RxDoctor Payments Data

Sheldon Black, MD

Otolaryngology · Birmingham, ALNPI 1922012699

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.5% of the total across 156 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 26 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,136, 2.2 times the $527 reported in 2019.

$3,557in general payments, 2019–2025

Across 156 payments — averaging $22.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$816
  • GSK$713
  • Regeneron Healthcare Solutions, Inc.$530
  • Optinose US, Inc.$285
  • Inspire Medical Systems, Inc.$209
  • Medtronic$179
  • plus $826 from 20 others

What the payments were for

  • Food & beverage$3,50499%
  • Education$531%

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

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

$3,557 in reported general payments places this provider in the 75th percentile of 155 otolaryngology providers in Alabama.

See all otolaryngology providers in Alabama

Medicare billing

Part B allowed, 2024
$291,773
Medicare patients
673
Services billed
4,393

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
Dupixent PenDupilumab25$109,349
Dupixent SyringeDupilumab20$72,998
NucalaMepolizumab11$38,487
Ipratropium Bromide197$5,659
Azelastine Hcl79$2,607
Fluticasone Propionate125$2,293
Azelastine-FluticasoneAzelastine/Fluticasone15$1,745
Cefdinir64$1,428
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth12$1,305
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen137$921
Azithromycin56$731
Acetazolamide19$591
Gabapentin60$509
Cephalexin113$435
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim44$304

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
GSKNucala$713$38,48711 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 75th percentile of 155 otolaryngology providers in Alabama.

Other otolaryngology in Birmingham

See the full list for Alabama

Where these figures come from

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