Hannah Machemehl, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.7%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. UCB, Inc. accounts for 90.4% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $74,921 and has fallen 94.5% since, to $4,139 in 2025. Among neurology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 153 payments — averaging $647.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- UCB, Inc.$90K
- Spark Therapeutics, Inc.$5K
- Octapharma USA, Inc.$3K
- Argenx US, Inc.$1K
- Alnylam Pharmaceuticals Inc.$254
- GRT US Holding, Inc.$119
- plus $442 from 11 others
Across 2 payments — averaging $72,038 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.
- Vertex$144K
What the payments were for
- Consulting fees$31,10631%
- Speaking & faculty fees$58,17559%
- Travel & lodging$6,0076%
- Food & beverage$3,7054%
- Education$1130%
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 |
|---|---|---|
| UCB, Inc. | 117 | $89,580 |
| Spark Therapeutics, Inc. | 6 | $4,990 |
| Octapharma USA, Inc. | 3 | $2,529 |
| Argenx US, Inc. | 3 | $1,192 |
| Alnylam Pharmaceuticals Inc. | 5 | $254 |
| GRT US Holding, Inc. | 2 | $119 |
| Merz Pharmaceuticals, LLC | 1 | $85 |
| Tanabe Pharma America, Inc. | 3 | $81 |
| Abbott | 3 | $66 |
| Amylyx Pharmaceuticals, Inc. | 2 | $55 |
| AbbVie | 2 | $37 |
| Amicus Therapeutics, Inc. | 1 | $23 |
| Grifols USA, LLC | 1 | $22 |
| AstraZeneca | 1 | $21 |
| Biogen | 1 | $20 |
| Sanofi | 1 | $19 |
| Medtronic | 1 | $13 |
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.
- Rystiggo$36,511
- Zilbrysq$34,873
- OCTAGAM IMMUNE GLOBULIN (HUMAN)$2,500
- ONPATTRO$108
How this compares
$99,107 in reported general payments places this provider in the 90th percentile of 566 neurology providers in North Carolina.
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 |
|---|---|---|
| GammaplexImmun Glob G(Igg)/Gly/Iga 0-50 | 28 | $693,750 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 32 | $554,026 |
| QalsodyTofersen | 12 | $196,695 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 21 | $168,582 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 20 | $118,534 |
| Pyridostigmine Bromide | 26 | $1,578 |
| Gabapentin | 90 | $1,361 |
| Riluzole | 17 | $1,156 |
| Azathioprine | 13 | $500 |
| MethotrexateMethotrexate Sodium | 12 | $285 |
| Prednisone | 43 | $283 |
| Sodium Chloride0.9 % Sodium Chloride | 49 | $218 |
| Methylprednisolone Sodium SuccMethylprednisolone Sod Succ | 11 | $56 |
| Diphenhydramine Hcl | 13 | $49 |
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 |
|---|---|---|
| BiogenQalsody | $20 | $196,69512 claims |
| Grifols USA, LLCGamunex-C | $22 | $118,53420 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 90th percentile of 566 neurology providers in North Carolina.
Other neurology in Arden
- Jill ConwayCharlotte$1M
- Matthew CarraroCharlotte$695K
- Richard SaterGreensboro$682K
- Sara SaccoMatthews$651K
- Megan DonnellyCharlotte$601K
- Kevin KahnDurham$587K
- Sanjay IyerCharlotte$581K
- Mark SkeenDurham$562K
- Douglas JefferyMooresville$486K
- John ScagnelliRaleigh$429K
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.