Joseph Ingram, MD
Hand Surgery · Birmingham, ALNPI 1174889885
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,954 of the $4,464 with a category attached, or 88.6%. Prime Surgical, LLC accounts for 88.6% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $2,028 and has fallen 97.9% since, to $43 in 2025.
Across 31 payments — averaging $143.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Prime Surgical, LLC$4K
- Endo Pharmaceuticals Inc.$159
- Abbott$87
- Johnson & Johnson$73
- Endo USA, Inc.$62
- Stryker$42
- plus $88 from 6 others
What the payments were for
- Food & beverage$51011%
- Education$3,95489%
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 |
|---|---|---|
| Prime Surgical, LLC | 4 | $3,954 |
| Endo Pharmaceuticals Inc. | 9 | $159 |
| Abbott | 5 | $87 |
| Johnson & Johnson(2 entities) | 3 | $73 |
| Endo USA, Inc. | 3 | $62 |
| Stryker | 1 | $42 |
| Pacira Therapeutics, Inc. | 1 | $21 |
| Boston Scientific | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Skeletal Dynamics Inc | 1 | $13 |
| Smith+Nephew | 1 | $13 |
| Orthofix Medical, Inc. | 1 | $10 |
How this compares
$4,464 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 214 | $1,343 |
| Methylprednisolone | 52 | $508 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $239 |
| Meloxicam | 35 | $79 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $74 |
| Oxycodone Hcl | 11 | $64 |
| Cyclobenzaprine Hcl | 15 | $51 |
| Tramadol Hcl | 13 | $50 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Birmingham
- Kathleen McKeonBirmingham$151K
- Christopher BeaumontBirmingham$18K
- Karlee LoftinBirmingham$12K
- Ekkehard BonatzBirmingham$5K
- Kathryn BentleyBirmingham$4K
- Erin RansomBirmingham$1K
- Hussein TurkiMontgomery$35K
- Thomas SellersMontgomery$10K
- Jared BurkettMobile$8K
- Allison HunterDaphne$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.