RxDoctor Payments Data

Katherine Palmisano, MD

Internal Medicine · Indianapolis, INNPI 1467815134

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $3,513 of the $4,725 with a category attached, or 74.3%. 11 manufacturers reported payments, led by Smith+Nephew at 58.6% of the total. Reporting peaked in 2024 at $2,399 and has fallen 59.1% since, to $981 in 2025. Among internal medicine clinicians in IN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$4,725in general payments, 2019–2025

Across 96 payments — averaging $49.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$3K
  • Kerecis Limited$477
  • Tactile Systems Technology Inc$381
  • Organogenesis Inc.$267
  • Urgo Medical North America, LLC$188
  • Stryker$147
  • plus $496 from 5 others

What the payments were for

  • Travel & lodging$1,20225%
  • Food & beverage$3,51374%
  • Education$100%

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

20
22
23
24
25

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.

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

$4,725 in reported general payments places this provider in the 90th percentile of 1,747 internal medicine providers in Indiana.

See all internal medicine providers in Indiana →

Medicare billing

Part B allowed, 2024
$53,716
Medicare patients
215
Services billed
615

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

DrugClaimsCost to plans & patients
EliquisApixaban12$7,052
Paliperidone ErPaliperidone12$2,173
Trazodone Hcl14$327
Pantoprazole Sodium14$272
Cefdinir11$230
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav16$143
Metoprolol Tartrate16$76
Furosemide12$73
Oxycodone Hcl11$52

Paid to pharmacies, not to this prescriber.

Other internal medicine in Indianapolis

See the full list for Indiana →

Where these figures come from

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