Shelby Nesbitt
Acute Care · Mountain Brk, ALNPI 1144814765
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.8% of the total across 547 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 23.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $4,181 and has fallen 98.2% since, to $75 in 2025. Among acute care 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 547 payments — averaging $20.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Amgen$2K
- UCB, Inc.$1K
- Johnson & Johnson$909
- Novartis$808
- GSK$737
- plus $3K from 19 others
What the payments were for
- Food & beverage$11,16898%
- Education$2482%
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 |
|---|---|---|
| AbbVie | 122 | $2,724 |
| Amgen | 77 | $1,561 |
| UCB, Inc. | 76 | $1,213 |
| Johnson & Johnson | 37 | $909 |
| Novartis | 38 | $808 |
| GSK | 35 | $737 |
| Mallinckrodt Hospital Products Inc. | 22 | $523 |
| AstraZeneca(2 entities) | 21 | $388 |
| Lilly USA, LLC | 22 | $383 |
| Boehringer Ingelheim | 11 | $311 |
| E.r. Squibb & Sons, L.L.C. | 12 | $290 |
| Pfizer | 16 | $250 |
| Janssen Scientific Affairs, LLC | 2 | $234 |
| ANI Pharmaceuticals, Inc. | 8 | $192 |
| Fresenius Kabi USA, LLC | 9 | $164 |
| Sobi, Inc | 8 | $147 |
| Radius Health, Inc. | 7 | $126 |
| Aurinia Pharma U.S., Inc. | 5 | $111 |
| Organon | 6 | $90 |
| Sandoz | 5 | $86 |
| Pacira Pharmaceuticals Incorporated | 4 | $72 |
| Sanofi | 1 | $39 |
| Kyowa Kirin, Inc. | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Genentech USA, Inc. | 1 | $18 |
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
$11,416 in reported general payments places this provider in the 95th percentile of 711 acute care 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 |
|---|---|---|
| MethotrexateMethotrexate Sodium | 11 | $670 |
| Hydroxychloroquine Sulfate | 14 | $458 |
| Prednisone | 42 | $239 |
| Alendronate Sodium | 15 | $210 |
| Celecoxib | 13 | $200 |
Paid to pharmacies, not to this prescriber.
Other acute care in Mountain Brk
- Paige HarrisMontgomery$465K
- Coretta CollinsBirmingham$77K
- Debra DavisFoley$31K
- Leslie GastonMobile$22K
- Gwendolyn HooperTuscaloosa$16K
- Rachel PrytulaDothan$14K
- Jennifer UmbargerMobile$14K
- April KlarHuntsville$13K
- Cameron StephensonBirmingham$13K
- Jonathan McCraryBirmingham$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.