Joshua Palmer, MD
Radiation Oncology · Columbus, OHNPI 1275825283
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.6%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Icotec Medical Inc. at 55.0% of the total. 2025 is the largest year on record at $42,128, 3.7 times the $11,275 reported in 2021. Among radiation oncology clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 154 payments — averaging $795.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Icotec Medical Inc.$67K
- Siemens Medical Solutions USA, Inc.$25K
- Servier Pharmaceuticals LLC$10K
- Novocure Inc.$8K
- Daiichi Sankyo Inc.$8K
- Varian Medical Systems, Inc.$2K
- plus $2K from 4 others
Across 17 payments — averaging $19,463 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.
- Genentech, Inc.$331K
What the payments were for
- Consulting fees$65,66554%
- Speaking & faculty fees$12,17510%
- Travel & lodging$39,56632%
- Food & beverage$4,5764%
- Gifts$1580%
- Entertainment$3710%
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 |
|---|---|---|
| Icotec Medical Inc. | 104 | $67,337 |
| Siemens Medical Solutions USA, Inc. | 16 | $24,961 |
| Servier Pharmaceuticals LLC | 5 | $10,484 |
| Novocure Inc. | 13 | $8,221 |
| Daiichi Sankyo Inc. | 6 | $7,707 |
| Varian Medical Systems, Inc. | 1 | $2,000 |
| Carbofix Spine Inc | 2 | $1,589 |
| Brainlab, Inc. | 3 | $109 |
| Telix Pharmaceuticals | 2 | $75 |
| AbbVie | 2 | $29 |
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.
- VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM$38,278
- VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM$38,278
- KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM$38,278
- KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM$38,278
- KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM$38,278
- icotec BlackArmor Spine System$20,911
- Clinac iX$8,820
- Optune$6,419
- TrueBeam$5,702
- icotec Medical BlackArmor Spine Oncology System$4,824
- Edge$2,150
- Eclipse Treatment Planning System for External Beam Radiation Therapy$2,000
- CarboClear Pedical screw system$1,500
- Varian Treatment$150
- Vader Pedicle System$111
How this compares
$122,512 in reported general payments places this provider in the 95th percentile of 255 radiation oncology 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 |
|---|---|---|
| Dexamethasone | 114 | $931 |
| Lorazepam | 14 | $9 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Columbus
- Sujith BaligaColumbus$26K
- Evan WuthrickColumbus$21K
- Raju RavalColumbus$11K
- Allison QuickColumbus$7K
- Jeremy BrownsteinColumbus$6K
- Megan DehaanColumbus$4K
- Eric MillerColumbus$4K
- Dukagjin BlakajColumbus$3K
- Raj SinghColumbus$2K
- Thomas AndersonColumbus$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.