Alphonse Zieman, MD
Family Medicine · Mobile, ALNPI 1811091531
Payments from drug & device makers
Across 263 payments — averaging $12.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$705
- AbbVie$446
- Novo Nordisk$430
- GSK$217
- Novartis$190
- AstraZeneca$187
- plus $1K from 24 others
What the payments were for
- Food & beverage$3,20499%
- Education$311%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Johnson & Johnson | 84 | $705 |
| AbbVie(2 entities) | 28 | $446 |
| Novo Nordisk | 41 | $430 |
| GSK | 18 | $217 |
| Novartis | 12 | $190 |
| AstraZeneca | 10 | $187 |
| Amarin Pharma, Inc. | 10 | $167 |
| Lilly USA, LLC | 7 | $95 |
| Pfizer | 7 | $94 |
| Amgen(2 entities) | 7 | $92 |
| Boehringer Ingelheim | 5 | $77 |
| Astellas Pharma US Inc | 4 | $72 |
| Abbott | 3 | $57 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $54 |
| Bayer | 4 | $52 |
| Sanofi-aventis U.S. LLC | 3 | $48 |
| Biohaven Pharmaceuticals, Inc. | 2 | $33 |
| Esperion Therapeutics, Inc. | 2 | $25 |
| Dexcom, Inc. | 1 | $23 |
| Merck | 2 | $23 |
| Mylan Specialty L.p. | 1 | $21 |
| Upsher-smith Laboratories LLC | 1 | $20 |
| Teva Pharmaceuticals USA, Inc. | 1 | $16 |
| Corcept Therapeutics | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $16 |
| Shire North American Group Inc | 1 | $14 |
| Eisai Inc. | 1 | $13 |
| Currax Pharmaceuticals LLC | 1 | $12 |
| Ironwood Pharmaceuticals, Inc | 1 | $12 |
| Phathom Pharmaceuticals, Inc. | 1 | $10 |
How this compares
$3,236 in reported general payments places this provider in the 75th percentile of 1,680 family medicine providers in Alabama.
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 |
|---|---|---|
| JardianceEmpagliflozin | 205 | $226,343 |
| FarxigaDapagliflozin Propanediol | 144 | $154,594 |
| OzempicSemaglutide | 86 | $108,277 |
| EliquisApixaban | 106 | $77,289 |
| MounjaroTirzepatide | 61 | $66,714 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $52,272 |
| VascepaIcosapent Ethyl | 87 | $47,539 |
| JanuviaSitagliptin Phosphate | 30 | $36,064 |
| XareltoRivaroxaban | 61 | $32,506 |
| TrulicityDulaglutide | 21 | $25,090 |
| LinzessLinaclotide | 24 | $22,825 |
| RybelsusSemaglutide | 11 | $21,363 |
| Breo ElliptaFluticasone/Vilanterol | 37 | $19,772 |
| Icosapent Ethyl | 49 | $18,163 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 31 | $17,092 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Synjardy | $77 | $251,204235 claims |
| AstraZenecaFarxiga | $187 | $154,594144 claims |
| Novo NordiskOzempic, Rybelsus | $430 | $129,64097 claims |
| Lilly USA, LLCMounjaro, Trulicity | $95 | $91,80482 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta | $217 | $86,44994 claims |
| PfizerEliquis | $94 | $77,289106 claims |
| MerckJanuvia | $23 | $36,06430 claims |
| Johnson & JohnsonXarelto | $705 | $32,50661 claims |
| AbbVieLinzess | $446 | $22,82524 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. Against peers, this provider's reported payments sit in the 75th percentile of 1,680 family medicine providers in Alabama.
Other family medicine in Mobile
- Joel LaughlinMobile$75K
- Ashleigh Butts-WilkersonMobile$54K
- Anthony NguyenMobile$20K
- Michael VaughnBirmingham$9.9M
- William NixonGuntersville$7.1M
- Randall QuinnCullman$5.4M
- Matthew CaldwellAthens$4.1M
- Michael CarterHuntsville$3.4M
- Howard RubensteinSaraland$3.3M
- Randle MiddletonHuntsville$3.3M
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.