Debra Miller
Urogynecology and Reconstructive Pelvic Surgery · Centerville, OHNPI 1326019100
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 14.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $620 and has fallen 84.3% since, to $97 in 2025. That places this record below the midpoint for urogynecology and reconstructive pelvic surgery clinicians in OH, where the typical reported total is $3,689.
Across 19 payments — averaging $90.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$253
- Novo Nordisk$240
- Baxter Healthcare$137
- Meditrina$126
- Myovant Sciences Inc.$125
- Astellas Pharma US Inc$124
- plus $721 from 9 others
What the payments were for
- Food & beverage$1,726100%
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 |
|---|---|---|
| AbbVie | 3 | $253 |
| Novo Nordisk | 2 | $240 |
| Baxter Healthcare | 2 | $137 |
| Meditrina | 1 | $126 |
| Myovant Sciences Inc. | 1 | $125 |
| Astellas Pharma US Inc | 1 | $124 |
| Lupin Inc. | 1 | $122 |
| Medicem Inc. | 1 | $110 |
| Therapeuticsmd, Inc. | 1 | $106 |
| Biogen | 1 | $97 |
| Hologic Sales And Service, LLC | 1 | $78 |
| Pacira Pharmaceuticals Incorporated | 1 | $74 |
| Mayne Pharma Commercial LLC | 1 | $62 |
| Johnson & Johnson | 1 | $58 |
| AstraZeneca | 1 | $14 |
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.
How this compares
$1,726 in reported general payments places this provider in the 20th percentile of 60 urogynecology and reconstructive pelvic surgery providers in Ohio.
See all urogynecology and reconstructive pelvic surgery 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.
Other urogynecology and reconstructive pelvic surgery in Centerville
- Jessica KarpCenterville$6K
- Arlan Gustilo-AshbyCenterville$174
- Costas ApostolisStrongsville$982K
- Mickey KarramWest Chester$127K
- Sangeeta MahajanMayfield Hts$48K
- Emily SlopnickCleveland$37K
- Mitesh ParekhZanesville$33K
- Andrew CroakMaumee$26K
- Ly Hoang RobertsCleveland$23K
- Marie ParaisoCleveland$20K
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.