Randle Middleton, MD
Family Medicine · Huntsville, ALNPI 1801845920
Payments from drug & device makers
Across 870 payments — averaging $3801.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$746K
- Sanofi Pasteur Inc.$598K
- Janssen Research & Development, LLC$547K
- Modernatx, Inc.$385K
- Takeda Pharmaceuticals U.S.A., Inc.$380K
- Valneva Austria GmbH$265K
- plus $386K from 48 others
Across 13 payments — averaging $134.45 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanofi Pasteur Inc.$2K
What the payments were for
- Food & beverage$5,293100%
- Gifts$200%
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.
How this compares
$3,307,725 in reported general payments places this provider in the 95th percentile of 1,680 family medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 25 | $31,170 |
| JardianceEmpagliflozin | 28 | $27,211 |
| FarxigaDapagliflozin Propanediol | 32 | $22,411 |
| EliquisApixaban | 18 | $14,407 |
| TrulicityDulaglutide | 12 | $11,048 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,056 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 11 | $6,697 |
| MyrbetriqMirabegron | 15 | $6,394 |
| XareltoRivaroxaban | 12 | $6,357 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $6,069 |
| Novolog FlexpenInsulin Aspart | 16 | $5,889 |
| TrintellixVortioxetine Hydrobromide | 12 | $5,632 |
| PremarinEstrogens, Conjugated | 11 | $4,083 |
| SynthroidLevothyroxine Sodium | 32 | $3,536 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 19 | $2,730 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Insulin Lispro | $550 | $42,84850 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $16,115 | $29,10943 claims |
| Boehringer IngelheimJardiance | $53 | $27,21128 claims |
| PfizerEliquis, Premarin | $745,959 | $18,49029 claims |
| GSKTrelegy Ellipta | $417 | $7,05612 claims |
| Astellas Pharma US IncMyrbetriq | $100 | $6,39415 claims |
| Johnson & JohnsonXarelto | $71 | $6,35712 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $380,426 | $5,63212 claims |
| AbbVieSynthroid | $592 | $3,53632 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 95th percentile of 1,680 family medicine providers in Alabama.
Other family medicine in Huntsville
- Michael CarterHuntsville$3.4M
- Timothy HowardHuntsville$3M
- Edward WittHuntsville$321K
- Kathleen DupperHuntsville$210K
- Whitney TewHuntsville$114K
- Jeffrey GarberHuntsville$87K
- Daniel EnglertHuntsville$82K
- Jack EnglertHuntsville$37K
- Tobin FisherHuntsville$33K
- David ShowersHuntsville$18K
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.