Esther Lange
Gerontology · Birmingham, ALNPI 1932760105
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,364 of the $9,512 with a category attached, or 77.4%. It is spread thinly across 28 manufacturers, the largest accounting for just 22.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,301, 3.7 times the $890 reported in 2021. Among gerontology 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 313 payments — averaging $30.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$2K
- Novartis$1K
- Optinose US, Inc.$824
- CSL Behring$732
- Takeda Pharmaceuticals U.S.A., Inc.$708
- Genentech USA, Inc.$591
- plus $3K from 22 others
What the payments were for
- Travel & lodging$2,14823%
- Food & beverage$7,36477%
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 |
|---|---|---|
| Pfizer | 22 | $2,136 |
| Novartis | 22 | $1,372 |
| Optinose US, Inc. | 51 | $824 |
| CSL Behring | 21 | $732 |
| Takeda Pharmaceuticals U.S.A., Inc. | 33 | $708 |
| Genentech USA, Inc. | 21 | $591 |
| Amgen | 28 | $454 |
| GSK | 17 | $389 |
| Grifols USA, LLC | 18 | $376 |
| Regeneron Healthcare Solutions, Inc. | 20 | $354 |
| Blueprint Medicines Corporation | 10 | $299 |
| AstraZeneca | 7 | $228 |
| Octapharma USA, Inc. | 11 | $218 |
| Genentech, Inc. | 1 | $133 |
| Sanofi | 5 | $130 |
| Biocryst US Sales Co., LLC | 1 | $118 |
| Pharming Healthcare, Inc. | 5 | $94 |
| Lilly USA, LLC | 3 | $71 |
| LEO Pharma Inc. | 3 | $59 |
| Alk-abello, Inc | 3 | $47 |
| Kaleo, Inc. | 2 | $31 |
| AbbVie | 2 | $30 |
| Incyte Corporation | 2 | $29 |
| Cycle Pharmaceuticals Inc | 1 | $24 |
| Tersera Therapeutics LLC | 1 | $23 |
| Eyevance Pharmaceuticals LLC | 1 | $14 |
| Merck | 1 | $14 |
| ADMA Biomanufacturing LLC | 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.
How this compares
$9,512 in reported general payments places this provider in the 95th percentile of 143 gerontology providers in Alabama.
Other gerontology in Birmingham
- Melissa HornBirmingham$7K
- Rachel HawesBirmingham$7K
- Whitney GrayBirmingham$6K
- Morgan BurkeBirmingham$5K
- Robin AbelBirmingham$3K
- Anna EvattBirmingham$2K
- Sonya FlanaganBirmingham$2K
- Hua LinBirmingham$2K
- Teresa CooperBirmingham$1K
- Ryan ShannonMontgomery$66K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.