center Teaching hospital · NY $52,453 6% · 2 payments
  4. Shirley Ryan Abilitylab Teaching hospital · IL $45,000 5% · 1 payment
  5. Laxman Bahroo Neurology · Washington, DC $34,016 4% · 50 payments

The top 5 of the 100 largest recipients; each share is of general payments naming this product in 2025.

The top 25 recipients, free in the app

Specialties paid General payments · program year 2025
  1. Neurology Psychiatry & Neurology $196,448 30% · 1,285 practitioners
  2. Physical Medicine & Rehabilitation $182,022 28% · 445 practitioners
  3. Spinal Cord Injury Medicine Physical Medicine & Rehabilitation $84,016 13% · 5 practitioners
  4. Pain Medicine Physical Medicine & Rehabilitation $48,145 7% · 58 practitioners
  5. Brain Injury Medicine Physical Medicine & Rehabilitation $28,034 4% · 11 practitioners

The top 5 of 104 specialties; each share is of general payments naming this product to practitioners with a specialty in 2025. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

Where the money went General payments · program year 2025
  1. New York $104,212 12% · 270 recipients
  2. California $90,683 10% · 412 recipients
  3. South Carolina $76,169 8% · 35 recipients
  4. Texas $71,109 8% · 265 recipients
  5. Wisconsin $66,807 7% · 36 recipients

The top 5 of 53 states; each share is of general payments naming this product in 2025 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

1,334

Prescriptions dispensed, refills included

Drug cost

$1,623,026

Paid at the pharmacy, in all

Prescribers

62

With 11 or more claims of it

Medicare Part D drugs matched to Xeomin, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Xeomin Incobotulinumtoxina Same name 62 1,334 $1,623,026

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 62 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
Arlyn Valencia Neurology NV 87 $98,806 $209
Gerald Calegan Neurology LA 65 $74,523 $49
Jenny Lai Physical Medicine and Rehabilitation TX 64 $124,039 $603
Warren Spinner Neurology NY 55 $68,885 None on record
James Patton Neurology NC 43 $40,677 $22

"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 62 with Patron

Given in the clinic

Part B · billing code
Medicare Part B billing codes matched to Xeomin
Billing code Providers Services Paid by Medicare
Injection, incobotulinumtoxin a, 1 unit J0588 256 2,512,769 $10,139,932

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.

15,277 general · 357 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 2025

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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