Jonathan Ludwig, MD
Hand Surgery · Huntsville, ALNPI 1720377435
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 13 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 8 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for hand surgery clinicians in AL, where the typical reported total is $2,588.
Across 13 payments — averaging $63.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$176
- Linvatec Corporation$175
- Prime Surgical, LLC$124
- Exsomed Corporation$120
- Medical Device Business Services, Inc.$110
- Amgen$77
- plus $39 from 2 others
What the payments were for
- Food & beverage$821100%
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 |
|---|---|---|
| Stryker | 1 | $176 |
| Linvatec Corporation | 1 | $175 |
| Prime Surgical, LLC | 1 | $124 |
| Exsomed Corporation | 1 | $120 |
| Medical Device Business Services, Inc. | 1 | $110 |
| Amgen | 6 | $77 |
| Radius Health, Inc. | 1 | $25 |
| Johnson & Johnson | 1 | $14 |
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.
- PANGEA$176
- VARIAX$176
- BioBrace 23mm$175
How this compares
$821 in reported general payments places this provider in the 30th percentile of 29 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $182 |
| Gabapentin | 12 | $95 |
| Meloxicam | 13 | $40 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Huntsville
- Heather LichtHuntsville$2K
- Philip MaddoxHuntsville$769
- John WalkerHuntsville$330
- Joseph ClarkHuntsville$178
- Kathleen McKeonBirmingham$151K
- Hussein TurkiMontgomery$35K
- Christopher BeaumontBirmingham$18K
- Karlee LoftinBirmingham$12K
- Thomas SellersMontgomery$10K
- Jared BurkettMobile$8K
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.