Carolyn Zahler-Miller, MD
Obstetrics & Gynecology · Augusta, GANPI 1245645043
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Astellas Pharma US Inc at 24.9% of the total. Reporting peaked in 2024 at $157 and has fallen 73.1% since, to $42 in 2025. That places this record below the midpoint for obstetrics & gynecology clinicians in GA, where the typical reported total is $835.
Across 26 payments — averaging $19.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$125
- AbbVie$124
- Pfizer$80
- Sumitomo Pharma America, Inc.$35
- Hologic Sales And Service, LLC$31
- Evofem Biosciences, Inc.$26
- plus $83 from 6 others
Across 4 payments — averaging $32,689 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.
- Merck$131K
What the payments were for
- Food & beverage$503100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 6 | $125 |
| AbbVie | 6 | $124 |
| Pfizer | 3 | $80 |
| Sumitomo Pharma America, Inc. | 2 | $35 |
| Hologic Sales And Service, LLC | 2 | $31 |
| Evofem Biosciences, Inc. | 1 | $26 |
| Bayer | 1 | $16 |
| Aspira Women's Health Inc | 1 | $16 |
| Minerva Surgical, Inc | 1 | $14 |
| Exeltis, USA Inc. | 1 | $13 |
| Meditrina | 1 | $12 |
| Daiichi Sankyo Inc. | 1 | $12 |
How this compares
$503 in reported general payments places this provider in the 35th percentile of 1,324 obstetrics & gynecology providers in Georgia.
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 |
|---|---|---|
| Estradiol | 15 | $671 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Augusta
- Murray FreedmanAugusta$48K
- Camilla ChanceAugusta$12K
- Edmund KimLawrenceville$628K
- Jacquelin WaltersDuluth$147K
- Nicole SparksJohns Creek$121K
- Lethenia BakerThomaston$111K
- Renee AllenAtlanta$74K
- Matthew RalstenFayetteville$64K
- Tosha Rogers-JonesAtlanta$46K
- Teresa ByrdMarietta$41K
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.