Kasey Palm, MD
Urogynecology and Reconstructive Pelvic Surgery · Marysville, OHNPI 1386038586
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Medtronic at 31.9% of the total. Reporting peaked in 2020 at $742 and has fallen 98.0% since, to $15 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 40 payments — averaging $62.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$791
- Boston Scientific$789
- Axonics, Inc.$526
- AbbVie$114
- Astellas Pharma US Inc$100
- Caldera Medical, Inc$30
- plus $133 from 7 others
What the payments were for
- Food & beverage$2,38496%
- Education$1004%
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 |
|---|---|---|
| Medtronic(2 entities) | 11 | $791 |
| Boston Scientific | 10 | $789 |
| Axonics, Inc. | 9 | $526 |
| AbbVie | 1 | $114 |
| Astellas Pharma US Inc | 1 | $100 |
| Caldera Medical, Inc | 1 | $30 |
| Sumitomo Pharma America, Inc. | 1 | $28 |
| Amgen | 1 | $27 |
| Merz Pharmaceuticals, LLC | 1 | $23 |
| Dentsply IH AB | 1 | $15 |
| Meditrina | 1 | $14 |
| Dentsply IH Inc. | 1 | $14 |
| Checkpoint Surgical, Inc | 1 | $12 |
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.
- INTERSTIM$414
- Axonics r-SNM System$309
- ADVANTAGE FIT$248
- Axonics$137
- Bulkamid$122
- BOTOX COSMETIC$114
How this compares
$2,484 in reported general payments places this provider in the 30th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| GemtesaVibegron | 48 | $28,703 |
| MyrbetriqMirabegron | 36 | $18,696 |
| Estradiol | 56 | $2,950 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 44 | $474 |
| Methenamine Hippurate | 11 | $303 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $70 |
| Cephalexin | 11 | $16 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $28 | $28,70348 claims |
| Astellas Pharma US IncMyrbetriq | $100 | $18,69636 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 30th percentile of 60 urogynecology and reconstructive pelvic surgery providers in Ohio.
Other urogynecology and reconstructive pelvic surgery in Marysville
- 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
- Omer AnisCleveland$17K
- Nadine KassisToledo$15K
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.