Grover Paul, MD
Surgery · Bay Minette, ALNPI 1538199161
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (56.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 86.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $7,148, more than ten times the $163 reported in 2019.
Across 67 payments — averaging $145.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Intra-sana Laboratories$377
- Smith+Nephew$191
- Organogenesis Inc.$191
- AbbVie$187
- Aroa Biosurgery Incorporated$104
- plus $261 from 9 others
What the payments were for
- Travel & lodging$1,64617%
- Food & beverage$2,57026%
- Education$5,50056%
- Gifts$340%
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 |
|---|---|---|
| Intuitive Surgical | 19 | $8,439 |
| Intra-sana Laboratories | 6 | $377 |
| Smith+Nephew | 8 | $191 |
| Organogenesis Inc. | 8 | $191 |
| AbbVie | 10 | $187 |
| Aroa Biosurgery Incorporated | 1 | $104 |
| Medtronic | 4 | $67 |
| Johnson & Johnson | 3 | $51 |
| Hologic Sales And Service, LLC | 1 | $46 |
| TELA Bio, Inc. | 2 | $30 |
| Exact Sciences | 1 | $16 |
| Aimmune Therapeutics, Inc. | 1 | $14 |
| Davol Inc. | 1 | $13 |
| Conmed Corporation | 1 | $13 |
| Z-medica, LLC | 1 | $11 |
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.
- DAVINCI XI$5,500
- Da Vinci Surgical System$2,512
- Reltone 200 Mg$121
- GLYCATE$121
- Reltone 400 Mg$121
How this compares
$9,750 in reported general payments places this provider in the 85th percentile of 382 surgery 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 |
|---|---|---|
| MovantikNaloxegol Oxalate | 11 | $4,464 |
| Famotidine | 109 | $1,722 |
| Pantoprazole Sodium | 192 | $1,623 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 68 | $922 |
| Lactulose | 38 | $742 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 49 | $514 |
| Nystatin | 14 | $430 |
| Lansoprazole | 13 | $347 |
| Omeprazole | 17 | $233 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 18 | $174 |
| Ondansetron OdtOndansetron | 23 | $161 |
| Fluconazole | 12 | $117 |
| Ciprofloxacin Hcl | 14 | $116 |
| Metoclopramide Hcl | 20 | $86 |
| Pregabalin | 11 | $81 |
Paid to pharmacies, not to this prescriber.
Other surgery in Bay Minette
- John PorterfieldBessemer$972K
- Barton WoodAlabaster$702K
- Forrest RingoldMobile$678K
- Dennis FernandezHuntsville$266K
- Cameron AskewBirmingham$236K
- Terry TreadwellMontgomery$127K
- Charles NewmanGadsden$123K
- Jason BeaverDothan$106K
- John TouliatosBirmingham$75K
- Jayme LockeBirmingham$63K
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.