Kara O'Karma, DO
Gynecology · Cadiz, OHNPI 1407842693
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (57.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 65.2% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2022 at $4,023 and has fallen 96.2% since, to $151 in 2025.
Across 123 payments — averaging $45.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Mayne Pharma Commercial LLC$307
- Astellas Pharma US Inc$303
- Exeltis, USA Inc.$163
- Pfizer$153
- Amgen$131
- plus $883 from 20 others
What the payments were for
- Travel & lodging$61211%
- Food & beverage$1,76132%
- Education$3,20257%
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 |
|---|---|---|
| Intuitive Surgical | 6 | $3,635 |
| Mayne Pharma Commercial LLC | 32 | $307 |
| Astellas Pharma US Inc | 9 | $303 |
| Exeltis, USA Inc. | 10 | $163 |
| Pfizer | 8 | $153 |
| Amgen | 9 | $131 |
| AbbVie | 8 | $122 |
| Cumberland Pharmaceuticals, Inc. | 5 | $105 |
| Sumitomo Pharma America, Inc. | 5 | $90 |
| Evofem Biosciences, Inc. | 4 | $67 |
| Channel Medsystems, Inc. | 1 | $65 |
| Smith+Nephew | 3 | $59 |
| Novo Nordisk | 3 | $50 |
| Therapeuticsmd, Inc. | 3 | $46 |
| Organon | 3 | $46 |
| Caldera Medical, Inc | 2 | $40 |
| Myovant Sciences Inc. | 2 | $29 |
| Lilly USA, LLC | 2 | $29 |
| Merck | 1 | $24 |
| Coloplast | 1 | $18 |
| Baxter Healthcare | 1 | $17 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Avion Pharmaceuticals | 1 | $16 |
| Organogenesis Inc. | 1 | $16 |
| Minerva Surgical, Inc | 1 | $14 |
| Exact Sciences | 1 | $13 |
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.
- DAVINCI XI$3,000
- Da Vinci Surgical System$593
How this compares
$5,575 in reported general payments places this provider in the 85th percentile of 77 gynecology 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 |
|---|---|---|
| Estradiol | 53 | $2,369 |
| Clobetasol Propionate | 34 | $1,376 |
| Oxybutynin Chloride ErOxybutynin Chloride | 60 | $1,020 |
| ValacyclovirValacyclovir Hcl | 35 | $952 |
| Nystatin | 45 | $736 |
| Alendronate Sodium | 63 | $381 |
| Fluconazole | 32 | $309 |
| Metformin Hcl ErMetformin Hcl | 20 | $111 |
| Ampicillin Trihydrate | 11 | $82 |
| Solifenacin Succinate | 13 | $10 |
| Zolpidem Tartrate | 12 | $0 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Cadiz
- Derek VanamerongenCincinnati$316K
- Megan BillowCleveland$83K
- Rachel PopeCleveland$49K
- Rosanne Marie KhoCleveland$19K
- Joseph FranzeseCincinnati$18K
- Susan Clark-FrantzNorton$10K
- Amber Bondurant SullivanGahanna$8K
- Marianna VardakaCincinnati$8K
- Tarek DboukLorain$7K
- Amol AroraWesterville$6K
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.