Randall Busch, MD
Anesthesiology · Huntsville, ALNPI 1871522342
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 94 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Biosense Webster, Inc. at 26.6% of the total. Reporting peaked in 2019 at $694 and has fallen 80.0% since, to $139 in 2025. Among anesthesiology clinicians in AL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 94 payments — averaging $25.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biosense Webster, Inc.$644
- Edwards Lifesciences$443
- Baxter Healthcare$227
- Amgen$201
- Abiomed$162
- CAS Medical Systems Inc.$135
- plus $612 from 15 others
What the payments were for
- Food & beverage$2,425100%
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 |
|---|---|---|
| Biosense Webster, Inc. | 43 | $644 |
| Edwards Lifesciences | 10 | $443 |
| Baxter Healthcare | 2 | $227 |
| Amgen | 12 | $201 |
| Abiomed | 2 | $162 |
| CAS Medical Systems Inc. | 1 | $135 |
| Johnson & Johnson | 6 | $108 |
| Merck | 1 | $100 |
| Haemonetics Corporation | 1 | $65 |
| Globus Medical | 1 | $49 |
| Abbott | 1 | $46 |
| GE HealthCare | 2 | $42 |
| Olympus America Inc. | 2 | $34 |
| Chiesi USA, Inc. | 2 | $29 |
| AstraZeneca | 2 | $26 |
| Bayer | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $23 |
| Boehringer Ingelheim | 1 | $22 |
| Getinge USA Sales, LLC | 1 | $16 |
| Boston Scientific | 1 | $15 |
| Regeneron Healthcare Solutions, Inc. | 1 | $13 |
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.
- HemoSphere$277
- Impella$145
- ForeSight$135
- FLOSEAL$125
- BioSurgery - PERI-STRIPS$102
- BRIDION$100
How this compares
$2,425 in reported general payments places this provider in the 95th percentile of 484 anesthesiology 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.
Other anesthesiology in Huntsville
- Leslie FletcherHuntsville$35K
- Clayton NewellHuntsville$17K
- Anthony MassollHuntsville$7K
- Matthew CullingHuntsville$2K
- Allen CampbellHuntsville$971
- Eric MurrayHuntsville$773
- William HassHuntsville$599
- Alexandru VisanBirmingham$138K
- Gregory HickmanBirmingham$134K
- Ursula WesselmannBirmingham$33K
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.