Christa Littrell, DO
Obstetrics & Gynecology · Huntsville, ALNPI 1497136774
Payments from drug & device makers
Across 182 payments — averaging $21.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$645
- Pfizer$408
- Aspira Women's Health Inc$341
- AbbVie$331
- Channel Medsystems, Inc.$239
- Sumitomo Pharma America, Inc.$236
- plus $2K from 28 others
What the payments were for
- Food & beverage$3,68493%
- Education$2857%
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 |
|---|---|---|
| Astellas Pharma US Inc | 31 | $645 |
| Pfizer | 25 | $408 |
| Aspira Women's Health Inc | 5 | $341 |
| AbbVie | 15 | $331 |
| Channel Medsystems, Inc. | 2 | $239 |
| Sumitomo Pharma America, Inc. | 12 | $236 |
| Boston Scientific | 3 | $206 |
| Mayne Pharma Commercial LLC | 10 | $204 |
| Hologic Sales And Service, LLC | 5 | $185 |
| Sage Therapeutics, LLC | 9 | $158 |
| Bayer | 7 | $135 |
| Daiichi Sankyo Inc. | 6 | $112 |
| Exeltis, USA Inc. | 7 | $108 |
| Lupin Inc. | 4 | $59 |
| Supernus Pharmaceuticals, Inc. | 3 | $56 |
| Myovant Sciences Inc. | 4 | $54 |
| Scynexis, Inc. | 3 | $48 |
| Mylan Pharmaceuticals Inc. | 3 | $42 |
| Amgen | 3 | $38 |
| Intuitive Surgical | 1 | $37 |
| Urovant Sciences Inc | 2 | $32 |
| Novo Nordisk | 2 | $30 |
| Sandoz | 2 | $30 |
| Therapeuticsmd, Inc. | 2 | $30 |
| BD | 1 | $30 |
| Evofem Biosciences, Inc. | 2 | $29 |
| Smith+Nephew | 2 | $27 |
| Organon | 5 | $27 |
| Roche Diagnostics Corporation | 1 | $18 |
| Coloplast | 1 | $16 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Exact Sciences | 1 | $15 |
| Millicent US Inc | 1 | $14 |
| Sanara Medtech Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ACESSA PROVU SYSTEM$144
- Orilissa$122
- SOLYX$112
How this compares
$3,969 in reported general payments places this provider in the 80th percentile of 537 obstetrics & gynecology 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 |
|---|---|---|
| MyrbetriqMirabegron | 54 | $28,984 |
| GemtesaVibegron | 12 | $14,088 |
| PremarinEstrogens, Conjugated | 32 | $12,942 |
| Estradiol | 165 | $9,747 |
| PremproEstrogen,con/M-Progest Acet | 13 | $2,970 |
| Estradiol (Twice Weekly)Estradiol | 23 | $2,347 |
| Clobetasol Propionate | 48 | $2,289 |
| DottiEstradiol | 11 | $1,314 |
| ValacyclovirValacyclovir Hcl | 15 | $465 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 22 | $268 |
| Nystatin-TriamcinoloneNystatin/Triamcinolone Acet | 11 | $219 |
| Metronidazole | 12 | $206 |
| Fluconazole | 22 | $90 |
| Gabapentin | 14 | $80 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $645 | $28,98454 claims |
| PfizerPremarin, Prempro | $408 | $15,91245 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $236 | $14,08812 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 80th percentile of 537 obstetrics & gynecology providers in Alabama.
Other obstetrics & gynecology in Huntsville
- Anne ReidyHuntsville$54K
- Guy MiddletonDothan$5.6M
- Charles SharpBirmingham$2.8M
- John WidemanCullman$2.3M
- Charles RogersMobile$1.8M
- Ronald OrsoBirmingham$1.6M
- Amy McCoyMobile$1.2M
- Theodore CatranisMobile$994K
- Theodore TsaltasBirmingham$853K
- Janeen ArbuckleBirmingham$601K
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.