Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Diane Counce

Neurology Birmingham, AL Medical Doctor

NPI 1417989740 CMS profile 290771

1000 Southlake Park Ste 200, Suite 400B, Birmingham, AL 35244

Open in the dashboard

General payments

$895,355

2,663 records reported · program years 2019–2025

Research payments

$18,597

Paid to them · 7 records reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$507,891 paid to institutions, not to them · program years 2020–2025

Through program year 2025, Diane Counce of Birmingham, AL is reported in the CMS Open Payments database as having received $895,355 across 2,663 general payments and $18,597 in research payments paid to them. Separately, studies naming them as principal investigator received $507,891 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 99th percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

9 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $85,669 283
2024 General $45,705 345
2023 General $52,933 320
2023 Research $11,597 5
2022 General $174,330 396
2021 General $221,784 475
2021 Research $7,000 2
2020 General $161,694 447
2019 General $153,241 397

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Diane Counce
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Diane Counce were reported at $85,669. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Diane Counce Neurology median Middle half National median
2019 $153,241 $474 $118–$2,177 $163
2020 $161,694 $367 $82–$2,309 $114
2021 $221,784 $438 $104–$2,547 $132
2022 $174,330 $442 $103–$2,388 $149
2023 $52,933 $464 $119–$2,312 $160
2024 $45,705 $468 $119–$2,323 $164
2025 $85,669 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $294,574 567 payments
  2. Allergan Inc. $193,508 251 payments
  3. Lilly USA, LLC $122,578 229 payments
  4. Amgen Inc. $89,209 160 payments
  5. Biohaven Pharmaceuticals, Inc. $42,779 73 payments
  6. Neurelis, Inc. $31,680 112 payments
  7. Lundbeck LLC $26,319 62 payments
  8. Teva Pharmaceuticals USA, Inc. $24,399 79 payments
  9. SK Life Science, Inc. $21,494 61 payments
  10. Impel Pharmaceuticals Inc. $11,875 15 payments
  11. Other $36,940 1,054 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $673,393 408 payments
  2. Consulting Fee $84,512 39 payments
  3. Travel and Lodging $50,832 209 payments
  4. Honoraria $45,811 33 payments
  5. Food and Beverage $40,509 1,963 payments
  6. Education $256 10 payments
  7. Grant $44 1 payment
Products named General payments · program years 2019–2025
  1. BOTOX Neuroscience $231,225 211 payments
  2. UBRELVY Neuroscience $121,629 317 payments
  3. AIMOVIG $89,403 172 payments
  4. QULIPTA $73,846 176 payments
  5. EMGALITY $72,142 126 payments
  6. NURTEC ODT $47,036 99 payments
  7. REYVOW $40,833 70 payments
  8. UBRELVY Neuroscience $40,664 78 payments
  9. BOTOX Neuroscience $38,904 49 payments
  10. VALTOCO $31,680 112 payments
  11. Other $125,064 1,547 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Research payments came from Research payments · program years 2019–2025
  1. Pfizer Inc. $11,597 5 payments
  2. Eli Lilly and Company $7,000 2 payments

Prescribing to Medicare patients

Part D · data year 2024 · 113 drugs

Part D claims

7,377

Median for Neurology: 833

Drug cost

$2,686,780

Median for Neurology: $202,670

Branded share of claims

24.3%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Gammagard Liquid Immun Glob G(Igg)/Gly/Iga Ov50 Brand 117 $1,036,278
Panzyga Immun Glob G(Igg)-Ifas/Glycine Brand 37 $380,326
Privigen Immun Glob G(Igg)/Pro/Iga 0-50 Brand 53 $254,010
Gammaplex Immun Glob G(Igg)/Gly/Iga 0-50 Brand 23 $186,513
Nurtec Odt Rimegepant Sulfate Brand 56 $98,707
Emgality Pen Galcanezumab-Gnlm Brand 118 $83,120
Ubrelvy Ubrogepant Brand 58 $81,645
Aimovig Autoinjector Erenumab-Aooe Brand 98 $79,213
Lacosamide Generic 182 $39,180
Lamictal Xr Lamotrigine Brand 12 $33,512

The 10 drugs with the highest cost, of 113 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 65 billing codes

Paid by Medicare

$521,359

Of which drugs: $317,857

Medicare patients

570

Average age 71

Services billed

77,921

408 women, 162 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 64%
Depression 39%
Ischemic heart disease 26%
Diabetes 25%
Chronic kidney disease 23%
Osteoporosis 22%
Atrial fibrillation 16%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, incobotulinumtoxin a, 1 unit J0588 Office 62 48,500 $194,684
Injection, onabotulinumtoxina, 1 unit J0585 Office 41 25,200 $116,238
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579 Office 21 330 $390
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 51 610 $53
Injection, ketorolac tromethamine, per 15 mg J1885 Office 23 88 $48

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 51 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
BOTOX
$25,046 — 25,200
QULIPTA
$8,539 16 —
UBRELVY
$5,109 58 —
VALTOCO
$3,028 — —
Briviact
$288 15 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 51 with Patron

Records

2,670 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurology in Alabama

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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