Christopher Palma, MD
Rheumatology · Canandaigua, NYNPI 1811286032
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,000 of the $2,130 with a category attached, or 93.9%. Johnson & Johnson accounts for 94.6% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2022 at $2,000 and has fallen 94.3% since, to $115 in 2025. That places this record below the midpoint for rheumatology clinicians in NY, where the typical reported total is $1,764.
Across 4 payments — averaging $532.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Invivyd Inc$60
- Amgen$55
Across 33 payments — averaging $21,848 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.
- Astrazeneca UK Limited$281K
- Incyte Corporation$246K
- Regeneron$144K
- AbbVie$48K
- Amgen$2K
What the payments were for
- Consulting fees$2,00094%
- Food & beverage$1306%
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 |
|---|---|---|
| Johnson & Johnson | 2 | $2,015 |
| Invivyd Inc | 1 | $60 |
| Amgen | 1 | $55 |
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.
- SIMPONI ARIA$2,000
- Tremfya$2,000
How this compares
$2,130 in reported general payments places this provider in the 50th percentile of 541 rheumatology providers in New York.
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 |
|---|---|---|
| Enbrel SureclickEtanercept | 74 | $754,022 |
| Humira(Cf) PenAdalimumab | 66 | $654,013 |
| EnbrelEtanercept | 53 | $500,058 |
| TavneosAvacopan | 16 | $322,094 |
| Actemra ActpenTocilizumab | 58 | $262,828 |
| RinvoqUpadacitinib | 30 | $261,636 |
| Xeljanz XrTofacitinib Citrate | 43 | $239,921 |
| Orencia ClickjectAbatacept | 16 | $171,162 |
| Humira(Cf)Adalimumab | 22 | $150,085 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 20 | $143,082 |
| ActemraTocilizumab | 22 | $101,448 |
| Humira PenAdalimumab | 11 | $68,035 |
| KevzaraSarilumab | 17 | $67,090 |
| KineretAnakinra | 11 | $53,635 |
| Teriparatide | 13 | $28,657 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenEnbrel, Tavneos | $55 | $822,15269 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 541 rheumatology providers in New York.
Other rheumatology in Canandaigua
- Laurie GlimcherNew York$3.9M
- Grace WrightNew York$3M
- Kostas BotsoglouCheektowaga$2.6M
- Sergio SchwartzmanNew York$2.5M
- Allan GibofskyNew York$1.9M
- Petros EfthimiouNew York$791K
- Richard FurieNew Hyde Park$746K
- Barry GruberBabylon$742K
- Olga PetrynaNew York$509K
- Sanjay GodhwaniWading River$472K
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.