Paul Carter, MD
Allergy & Immunology · Chattanooga, TNNPI 1710972872
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 96 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by AstraZeneca at 32.4% of the total. 2025 is the largest year on record at $2,290, more than ten times the $29 reported in 2020. That places this record below the midpoint for allergy & immunology clinicians in TN, where the typical reported total is $6,300.
Across 96 payments — averaging $24.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$771
- CSL Behring$261
- Sanofi$257
- GSK$228
- ARS Pharmaceuticals Operations, Inc.$193
- Regeneron Healthcare Solutions, Inc.$162
- plus $510 from 13 others
What the payments were for
- Food & beverage$2,28796%
- Education$954%
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 |
|---|---|---|
| AstraZeneca | 26 | $771 |
| CSL Behring | 11 | $261 |
| Sanofi | 7 | $257 |
| GSK | 14 | $228 |
| ARS Pharmaceuticals Operations, Inc. | 9 | $193 |
| Regeneron Healthcare Solutions, Inc. | 5 | $162 |
| Genentech USA, Inc. | 3 | $86 |
| Cycle Pharmaceuticals Inc | 3 | $62 |
| Amgen | 3 | $53 |
| Grifols USA, LLC | 2 | $50 |
| Novartis | 2 | $49 |
| Pfizer | 2 | $43 |
| Ionis Pharmaceuticals, Inc. | 2 | $37 |
| Boston Scientific | 2 | $29 |
| Lilly USA, LLC | 1 | $28 |
| Optinose US, Inc. | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Biocryst US Sales Co., LLC | 1 | $18 |
| Galderma Laboratories, L.p. | 1 | $14 |
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
$2,382 in reported general payments places this provider in the 25th percentile of 79 allergy & immunology providers in Tennessee.
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.
Other allergy & immunology in Chattanooga
- Marc CromieChattanooga$106K
- Todd LevinChattanooga$64K
- Susan RaschalChattanooga$40K
- Jennifer PatelChattanooga$12K
- Lee PerryChattanooga$10K
- Joseph WisniewskiChattanooga$6K
- David ChaffinChattanooga$5K
- Jessica van MasonChattanooga$5K
- Taylor AtchleyChattanooga$4K
- Michael HollieChattanooga$3K
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.