Elizabeth Paladino
Obstetrics & Gynecology · Little Rock, ARNPI 1770747149
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 230 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 32 manufacturers, the largest accounting for just 9.3% — the pattern of someone who eats at a lot of different presentations.
Across 230 payments — averaging $18.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$399
- Sumitomo Pharma America, Inc.$391
- Mayne Pharma Commercial LLC$381
- AbbVie$356
- Pfizer$310
- Biogen$288
- plus $2K from 26 others
What the payments were for
- Food & beverage$4,278100%
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 | 16 | $399 |
| Sumitomo Pharma America, Inc. | 20 | $391 |
| Mayne Pharma Commercial LLC | 28 | $381 |
| AbbVie(2 entities) | 23 | $356 |
| Pfizer | 23 | $310 |
| Biogen | 13 | $288 |
| Bayer | 14 | $284 |
| Myovant Sciences Inc. | 15 | $252 |
| Exeltis, USA Inc. | 13 | $237 |
| Evofem Biosciences, Inc. | 14 | $199 |
| Organon | 9 | $153 |
| Shield Therapeutics Inc | 8 | $138 |
| Hologic Sales And Service, LLC | 6 | $121 |
| Lupin Inc. | 1 | $115 |
| Aspira Women's Health Inc | 1 | $71 |
| Avion Pharmaceuticals | 1 | $66 |
| Myriad Women's Health, Inc. | 1 | $65 |
| LSI Solutions Inc | 1 | $58 |
| Therapeuticsmd, Inc. | 4 | $57 |
| Scynexis, Inc. | 2 | $43 |
| Agile Therapeutics, Inc. | 3 | $43 |
| Mylan Pharmaceuticals Inc. | 3 | $43 |
| Merck | 2 | $38 |
| BD | 1 | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| Merz North America, Inc. | 1 | $20 |
| Bausch Health US, LLC | 1 | $17 |
| AstraZeneca | 1 | $17 |
| Medtronic | 1 | $17 |
| Lilly USA, LLC | 1 | $14 |
| Pharmacosmos Therapeutics Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 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.
- SOLOSEC$115
How this compares
$4,278 in reported general payments places this provider in the 80th percentile of 272 obstetrics & gynecology providers in Arkansas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 145 | $8,558 |
| MyrbetriqMirabegron | 11 | $6,799 |
| ValacyclovirValacyclovir Hcl | 21 | $743 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 16 | $456 |
| Metronidazole | 22 | $369 |
| Oxybutynin Chloride ErOxybutynin Chloride | 20 | $366 |
| Fluconazole | 32 | $153 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $399 | $6,79911 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 80th percentile of 272 obstetrics & gynecology providers in Arkansas.
Other obstetrics & gynecology in Little Rock
- Michael CopeLittle Rock$147K
- David ShenkerLittle Rock$28K
- Julia GoodwinLittle Rock$16K
- Ananth RanganathanLittle Rock$11K
- Mary RacherLittle Rock$11K
- Nirvana ManningLittle Rock$10K
- Sharai AmayaLittle Rock$9K
- Emily WilliamsLittle Rock$9K
- Shelly GibbsLittle Rock$8K
- Stacy Ulmer-PinterLittle Rock$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.