Christian Balabanoff Acosta, MD
Critical Care Medicine · Birmingham, ALNPI 1619317112
Payments from drug & device makers
What this record shows
Abiomed accounts for 68.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $1,849 and has fallen 74.6% since, to $469 in 2025.
Across 17 payments — averaging $158.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$2K
- Livanova USA, Inc.$160
- BD$158
- Paratek Pharmaceuticals, Inc.$125
- Lantheus Medical Imaging, Inc.$115
- Ceribell, Inc.$114
- plus $184 from 2 others
What the payments were for
- Travel & lodging$1,42253%
- Food & beverage$1,26847%
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 |
|---|---|---|
| Abiomed | 9 | $1,834 |
| Livanova USA, Inc. | 2 | $160 |
| BD | 1 | $158 |
| Paratek Pharmaceuticals, Inc. | 1 | $125 |
| Lantheus Medical Imaging, Inc. | 1 | $115 |
| Ceribell, Inc. | 1 | $114 |
| Edwards Lifesciences | 1 | $97 |
| Amgen | 1 | $87 |
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.
- Impella$1,412
- HemoSphere$158
- TandemLife$139
- NUZYRA$125
- Definity$115
- POCKET EEG DEVICE$114
How this compares
$2,690 in reported general payments places this provider in the 80th percentile of 73 critical care 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.
Other critical care medicine in Birmingham
- James WellsBirmingham$223K
- Mark DransfieldBirmingham$160K
- George SolomonBirmingham$113K
- Tracy LuckhardtBirmingham$28K
- Keith WilleBirmingham$9K
- Victor ThannickalBirmingham$8K
- Vipul ShahBirmingham$6K
- Samuel McElweeBirmingham$5K
- Nicole SchreinerBirmingham$4K
- David LafonBirmingham$4K
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.