Kathryn Sarnoski, MD
Obstetrics & Gynecology · Two Rivers, WINPI 1275876864
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,024 of the $4,829 with a category attached, or 62.6%. Intuitive Surgical accounts for 94.8% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2024 at $4,672 and has fallen 98.7% since, to $60 in 2025. Among obstetrics & gynecology clinicians in WI 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.
Across 26 payments — averaging $185.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Astellas Pharma US Inc$119
- Medtronic$38
- Coopersurgical, Inc.$33
- Bayer$26
- Octapharma USA, Inc.$21
- plus $16 from 1 others
What the payments were for
- Travel & lodging$3,02463%
- Food & beverage$3066%
- Education$1,50031%
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 | 16 | $4,577 |
| Astellas Pharma US Inc | 5 | $119 |
| Medtronic | 1 | $38 |
| Coopersurgical, Inc. | 1 | $33 |
| Bayer | 1 | $26 |
| Octapharma USA, Inc. | 1 | $21 |
| Johnson & Johnson | 1 | $16 |
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.
- Da Vinci Surgical System$2,949
- DAVINCI XI$1,500
How this compares
$4,829 in reported general payments places this provider in the 90th percentile of 568 obstetrics & gynecology providers in Wisconsin.
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 obstetrics & gynecology in Two Rivers
- Nicky PlementoshMilwaukee$102K
- Herbert CoussonsGreen Bay$101K
- Cynthia PalabricaBeloit$53K
- Andrew WeissMadison$43K
- Amy Miller-MccartheyWest Allis$42K
- Steven WheelwrightMadison$39K
- Mohammad ShafiMilwaukee$35K
- Paul KernsWausau$30K
- Dennis McFaddenAntigo$24K
- Christina SpencerEau Claire$21K
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.