Karina Busch, MD
Emergency Medicine · Elizabethtown, KYNPI 1194765891
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 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 18 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. Among emergency medicine clinicians in KY 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 48 payments — averaging $21.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$222
- Smith+Nephew$188
- AbbVie$175
- Endologix LLC$112
- Convatec Inc.$54
- Reapplix Inc.$36
- plus $244 from 12 others
What the payments were for
- Food & beverage$1,031100%
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 |
|---|---|---|
| Organogenesis Inc. | 9 | $222 |
| Smith+Nephew | 11 | $188 |
| AbbVie | 11 | $175 |
| Endologix LLC | 1 | $112 |
| Convatec Inc. | 2 | $54 |
| Reapplix Inc. | 2 | $36 |
| Next Science LLC | 1 | $35 |
| Kerecis Limited | 1 | $30 |
| Mimedx Group, Inc. | 1 | $25 |
| Tactile Systems Technology Inc | 1 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $23 |
| Medline Industries LP | 1 | $20 |
| Solventum Corporation | 1 | $16 |
| Integra Lifesciences Corporation | 1 | $15 |
| Bard Peripheral Vascular, Inc. | 1 | $15 |
| Aroa Biosurgery Incorporated | 1 | $14 |
| Bsn Medical Inc | 1 | $14 |
| Melinta Therapeutics, LLC | 1 | $11 |
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
$1,031 in reported general payments places this provider in the 95th percentile of 717 emergency medicine providers in Kentucky.
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 |
|---|---|---|
| SsdSilver Sulfadiazine | 21 | $588 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 28 | $280 |
| Doxycycline Hyclate | 45 | $256 |
| Clobetasol Propionate | 11 | $182 |
| Triamcinolone Acetonide | 52 | $127 |
| Levofloxacin | 20 | $124 |
| Duloxetine Hcl | 14 | $122 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $59 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Elizabethtown
- James MooreLexington$184K
- Ryan StantonLexington$83K
- Paul HesterDanville$57K
- Sameer DesaiLexington$24K
- Christopher ReynoldsPikeville$22K
- Adam RossLouisville$22K
- Andrew WilsonLexington$16K
- Ryan PowellLexington$12K
- Burton BrooksBowling Green$11K
- Douglas SmithLexington$11K
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.