Luciano Costa
Hematology & Oncology · Birmingham, ALNPI 1477606309
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $298,269 of the $409,137 with a category attached, or 72.9%. It is spread thinly across 22 manufacturers, the largest accounting for just 17.3%. Among hematology & oncology 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 278 payments — averaging $1471.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$71K
- E.r. Squibb & Sons, L.L.C.$69K
- Sanofi$59K
- Janssen Global Services, LLC$30K
- Pfizer$29K
- Bristol Myers Squibb$29K
- plus $123K from 16 others
Across 1,160 payments — averaging $27,910 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.
- Bristol Myers Squibb$10.1M
- Amgen$8.4M
- Janssen Research & Development, LLC$7.5M
- Genentech, Inc.$2.7M
- E.r. Squibb & Sons, L.L.C.$2.1M
- AbbVie$1.2M
- plus $380K from 5 others
What the payments were for
- Consulting fees$298,26973%
- Speaking & faculty fees$74,31518%
- Grants$1870%
- Travel & lodging$30,5907%
- Food & beverage$5,7751%
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 |
|---|---|---|
| Amgen | 45 | $70,976 |
| E.r. Squibb & Sons, L.L.C. | 49 | $68,885 |
| Sanofi | 34 | $58,676 |
| Janssen Global Services, LLC | 31 | $30,462 |
| Pfizer | 16 | $28,770 |
| Bristol Myers Squibb | 26 | $28,719 |
| Regeneron | 8 | $22,443 |
| Adaptive Biotechnologies Corporation | 13 | $20,143 |
| Janssen Research & Development, LLC | 4 | $19,720 |
| AbbVie | 15 | $15,250 |
| Johnson & Johnson | 13 | $10,891 |
| Sanofi-aventis U.S. LLC | 2 | $8,748 |
| Janssen Scientific Affairs, LLC | 3 | $6,595 |
| GSK | 2 | $6,528 |
| AstraZeneca | 2 | $4,120 |
| Genentech, Inc. | 4 | $3,720 |
| F. Hoffmann-la Roche AG | 2 | $3,095 |
| Genentech USA, Inc. | 3 | $892 |
| National Marrow Donor Program | 1 | $215 |
| Sobi, Inc | 1 | $125 |
| Legend Biotech USA Inc. | 3 | $104 |
| Astrazeneca UK Limited | 1 | $60 |
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.
How this compares
$409,137 in reported general payments places this provider in the 95th percentile of 177 hematology & oncology 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 |
|---|---|---|
| PomalystPomalidomide | 111 | $2,372,611 |
| RevlimidLenalidomide | 126 | $2,225,772 |
| Lenalidomide | 117 | $1,501,920 |
| VenclextaVenetoclax | 31 | $444,872 |
| NinlaroIxazomib Citrate | 12 | $154,748 |
| PromactaEltrombopag Olamine | 12 | $114,817 |
| EliquisApixaban | 91 | $61,721 |
| OxycontinOxycodone Hcl | 25 | $47,909 |
| Acyclovir | 511 | $7,343 |
| ValacyclovirValacyclovir Hcl | 93 | $4,344 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 12 | $3,383 |
| Fentanyl | 30 | $3,041 |
| Oxycodone Hcl | 178 | $2,959 |
| Dexamethasone | 130 | $2,054 |
| Potassium Chloride | 91 | $1,986 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Pomalyst | $68,885 | $2,372,611111 claims |
| Bristol Myers SquibbRevlimid | $28,719 | $2,225,772126 claims |
| AbbVieVenclexta | $15,250 | $444,87231 claims |
| PfizerEliquis | $28,770 | $61,72191 claims |
| GSKArexvy | $6,528 | $3,38312 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 95th percentile of 177 hematology & oncology providers in Alabama.
Other hematology & oncology in Birmingham
- Amitkumar MehtaBirmingham$683K
- Pankit VachhaniBirmingham$545K
- Khaleel AshrafBirmingham$379K
- Michael BirrerBirmingham$302K
- Rudolph NavariBirmingham$254K
- Mayur NarkhedeBirmingham$193K
- Midhun MallaBirmingham$144K
- Robert ConryBirmingham$143K
- David MooneyBirmingham$120K
- Christos VaklavasBirmingham$97K
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.