RxDoctor Payments Data

Richard Vest, MD

Clinical Cardiac Electrophysiology · Birmingham, ALNPI 1457557415

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (45.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 41 manufacturers reported payments, led by Pfizer at 36.1% of the total. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in AL, where the typical reported total is $17,214.

$16,031in general payments, 2019–2025

Across 388 payments — averaging $41.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$6K
  • Biosense Webster, Inc.$3K
  • Novartis$2K
  • Medtronic$1K
  • Boston Scientific$1K
  • Johnson & Johnson$315
  • plus $3K from 35 others
$25,917in research payments, 2019–2025

Across 236 payments — averaging $109.82 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.

  • Biotronik Inc.$26K

What the payments were for

  • Speaking & faculty fees$5,25033%
  • Travel & lodging$3,35721%
  • Food & beverage$7,34946%
  • Education$750%

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.

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

$16,031 in reported general payments places this provider in the 45th percentile of 42 clinical cardiac electrophysiology providers in Alabama.

See all clinical cardiac electrophysiology providers in Alabama

Medicare billing

Part B allowed, 2024
$211,706
Medicare patients
396
Services billed
2,966

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
EliquisApixaban719$574,002
MultaqDronedarone Hcl90$76,739
EntrestoSacubitril/Valsartan50$57,976
XareltoRivaroxaban53$35,038
Flecainide Acetate174$9,228
Repatha SureclickEvolocumab16$8,202
Metoprolol Succinate419$7,745
Dabigatran EtexilateDabigatran Etexilate Mesylate23$5,135
Diltiazem 24hr Er (Cd)Diltiazem Hcl147$3,744
Potassium Chloride72$3,322
Amiodarone Hcl133$2,853
Diltiazem 24hr Er (La)Diltiazem Hcl15$1,736
Dilt-XrDiltiazem Hcl32$1,293
SotalolSotalol Hcl35$1,003
Labetalol Hcl14$771

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
PfizerEliquis$5,781$574,002719 claims
Sanofi-aventis U.S. LLCMultaq$103$76,73990 claims
NovartisEntresto$1,562$57,97650 claims
Johnson & JohnsonXarelto$315$35,03853 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 45th percentile of 42 clinical cardiac electrophysiology providers in Alabama.

Other clinical cardiac electrophysiology in Birmingham

See the full list for Alabama

Where these figures come from

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