Fredrick Orleans, MD
Gastroenterology · Mobile, ALNPI 1275580029
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.0% of the total across 79 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 16 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. 2021 is the largest year on record at $669, 2.1 times the $323 reported in 2019. That places this record below the midpoint for gastroenterology clinicians in AL, where the typical reported total is $3,384.
Across 79 payments — averaging $14.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$240
- AbbVie$234
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$232
- Romark Laboratories, LC$102
- Takeda Pharmaceuticals U.S.A., Inc.$88
- Merck$34
- plus $187 from 10 others
What the payments were for
- Food & beverage$1,01791%
- Education$1009%
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 |
|---|---|---|
| Johnson & Johnson | 14 | $240 |
| AbbVie(2 entities) | 17 | $234 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 21 | $232 |
| Romark Laboratories, LC | 8 | $102 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $88 |
| Merck | 2 | $34 |
| Shionogi Inc | 2 | $34 |
| Redhill Biopharma Inc. | 2 | $27 |
| Abbott | 1 | $23 |
| Nestle Healthcare Nutrition Inc. | 1 | $22 |
| Gilead | 1 | $16 |
| Bristol Myers Squibb | 1 | $15 |
| Shire North American Group Inc | 1 | $14 |
| UCB, Inc. | 1 | $12 |
| Pfizer | 1 | $12 |
| Ironwood Pharmaceuticals, Inc | 1 | $12 |
How this compares
$1,117 in reported general payments places this provider in the 25th percentile of 225 gastroenterology 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 gastroenterology in Mobile
- Jack DipalmaMobile$903K
- Phillip HendersonMobile$462K
- William SonnierMobile$178K
- Jorge HerreraMobile$167K
- Matthew EvesMobile$46K
- Michael SandersMobile$25K
- Susan FleetMobile$15K
- Jonathan SiegelMobile$15K
- Panayiotis GrevenitisMobile$11K
- Cody BarnettMobile$10K
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.