Michael McFadden, MD
Otolaryngology · Huntsville, ALNPI 1134227374
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.5% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Stryker accounts for 61.9% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2023 at $763 and has fallen 84.2% since, to $121 in 2025.
Across 49 payments — averaging $47.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Inspire Medical Systems, Inc.$148
- Intersect ENT, Inc.$139
- Optinose US, Inc.$106
- Smith+Nephew$97
- GSK$88
- plus $311 from 10 others
What the payments were for
- Food & beverage$2,30299%
- Education$341%
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 | 15 | $1,446 |
| Inspire Medical Systems, Inc. | 1 | $148 |
| Intersect ENT, Inc. | 2 | $139 |
| Optinose US, Inc. | 8 | $106 |
| Smith+Nephew | 2 | $97 |
| GSK | 5 | $88 |
| Kerecis Limited | 3 | $71 |
| Regeneron Healthcare Solutions, Inc. | 2 | $41 |
| Merck | 2 | $39 |
| Integra Lifesciences Corporation | 2 | $35 |
| Amgen | 1 | $34 |
| Sanofi | 2 | $34 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $17 |
| AstraZeneca | 1 | $14 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Hologic Sales And Service, LLC | 1 | $12 |
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.
- XPRESS ENT DILATION SYSTEM$900
- SCOPIS ENT$164
- Inspire$148
- PROPEL$125
- 1788$119
How this compares
$2,336 in reported general payments places this provider in the 60th percentile of 155 otolaryngology 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 |
|---|---|---|
| Azelastine Hcl | 379 | $11,038 |
| Fluticasone Propionate | 296 | $4,951 |
| Epinephrine | 17 | $4,577 |
| Mometasone Furoate | 40 | $3,928 |
| Ipratropium Bromide | 64 | $2,812 |
| Omeprazole | 99 | $1,925 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 15 | $1,712 |
| Olopatadine Hcl | 15 | $454 |
| Famotidine | 17 | $282 |
| Levothyroxine Sodium | 13 | $248 |
| Methylprednisolone | 27 | $232 |
| Indapamide | 14 | $116 |
| Levocetirizine Dihydrochloride | 12 | $110 |
| Levofloxacin | 23 | $91 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $53 |
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 |
|---|---|---|
| Hikma Pharmaceuticals USAEpinephrine | $14 | $4,57717 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 60th percentile of 155 otolaryngology providers in Alabama.
Other otolaryngology in Huntsville
- William McFeelyHuntsville$70K
- John KostrzewaHuntsville$17K
- Bradley HobbsHuntsville$12K
- William McCaryHuntsville$6K
- Gerard BrocatoHuntsville$5K
- Samih Nassif AbudinenHuntsville$4K
- Joseph BriganceHuntsville$4K
- Benjamin PowellHuntsville$3K
- John DavisHoover$251K
- Michael SillersBirmingham$53K
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.