Katharine Cirino
Adult Health · Cleveland, OHNPI 1942568449
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $284 of the $359 with a category attached, or 79.1%. It is spread thinly across 13 manufacturers, the largest accounting for just 16.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $142, 9.4 times the $15 reported in 2021. That places this record below the midpoint for adult health clinicians in OH, where the typical reported total is $330.
Across 16 payments — averaging $22.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$60
- Amgen$55
- Lilly USA, LLC$39
- Daiichi Sankyo Inc.$37
- Genentech USA, Inc.$27
- AstraZeneca$22
- plus $119 from 7 others
What the payments were for
- Consulting fees$6017%
- Speaking & faculty fees$154%
- Food & beverage$28479%
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 |
|---|---|---|
| Biogen | 1 | $60 |
| Amgen | 2 | $55 |
| Lilly USA, LLC | 2 | $39 |
| Daiichi Sankyo Inc. | 2 | $37 |
| Genentech USA, Inc. | 1 | $27 |
| AstraZeneca | 1 | $22 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Lundbeck LLC | 1 | $20 |
| UCB, Inc. | 1 | $19 |
| Teva Pharmaceuticals USA, Inc. | 1 | $18 |
| Mckesson Medical-surgical, Inc. | 1 | $15 |
| AbbVie | 1 | $13 |
| Sanofi | 1 | $12 |
How this compares
$359 in reported general payments places this provider in the 50th percentile of 1,184 adult health 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.
Other adult health in Cleveland
- Susan FlickCleveland$131K
- Kathleen HarrisCleveland$28K
- Margaret TiktinCleveland$22K
- Mindy RiveraCleveland$20K
- Elizabeth CrespoCleveland$12K
- Amanda BonhamCleveland$7K
- Bonnie MohlerCanton$338K
- Andrew GuinigundoCincinnati$215K
- Gabriella McCartyWestlake$177K
- Karen SteffeyLyndhurst$145K
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.