Ryan Marshall
Otolaryngology · Birmingham, ALNPI 1447614813
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,899 of the $9,248 with a category attached, or 63.8%. It is spread thinly across 24 manufacturers, the largest accounting for just 23.5%. Among otolaryngology clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 147 payments — averaging $62.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$2K
- Smith+Nephew$2K
- Inspire Medical Systems, Inc.$2K
- GSK$725
- Regeneron Healthcare Solutions, Inc.$347
- KARL Storz Endoscopy-america$287
- plus $2K from 18 others
What the payments were for
- Travel & lodging$3,34936%
- Food & beverage$5,89964%
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 |
|---|---|---|
| Aerin Medical Inc. | 20 | $2,176 |
| Smith+Nephew | 10 | $2,171 |
| Inspire Medical Systems, Inc. | 19 | $1,831 |
| GSK | 30 | $725 |
| Regeneron Healthcare Solutions, Inc. | 15 | $347 |
| KARL Storz Endoscopy-america | 3 | $287 |
| Medtronic | 4 | $240 |
| AstraZeneca | 9 | $229 |
| Sanofi | 8 | $225 |
| Integra Lifesciences Corporation | 3 | $188 |
| Neurent Medical Limited | 1 | $132 |
| Aroa Biosurgery Incorporated | 3 | $131 |
| ARS Pharmaceuticals Operations, Inc. | 6 | $123 |
| Intersect ENT, Inc. | 3 | $117 |
| Novartis | 2 | $56 |
| Merz North America, Inc. | 1 | $46 |
| Genentech USA, Inc. | 2 | $43 |
| Kaleo, Inc. | 2 | $37 |
| Amgen | 1 | $34 |
| Acclarent, Inc | 1 | $31 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| KCI USA, Inc. | 1 | $19 |
| Siemens Medical Solutions USA, Inc. | 1 | $17 |
| Hikma Pharmaceuticals USA | 1 | $14 |
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.
- Coblation$1,894
- VIVAER STYLUS$1,620
- TULA$1,602
- Inspire Upper Airway Stimulation System$1,237
- RHINAER STYLUS$770
- Inspire$409
- NUCALA$241
- PROPEL$178
- NEUROMARK System$132
- NEUROMARK Radiofrequency Console$132
- Acclarent Aera$120
- Inspira Air$120
- RELIEVA SPINPLUS NAV$120
- TruDi Probe$120
- Halo$115
- TELE PACK$114
How this compares
$9,248 in reported general payments places this provider in the 90th percentile of 155 otolaryngology 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 98 | $1,069 |
| Ipratropium Bromide | 31 | $903 |
| Azithromycin | 34 | $448 |
| Doxycycline Monohydrate | 24 | $323 |
| Ondansetron Hcl | 19 | $273 |
| Methylprednisolone | 25 | $237 |
| Mupirocin | 19 | $176 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $52 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Birmingham
- Michael SillersBirmingham$53K
- Justin TurnerBirmingham$34K
- Bradford WoodworthBirmingham$27K
- Patrick OwensBirmingham$26K
- Kirk WithrowBirmingham$22K
- Do-Yeon ChoBirmingham$19K
- Andrew FusonBirmingham$18K
- Benjamin GreeneBirmingham$15K
- William BarberBirmingham$13K
- Dennis PappasBirmingham$13K
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.