Paul Clark, MD
Neurological Surgery · Birmingham, ALNPI 1619388659
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,425 of the $4,718 with a category attached, or 72.6%. Medtronic accounts for 62.7% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $1,622 and has fallen 50.0% since, to $811 in 2025.
Across 88 payments — averaging $53.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Providence Medical Technology, Inc.$508
- Spineology Inc.$341
- Johnson & Johnson$284
- Globus Medical$146
- Orthofix Medical, Inc.$145
- plus $337 from 11 others
What the payments were for
- Travel & lodging$1,29327%
- Food & beverage$3,42573%
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 |
|---|---|---|
| Medtronic | 37 | $2,957 |
| Providence Medical Technology, Inc. | 8 | $508 |
| Spineology Inc. | 6 | $341 |
| Johnson & Johnson(2 entities) | 8 | $284 |
| Globus Medical(2 entities) | 6 | $146 |
| Orthofix Medical, Inc. | 10 | $145 |
| 4web, Inc. | 2 | $48 |
| Cerapedics Inc. | 1 | $45 |
| Kls-martin L.p. | 2 | $41 |
| Baxter Healthcare | 1 | $39 |
| Ossdsign USA Incorporated | 1 | $32 |
| Edwards Lifesciences | 1 | $32 |
| Integra Lifesciences Corporation | 1 | $23 |
| Bioventus LLC | 1 | $21 |
| DJO, LLC | 1 | $21 |
| Vertex | 1 | $20 |
| Spinal Elements, Inc. | 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.
How this compares
$4,718 in reported general payments places this provider in the 65th percentile of 97 neurological surgery 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 |
|---|---|---|
| Methocarbamol | 269 | $2,336 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 105 | $1,139 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 112 | $938 |
| Methylprednisolone | 53 | $427 |
| Tizanidine Hcl | 18 | $148 |
| Tramadol Hcl | 41 | $107 |
| Oxycodone Hcl | 11 | $97 |
| Gabapentin | 13 | $92 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $92 |
| Cyclobenzaprine Hcl | 15 | $34 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Birmingham
- Mark HadleyBirmingham$104K
- Andrew ErwoodBirmingham$85K
- Marshall HollandBirmingham$81K
- Jakub GodzikBirmingham$56K
- Adnan ShahidBirmingham$50K
- Jasmine ThumBirmingham$39K
- Jessica BentleyBirmingham$27K
- John FiveashBirmingham$12K
- Joshua MenendezBirmingham$11K
- Zenko HrynkiwBirmingham$8K
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.