RxDoctor Payments Data

Reginald Gladish, MD

Nephrology · Decatur, ALNPI 1831167287

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (55.0%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Outset Medical Inc accounts for 70.8% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2021 at $3,819 and has fallen 78.3% since, to $830 in 2025.

$14,195in general payments, 2019–2025

Across 235 payments — averaging $60.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Outset Medical Inc$10K
  • AstraZeneca$911
  • Calliditas Therapeutics US Inc.$505
  • Boehringer Ingelheim$376
  • Bayer$319
  • Otsuka America Pharmaceutical, Inc.$318
  • plus $2K from 17 others
$11,793in research payments, 2019–2025

Across 4 payments — averaging $2948.34 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.

  • CSL Behring$12K

What the payments were for

  • Consulting fees$7,80055%
  • Speaking & faculty fees$2,25016%
  • Food & beverage$4,00428%
  • Education$1411%

General payments by program year

19
20
21
22
23
24
25

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

$14,195 in reported general payments places this provider in the 85th percentile of 164 nephrology providers in Alabama.

See all nephrology providers in Alabama

Medicare billing

Part B allowed, 2024
$427,487
Medicare patients
674
Services billed
4,065

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

DrugClaimsCost to plans & patients
FarxigaDapagliflozin Propanediol118$91,695
VelphoroSucroferric Oxyhydroxide11$36,138
JardianceEmpagliflozin38$29,997
Sevelamer Carbonate127$20,659
LokelmaSodium Zirconium Cyclosilicate15$11,703
EliquisApixaban14$7,213
Lanthanum Carbonate12$6,585
Calcium Acetate77$5,117
Midodrine Hcl27$1,725
Colchicine11$1,231
Carvedilol162$1,133
Amlodipine Besylate229$1,058
Losartan Potassium114$1,053
Ondansetron Hcl86$990
Hydralazine Hcl91$942

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.

CompanyPaid to this providerPart D cost of their drugs
AstraZenecaFarxiga, Lokelma$911$103,398133 claims
Fresenius USA Marketing, Inc.Velphoro$34$36,13811 claims
Boehringer IngelheimJardiance$376$29,99738 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 85th percentile of 164 nephrology providers in Alabama.

Other nephrology in Decatur

See the full list for Alabama

Where these figures come from

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