Daniel Clower, MD
Internal Medicine · Selma, ALNPI 1861483026
Payments from drug & device makers
Across 252 payments — averaging $14.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$547
- AbbVie$507
- Novartis$506
- Novo Nordisk$316
- Lilly USA, LLC$247
- Sunovion Pharmaceuticals Inc.$203
- plus $1K from 25 others
What the payments were for
- Food & beverage$3,668100%
- Education$60%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 33 | $547 |
| AbbVie(2 entities) | 50 | $507 |
| Novartis | 36 | $506 |
| Novo Nordisk | 21 | $316 |
| Lilly USA, LLC | 16 | $247 |
| Sunovion Pharmaceuticals Inc. | 14 | $203 |
| Mylan Specialty L.p. | 10 | $161 |
| AstraZeneca | 9 | $160 |
| Boehringer Ingelheim | 10 | $132 |
| Bayer | 8 | $129 |
| Shield Therapeutics Inc | 5 | $99 |
| Pfizer | 7 | $96 |
| Amgen | 7 | $92 |
| GSK | 5 | $84 |
| Abbott | 2 | $42 |
| Johnson & Johnson | 2 | $34 |
| Merck | 2 | $33 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $31 |
| Neurocrine Biosciences, Inc. | 1 | $28 |
| Lundbeck LLC | 1 | $26 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $25 |
| Ultragenyx Pharmaceutical Inc. | 1 | $25 |
| Amarin Pharma, Inc. | 1 | $23 |
| Dexcom, Inc. | 1 | $20 |
| Insulet Corporation | 1 | $17 |
| Astellas Pharma US Inc | 1 | $17 |
| Exact Sciences | 1 | $16 |
| Sumitomo Pharma America, Inc. | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
How this compares
$3,674 in reported general payments places this provider in the 80th percentile of 1,533 internal 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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 60 | $48,947 |
| EliquisApixaban | 40 | $43,721 |
| JardianceEmpagliflozin | 40 | $35,089 |
| VraylarCariprazine Hcl | 22 | $32,942 |
| LinzessLinaclotide | 26 | $27,859 |
| JanuviaSitagliptin Phosphate | 34 | $25,122 |
| EntrestoSacubitril/Valsartan | 18 | $25,051 |
| MyrbetriqMirabegron | 14 | $17,759 |
| TradjentaLinagliptin | 15 | $15,436 |
| XareltoRivaroxaban | 19 | $14,017 |
| MounjaroTirzepatide | 12 | $13,147 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $10,280 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 15 | $8,994 |
| GemtesaVibegron | 17 | $8,950 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 12 | $7,605 |
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 |
|---|---|---|
| AbbVieVraylar, Linzess | $507 | $60,80148 claims |
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat | $132 | $59,51870 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $160 | $56,55172 claims |
| PfizerEliquis | $96 | $43,72140 claims |
| MerckJanuvia | $33 | $25,12234 claims |
| NovartisEntresto | $506 | $25,05118 claims |
| Astellas Pharma US IncMyrbetriq | $17 | $17,75914 claims |
| Johnson & JohnsonXarelto | $34 | $14,01719 claims |
| Lilly USA, LLCMounjaro | $247 | $13,14712 claims |
| GSKTrelegy Ellipta | $84 | $10,28012 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $16 | $8,95017 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 1,533 internal medicine providers in Alabama.
Other internal medicine in Selma
- Harry StuddardMobile$12.9M
- Almena FreeAnniston$12.7M
- Hayes WilliamsVestavia$10.4M
- David DeatkineBirmingham$8M
- James SullivanBirmingham$6M
- Ramy TomaBirmingham$5.1M
- Barry McLeanHomewood$4M
- William KirbyBirmingham$2.3M
- Saadat AnsariHuntsville$2.1M
- Gregory FlippoTrussville$1.6M
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.