Alexandra Rehfuss, MD
Pediatric Urology · Columbus, OHNPI 1790129625
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $745 of the $1,182 with a category attached, or 63.0%. Palette Life Sciences, Inc. accounts for 65.0% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $783 and has fallen 92.6% since, to $58 in 2024.
Across 11 payments — averaging $107.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Palette Life Sciences, Inc.$768
- Medical Device Business Services, Inc.$305
- Alnylam Pharmaceuticals Inc.$43
- Inari Medical, Inc.$31
- Endo Pharmaceuticals Inc.$20
- Coloplast$15
Across 6 payments — averaging $2340.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Urovant Sciences Inc$8K
- Sumitomo Pharma America, Inc.$7K
What the payments were for
- Travel & lodging$74563%
- Food & beverage$13211%
- Education$30526%
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 |
|---|---|---|
| Palette Life Sciences, Inc. | 5 | $768 |
| Medical Device Business Services, Inc. | 1 | $305 |
| Alnylam Pharmaceuticals Inc. | 2 | $43 |
| Inari Medical, Inc. | 1 | $31 |
| Endo Pharmaceuticals Inc. | 1 | $20 |
| Coloplast | 1 | $15 |
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.
- Deflux$745
How this compares
$1,182 in reported general payments places this provider in the 65th percentile of 28 pediatric urology providers in Ohio.
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 |
|---|---|---|
| LithostatAcetohydroxamic Acid | 12 | $2,230 |
Paid to pharmacies, not to this prescriber.
Other pediatric urology in Columbus
- Molly FuchsColumbus$60K
- Daniel da JustaColumbus$10K
- Christina ChingColumbus$645
- Selvin Theodore Jayanth Daniel EzhilarasuColumbus$632
- Venkata JayanthiColumbus$553
- Seth AlpertColumbus$517
- Daryl McLeodColumbus$305
- Linda BakerColumbus$282
- William DefoorCincinnati$3K
- Eugene MinevichCincinnati$2K
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.