Medicare Enrolled
Dr. Alvin Perkins, M.D.
Sleep Medicine (Psychiatry & Neurology) Physician · Raleigh, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Perkins from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Perkins
Dr. Alvin Perkins is a sleep medicine physician in Raleigh, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Perkins performed 4,611 Medicare services across 781 unique beneficiaries.
Between the years covered by Open Payments, Dr. Perkins received a total of $48,744 from 84 pharmaceutical and/or device companies across 647 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (psychiatry & neurology) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Perkins is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 10% volume in NC
$48,744 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,611
Medicare services
Top 10% in NC for sleep medicine (psychiatry & neurology) physician
781
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~231 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 3,620 | $38 | $90 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
163 | $59 | $150 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
122 | $87 | $220 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
108 | $109 | $380 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
82 | $442 | $1,150 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
78 | $4 | $15 |
| Home sleep test with portable monitor An unattended sleep study performed at home using a portable monitor that records breathing, heart rate, and oxygen levels. |
67 | $62 | $500 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
66 | $15 | $166 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
57 | $46 | $228 |
| Electronic analysis of neurostimulator generator An electronic check of the neurostimulator device to review its function and settings. |
46 | $28 | $180 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
44 | $446 | $1,780 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
44 | $11 | $100 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
37 | $90 | $510 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
26 | $19 | $166 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
23 | $117 | $300 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
14 | $84 | $1,980 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
14 | $74 | $266 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
3.5% high complexity
82.0% medium
14.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$48,744
Total received (2018-2024)
Avg $6,963/year across 7 years
Top 15% in NC for sleep medicine (psychiatry & neurology) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
84
Companies
647
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$36,655 (75.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,148 (20.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,942 (4.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,335
2023
$2,465
2022
$1,493
2021
$12,563
2020
$12,072
2019
$2,030
2018
$16,788
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Axsome Therapeutics, Inc.
$223
ABBVIE INC.
$100
HARMONY BIOSCIENCES LLC
$89
Sumitomo Pharma America, Inc.
$78
Resmed Corp
$73
Inspire Medical Systems, Inc.
$69
Novartis Pharmaceuticals Corporation
$66
Avadel CNS Pharmaceuticals, LLC
$64
Alexion Pharmaceuticals, Inc.
$61
JAZZ PHARMACEUTICALS INC.
$60
Amgen Inc.
$48
UCB, Inc.
$46
PFIZER INC.
$45
Aucta Pharmaceuticals, Inc.
$38
Lundbeck LLC
$31
Merz Pharmaceuticals, LLC
$30
Kyowa Kirin, Inc.
$25
NEUROPACE, INC.
$25
TG Therapeutics, Inc.
$25
Neurelis, Inc.
$20
Biogen, Inc.
$19
ARGENX US, INC.
$19
SK Life Science, Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$18
AstraZeneca Pharmaceuticals LP
$17
Lilly USA, LLC
$14
ACADIA Pharmaceuticals Inc
$13
Top 3 companies account for 30.9% of 2024 payments
All-time payments by company (2018-2024) ›
Eisai Inc.
$16,704
Merck Sharp & Dohme Corporation
$14,851
HARMONY BIOSCIENCES LLC
$5,066
Jazz Pharmaceuticals Inc.
$2,149
Novartis Pharmaceuticals Corporation
$748
Harmony Biosciences LLC
$587
Sunovion Pharmaceuticals Inc.
$548
JAZZ PHARMACEUTICALS INC.
$530
GENZYME CORPORATION
$505
Axsome Therapeutics, Inc.
$475
Alexion Pharmaceuticals, Inc.
$461
ABBVIE INC.
$383
Amgen Inc.
$327
UCB, Inc.
$300
Avanir Pharmaceuticals, Inc.
$277
Inspire Medical Systems, Inc.
$252
Acorda Therapeutics, Inc
$213
SK Life Science, Inc.
$186
Lundbeck LLC
$177
Merz North America, Inc.
$175
Biogen, Inc.
$171
PFIZER INC.
$167
Teva Pharmaceuticals USA, Inc.
$151
Mitsubishi Tanabe Pharma America, Inc.
$143
EMD Serono, Inc.
$142
ARGENX US, INC.
$142
Neurelis, Inc.
$135
ARBOR PHARMACEUTICALS, INC.
$127
EISAI INC.
$119
Lilly USA, LLC
$114
Sumitomo Pharma America, Inc.
$113
Grifols USA, LLC
$106
Promius Pharma LLC
$105
Merz Pharmaceuticals, LLC
$103
Merck Sharp & Dohme LLC
$103
IDORSIA PHARMACEUTICALS US INC
$100
ASSERTIO THERAPEUTICS, Inc.
$94
Avadel CNS Pharmaceuticals, LLC
$90
AbbVie Inc.
$89
Assertio Therapeutics, Inc.
$88
Bausch Health US, LLC
$80
Arbor Pharmaceuticals, Inc.
$76
Adamas Pharmaceuticals, Inc.
$75
Resmed Corp
$73
Bard Peripheral Vascular, Inc.
$57
Upsher-Smith Laboratories LLC
$55
Neurocrine Biosciences, Inc.
$54
CSL Behring
$48
MERZ NORTH AMERICA, INC.
$46
Kyowa Kirin, Inc.
$44
Mallinckrodt LLC
$44
Itamar Medical Inc
$43
GE HEALTHCARE
$39
Aucta Pharmaceuticals, Inc.
$38
TG THERAPEUTICS, INC.
$37
IMPEL PHARMACEUTICALS INC.
$37
Azurity Pharmaceuticals, Inc.
$36
AstraZeneca Pharmaceuticals LP
$35
Biohaven Pharmaceutical Holding Company Ltd.
$33
Biohaven Pharmaceuticals, Inc.
$33
LivaNova USA, Inc.
$27
ACADIA Pharmaceuticals Inc
$26
NEUROPACE, INC.
$25
GE HealthCare
$25
TG Therapeutics, Inc.
$25
Mallinckrodt Enterprises LLC
$24
Horizon Therapeutics plc
$23
Banner Life Sciences, LLC
$22
Octapharma USA, Inc.
$19
SANOFI-AVENTIS U.S. LLC
$18
GRT US Holding, Inc.
$18
Cala Health, Inc.
$17
Catalyst Pharmaceuticals, Inc.
$17
Janssen Pharmaceuticals, Inc
$16
AQUESTIVE THERAPEUTICS, INC.
$16
Mallinckrodt Hospital Products Inc.
$16
Allergan Inc.
$15
Collegium Pharmaceutical, Inc.
$15
US WorldMeds, LLC
$14
Allergan, Inc.
$14
Supernus Pharmaceuticals, Inc.
$14
Greenwich Biosciences, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$12
Boston Scientific Corporation
$11
Top 3 companies account for 75.1% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AIMOVIG · AIRSENSE · AJOVY · AMPYRA · AMYVID · APTIOM · AUBAGIO · AUSTEDO · Aimovig · BAFIERTAM · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · BRIUMVI · Briviact · CALA TRIO · COMIRNATY · COPAXONE · Cambia · Dayvigo · ELYXYB - celecoxib · EMGALITY · EPIDIOLEX · EVUSHELD · Epidiolex · FYCOMPA · Fycompa · GENERAL DBS · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gralise · Hizentra · Horizant · INBRIJA · INGREZZA · INSPIRE · KESIMPTA · KYNMOBI · LEMTRADA · LUMRYZ · LYRICA · Leqembi · MAYZENT · MIGRANAL · Mavenclad · Motpoly XR · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · PANZYGA · PAXLOVID · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · Qutenza · RNS Neurostimulator Kit · Radicava · Rebif · SOLIRIS · SUNOSI · SYMPAZAN · Seglentis · Soliris · Sunosi · TECFIDERA · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS Therapy · VYEPTI · VYVGART · VYVGART HYTRULO · Venovo · Vimpat · WAINUA · WAKIX · Wakix · WatchPATONE · XEOMIN · XYREM · XYWAV · Xadago · Xeomin · ZEMBRACE SYMTOUCH · Zembrace · Zembrace SymTouch Sumatriptan Injection · Zipsor
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (75%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sleep medicine (psychiatry & neurology) physician and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Sleep medicine physicians within 10 mi
4
Per 100K population
0.3
County median income
$101,763
Nearest hospital
REX HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Perkins is a mixed practice specialist, with above-average Medicare volume (top 10% in NC), with speaking/promotional industry engagement in the top 15% of NC peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Perkins experienced with injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg?
Based on Medicare claims data, Dr. Perkins performed 3,620 injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Perkins receive payments from pharmaceutical companies?
Yes. Dr. Perkins received a total of $48,744 from 84 companies across 647 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Perkins's costs compare to other sleep medicine physicians in Raleigh?
Dr. Perkins's average Medicare payment per service is $53. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Perkins) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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