Keith Koepke
Internal Medicine · Parma, OHNPI 1851388391
Payments from drug & device makers
Across 321 payments — averaging $20.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$905
- Novo Nordisk$767
- Lilly USA, LLC$514
- Amgen$491
- Johnson & Johnson$442
- AbbVie$425
- plus $3K from 24 others
What the payments were for
- Food & beverage$6,515100%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 29 | $905 |
| Novo Nordisk | 45 | $767 |
| Lilly USA, LLC | 37 | $514 |
| Amgen(2 entities) | 18 | $491 |
| Johnson & Johnson | 24 | $442 |
| AbbVie(2 entities) | 20 | $425 |
| Biohaven Pharmaceutical Holding Company Ltd. | 13 | $423 |
| AstraZeneca | 14 | $401 |
| Biohaven Pharmaceuticals, Inc. | 7 | $307 |
| Abbott | 14 | $252 |
| GSK | 16 | $229 |
| Amarin Pharma, Inc. | 14 | $189 |
| Astellas Pharma US Inc | 5 | $185 |
| Boehringer Ingelheim | 12 | $185 |
| Merck | 10 | $152 |
| Novartis | 9 | $140 |
| Kowa Pharmaceuticals America, Inc. | 9 | $121 |
| Bayer | 5 | $95 |
| Esperion Therapeutics, Inc. | 5 | $71 |
| Sunovion Pharmaceuticals Inc. | 4 | $63 |
| Melinta Therapeutics, LLC | 2 | $31 |
| Avanir Pharmaceuticals, Inc. | 1 | $17 |
| Pfizer | 1 | $16 |
| Collegium Pharmaceutical, Inc. | 1 | $16 |
| Exact Sciences | 1 | $14 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Ironwood Pharmaceuticals, Inc | 1 | $13 |
| Neurocrine Biosciences, Inc. | 1 | $13 |
| Daiichi Sankyo Inc. | 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.
- NURTEC ODT$475
- SOLIQUA 100/33$217
- MYRBETRIQ$125
- FARXIGA$125
- Ozempic$111
- RYBELSUS$101
How this compares
$6,515 in reported general payments places this provider in the 90th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in Parma
- Antoinette PragalosCincinnati$27.8M
- Steven FolkerthBeavercreek$9.1M
- Charles EgerCincinnati$8.7M
- Vadim KoshkinCleveland$6.1M
- Nizar DaboulMaumee$4.7M
- Douglas LoganCincinnati$4.7M
- Seref BornovaliLoveland$4.4M
- Yevgeniy BukhmanCanton$3.7M
- Leela VrishabhendraCincinnati$3.4M
- Narinder SainiSpringfield$3.2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.