Ralph Aquadro, MD
Plastic Surgery · Auburn, ALNPI 1992835722
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,685 of the $3,026 with a category attached, or 88.7%. 13 manufacturers reported payments, led by AbbVie at 44.5% of the total. That places this record below the midpoint for plastic surgery clinicians in AL, where the typical reported total is $3,366.
Across 109 payments — averaging $27.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Mentor Worldwide LLC$651
- Sientra, Inc.$225
- Galderma Laboratories, L.p.$187
- Integra Lifesciences Corporation$132
- Vifor Pharma, Inc.$123
- plus $361 from 7 others
What the payments were for
- Speaking & faculty fees$34211%
- Food & beverage$2,68589%
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 |
|---|---|---|
| AbbVie(2 entities) | 35 | $1,347 |
| Mentor Worldwide LLC | 30 | $651 |
| Sientra, Inc. | 10 | $225 |
| Galderma Laboratories, L.p. | 11 | $187 |
| Integra Lifesciences Corporation | 2 | $132 |
| Vifor Pharma, Inc. | 1 | $123 |
| Motiva USA, LLC | 5 | $113 |
| Lilly USA, LLC | 7 | $102 |
| Novo Nordisk | 3 | $61 |
| Kowa Pharmaceuticals America, Inc. | 2 | $31 |
| Genentech USA, Inc. | 1 | $22 |
| TELA Bio, Inc. | 1 | $16 |
| Apyx Medical Corporation | 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
$3,026 in reported general payments places this provider in the 45th percentile of 35 plastic 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 |
|---|---|---|
| Doxycycline Hyclate | 30 | $290 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $150 |
| Ondansetron OdtOndansetron | 26 | $144 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Auburn
- William StaggersFairhope$183K
- Ryan ReboweMobile$24K
- Analise ThomasVestavia$20K
- Stephen SteinmetzBirmingham$18K
- Alvin CohnVestavia$15K
- Christopher SchafferBirmingham$12K
- Melanie PetroVestavia$10K
- James GunnBirmingham$9K
- Christopher ParkMobile$7K
- Ross BunchTuscaloosa$6K
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.