Hector Toledo, MD
Anesthesiology · Jasper, ALNPI 1831142025
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 149 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 25 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 38.9% of the total. Reporting peaked in 2021 at $750 and has fallen 96.2% since, to $28 in 2025. Among anesthesiology 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 149 payments — averaging $16.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$957
- Scilex Pharmaceuticals Inc.$236
- Indivior Inc.$231
- Amgen$182
- Orexo US, Inc.$126
- Almatica Pharma LLC$92
- plus $637 from 19 others
What the payments were for
- Food & beverage$2,461100%
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 71 | $957 |
| Scilex Pharmaceuticals Inc. | 14 | $236 |
| Indivior Inc. | 12 | $231 |
| Amgen | 9 | $182 |
| Orexo US, Inc. | 3 | $126 |
| Almatica Pharma LLC | 5 | $92 |
| Abbott | 5 | $92 |
| Forte Bio-pharma LLC | 1 | $69 |
| Novartis | 4 | $65 |
| Daiichi Sankyo Inc. | 3 | $54 |
| Pfizer | 3 | $50 |
| Nevro Corp. | 2 | $45 |
| Medtronic | 2 | $42 |
| Collegium Pharmaceutical, Inc. | 2 | $31 |
| Globus Medical | 1 | $28 |
| Arbor Pharmaceuticals, Inc. | 2 | $26 |
| GRT US Holding, Inc. | 2 | $18 |
| Johnson & Johnson | 1 | $17 |
| Boston Scientific | 1 | $17 |
| Redhill Biopharma Inc. | 1 | $15 |
| Lilly USA, LLC | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Sentynl Therapeutics, Inc. | 1 | $14 |
| Kaleo, Inc. | 1 | $13 |
| Si-bone, Inc. | 1 | $12 |
How this compares
$2,461 in reported general payments places this provider in the 95th percentile of 484 anesthesiology 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 |
|---|---|---|
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 23 | $7,532 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 55 | $1,191 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $1,130 |
| Buprenorphine Hcl | 12 | $796 |
| Gabapentin | 37 | $662 |
| Pregabalin | 26 | $508 |
| Ibuprofen | 23 | $339 |
| Oxycodone Hcl | 17 | $270 |
| Cyclobenzaprine Hcl | 15 | $245 |
| Tizanidine Hcl | 21 | $210 |
| Methocarbamol | 14 | $172 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Jasper
- Alexandru VisanBirmingham$138K
- Gregory HickmanBirmingham$134K
- Leslie FletcherHuntsville$35K
- Ursula WesselmannBirmingham$33K
- Keith JonesBirmingham$26K
- Clayton NewellHuntsville$17K
- Justin RoutmanBirmingham$16K
- Joshua SmithBirmingham$14K
- Prentiss LawsonBirmingham$13K
- Thomas ReganBirmingham$9K
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.