Macy Smith, MD
Clinical Cardiac Electrophysiology · Birmingham, ALNPI 1902942006
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (52.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Medtronic at 52.9% of the total. Reporting peaked in 2019 at $23,891 and has fallen 56.0% since, to $10,512 in 2025.
Across 115 payments — averaging $390.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$24K
- Biosense Webster, Inc.$12K
- Medical Device Business Services, Inc.$8K
- Boston Scientific$395
- Philips North America LLC$150
- Abiomed$92
- plus $260 from 6 others
What the payments were for
- Royalty or licence$23,59553%
- Consulting fees$16,44637%
- Travel & lodging$1,1032%
- Food & beverage$3,7638%
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 |
|---|---|---|
| Medtronic(2 entities) | 3 | $23,758 |
| Biosense Webster, Inc. | 79 | $12,398 |
| Medical Device Business Services, Inc. | 10 | $7,853 |
| Boston Scientific | 8 | $395 |
| Philips North America LLC | 1 | $150 |
| Abiomed | 3 | $92 |
| Pfizer | 4 | $78 |
| Cordis US CORP. | 1 | $64 |
| Abbott | 3 | $63 |
| Inari Medical, Inc. | 1 | $21 |
| Terumo Medical Corporation | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
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.
- VenaSeal$23,595
- Carto 3$18,556
- (9124) LM Undivided$150
- AFFERA MAPPING SYSTEM$141
- WATCHMAN Access System$120
- NA$107
How this compares
$44,907 in reported general payments places this provider in the 70th percentile of 42 clinical cardiac electrophysiology providers in Alabama.
See all clinical cardiac electrophysiology 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 |
|---|---|---|
| EliquisApixaban | 748 | $726,087 |
| XareltoRivaroxaban | 79 | $82,304 |
| EntrestoSacubitril/Valsartan | 38 | $49,803 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 78 | $14,605 |
| Flecainide Acetate | 123 | $10,202 |
| Amiodarone Hcl | 204 | $8,619 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 270 | $8,468 |
| Metoprolol Succinate | 330 | $6,107 |
| SotalolSotalol Hcl | 127 | $3,649 |
| PradaxaDabigatran Etexilate Mesylate | 14 | $3,046 |
| Atorvastatin Calcium | 149 | $2,690 |
| Amlodipine Besylate | 180 | $1,771 |
| Carvedilol | 140 | $1,660 |
| Rosuvastatin Calcium | 53 | $1,492 |
| Losartan Potassium | 102 | $1,437 |
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 |
|---|---|---|
| PfizerEliquis | $78 | $726,087748 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 70th percentile of 42 clinical cardiac electrophysiology providers in Alabama.
Other clinical cardiac electrophysiology in Birmingham
- Hugh McElderryBirmingham$725K
- Anil RajendraBirmingham$495K
- Gustavo MoralesBirmingham$171K
- William MaddoxBirmingham$159K
- Francis BennBirmingham$95K
- Terence DunnBirmingham$73K
- Byron ColleyBirmingham$59K
- Chad ColonBirmingham$42K
- Blake SmithBirmingham$36K
- Ahmad JalladBirmingham$17K
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.