Edward Cain, MD
Sports Medicine · Birmingham, ALNPI 1578538112
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $12,429,229 of the $12,668,031 with a category attached, or 98.1%. Arthrex accounts for 99.8% of it on its own, with 13 other manufacturers making up the rest. Among sports medicine clinicians in AL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 323 payments — averaging $39,220 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$12.6M
- DJO, LLC$13K
- Zimmer Biomet$3K
- Prime Surgical, LLC$1K
- Medical Device Business Services, Inc.$1K
- Stryker$467
- plus $484 from 8 others
Across 16 payments — averaging $8947.40 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Arthrex$143K
What the payments were for
- Royalty or licence$12,429,22998%
- Consulting fees$128,2301%
- Speaking & faculty fees$93,6901%
- Travel & lodging$9,5110%
- Food & beverage$7,3720%
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 |
|---|---|---|
| Arthrex | 262 | $12,649,026 |
| DJO, LLC | 11 | $12,690 |
| Zimmer Biomet | 18 | $2,553 |
| Prime Surgical, LLC | 11 | $1,409 |
| Medical Device Business Services, Inc. | 2 | $1,403 |
| Stryker | 7 | $467 |
| Innovation Technologies Inc | 1 | $168 |
| Johnson & Johnson | 5 | $120 |
| Miach Orthopaedics, Inc. | 1 | $76 |
| Getinge USA Sales, LLC | 1 | $40 |
| Convatec Inc. | 1 | $26 |
| Molnlycke Health Care US, LLC | 1 | $23 |
| Avanos Medical | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $15 |
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.
- ARTHREX$55,007,204
- SHOULDER IMPLANTS FIBERTAK KNOTLESS$1,132,371
- SHOULDER IMPLANTS FIBERTAK KNOTTED$1,114,838
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ANCHORS$1,114,838
- DISTAL EXTREMITIES INSTRUMENTS DISPOSABLE KITS FIBERTAK$774,948
- SHOULDER IMPLANTS BICEPS REPAIR FIBERTAK$710,217
- SHOULDER IMPLANTS BICEPS REPAIR SWIVELOCK TENODESIS$404,754
- DISTAL EXTREMITIES INSTRUMENTS SOFT TISSUE DISPOSABLE KITS$339,889
- KNEE & HIP IMPLANTS MENISCAL REPAIR SOFTSTITCH$12,760
- SHOULDER INSTRUMENTS SUTURE PASSING DISPOSABLES LASSOS$9,280
- KNEE & HIP IMPLANTS MENISCAL REPAIR ALL INSIDE SUTURE$3,000
- KNEE & HIP IMPLANTS OTHER SUTURE ANCHOR$1,740
- AccuFill$1,136
- AccuPort$1,000
- Knee Creations Brand$1,000
- INSPACE$271
- Irrisept$168
- Sports Medicine-None$136
- Biowick$125
- AIR$114
How this compares
$12,668,031 in reported general payments places this provider in the 95th percentile of 108 sports 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 259 | $2,771 |
| Ondansetron Hcl | 228 | $1,328 |
| Cephalexin | 193 | $669 |
| Methocarbamol | 79 | $324 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $285 |
| Celecoxib | 15 | $262 |
| Doxycycline Hyclate | 12 | $215 |
| Cefadroxil | 51 | $208 |
| Meloxicam | 54 | $205 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 36 | $193 |
| Clindamycin Hcl | 46 | $161 |
| Mupirocin | 17 | $135 |
| Tramadol Hcl | 26 | $78 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Birmingham
- Mark RogersBirmingham$94K
- Amit MomayaBirmingham$77K
- Christoper GarrettBirmingham$58K
- Reaves CrabtreeBirmingham$47K
- David AdkisonBirmingham$46K
- Amir ShahienBirmingham$45K
- Christopher CarterBirmingham$42K
- Christian MerrillBirmingham$40K
- Thomas EvelyBirmingham$34K
- Aaron JoinerBirmingham$32K
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.