Vincent Karolewics, MD
Radiation Oncology · Cullman, ALNPI 1174624282
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 83 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AstraZeneca at 47.8% of the total.
Across 83 payments — averaging $22.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$881
- Novocure Inc.$335
- E.r. Squibb & Sons, L.L.C.$225
- Novartis$65
- Pfizer$49
- Siemens Medical Solutions USA, Inc.$39
- plus $249 from 12 others
What the payments were for
- Food & beverage$1,76896%
- Education$754%
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 |
|---|---|---|
| AstraZeneca | 38 | $881 |
| Novocure Inc. | 13 | $335 |
| E.r. Squibb & Sons, L.L.C. | 12 | $225 |
| Novartis | 3 | $65 |
| Pfizer | 3 | $49 |
| Siemens Medical Solutions USA, Inc. | 1 | $39 |
| Tactile Systems Technology Inc | 2 | $31 |
| Caris MPI, Inc. | 1 | $25 |
| Progenics Pharmaceuticals, Inc. | 1 | $24 |
| Regeneron Healthcare Solutions, Inc. | 1 | $24 |
| Incyte Corporation | 1 | $20 |
| Medtronic | 1 | $20 |
| Biocompatibles, Inc. | 1 | $20 |
| Boston Scientific | 1 | $18 |
| Varian Medical Systems, Inc. | 1 | $18 |
| Merck | 1 | $18 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| Myovant Sciences Inc. | 1 | $12 |
How this compares
$1,843 in reported general payments places this provider in the 65th percentile of 87 radiation oncology 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 |
|---|---|---|
| Pilocarpine Hcl | 57 | $4,893 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 33 | $2,120 |
| Letrozole | 66 | $1,754 |
| Megestrol Acetate | 24 | $1,575 |
| Levothyroxine Sodium | 91 | $1,350 |
| Bicalutamide | 51 | $940 |
| Tamoxifen Citrate | 28 | $911 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 43 | $738 |
| Oxybutynin Chloride ErOxybutynin Chloride | 36 | $732 |
| Nystatin | 29 | $632 |
| Tamsulosin Hcl | 33 | $611 |
| Gabapentin | 37 | $517 |
| Sucralfate | 26 | $475 |
| Venlafaxine Hcl | 27 | $432 |
| Clotrimazole | 12 | $432 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Cullman
- Alexander WhitleyMontgomery$441K
- Drexell BoggsBirmingham$35K
- Christopher JahrausAlabaster$28K
- Christopher WilleyBirmingham$13K
- Adam KoleBirmingham$11K
- William HixsonFairhope$10K
- John GleasonHuntsville$9K
- Andrew McDonaldBirmingham$8K
- Hoyt ChildsHuntsville$7K
- James TuckerTuscaloosa$6K
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.