Madison Hulker
Women's Health · Birmingham, ALNPI 1003373176
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.0% of the total across 85 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 21 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $762, more than ten times the $15 reported in 2021.
Across 85 payments — averaging $19.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$381
- Sumitomo Pharma America, Inc.$292
- Bayer$223
- Shield Therapeutics Inc$103
- Mayne Pharma Commercial LLC$90
- Hologic Sales And Service, LLC$72
- plus $503 from 15 others
What the payments were for
- Food & beverage$1,56394%
- Education$1006%
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 |
|---|---|---|
| Astellas Pharma US Inc | 18 | $381 |
| Sumitomo Pharma America, Inc. | 18 | $292 |
| Bayer | 7 | $223 |
| Shield Therapeutics Inc | 6 | $103 |
| Mayne Pharma Commercial LLC | 5 | $90 |
| Hologic Sales And Service, LLC | 4 | $72 |
| Baxter Healthcare | 1 | $71 |
| Mylan Pharmaceuticals Inc. | 4 | $61 |
| Sage Therapeutics, LLC | 3 | $59 |
| AbbVie | 4 | $56 |
| Boston Scientific | 3 | $45 |
| Exeltis, USA Inc. | 2 | $42 |
| Amgen | 2 | $38 |
| Axonics, Inc. | 1 | $21 |
| Supernus Pharmaceuticals, Inc. | 1 | $20 |
| Azurity Pharmaceuticals, Inc. | 1 | $19 |
| Novo Nordisk | 1 | $18 |
| Mycovia Pharmaceuticals, Inc. | 1 | $17 |
| Lilly USA, LLC | 1 | $16 |
| Millicent US Inc | 1 | $14 |
| Evofem Biosciences, Inc. | 1 | $6 |
How this compares
$1,663 in reported general payments places this provider in the 80th percentile of 107 women's health providers in Alabama.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 32 | $1,266 |
| Fluconazole | 11 | $39 |
Paid to pharmacies, not to this prescriber.
Other women's health in Birmingham
- Ashton TureaudBirmingham$26K
- Kathryn LyleBirmingham$7K
- Jessica MorrisonBirmingham$5K
- Dawna FranklinBirmingham$5K
- Katie FainBirmingham$3K
- Catherine VanceBirmingham$3K
- Brittany NguyenBirmingham$3K
- Anna LeaBirmingham$2K
- Kelley CatronBirmingham$1K
- Cynthia PooreBirmingham$1K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.