Maria Palacios
Family Medicine · Madisonville, KYNPI 1548848187
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 102 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,452, more than ten times the $31 reported in 2022.
Across 102 payments — averaging $19.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$278
- Pfizer$212
- AstraZeneca$209
- Phathom Pharmaceuticals, Inc.$193
- Novo Nordisk$191
- AbbVie$183
- plus $728 from 15 others
What the payments were for
- Food & beverage$1,994100%
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 |
|---|---|---|
| Lilly USA, LLC | 18 | $278 |
| Pfizer | 12 | $212 |
| AstraZeneca | 10 | $209 |
| Phathom Pharmaceuticals, Inc. | 4 | $193 |
| Novo Nordisk | 13 | $191 |
| AbbVie | 8 | $183 |
| Bayer | 7 | $142 |
| Boehringer Ingelheim | 6 | $107 |
| Averitas Pharma Inc. | 3 | $85 |
| Exact Sciences | 4 | $85 |
| Novartis | 4 | $69 |
| Amgen | 3 | $54 |
| Inspire Medical Systems, Inc. | 2 | $41 |
| Dexcom, Inc. | 1 | $26 |
| Shield Therapeutics Inc | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Xeris Pharmaceuticals, Inc. | 1 | $16 |
| GSK | 1 | $16 |
| Merck | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Gilead | 1 | $13 |
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.
- VOQUEZNA$125
How this compares
$1,994 in reported general payments places this provider in the 70th percentile of 1,559 family medicine providers in Kentucky.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 16 | $474 |
| Duloxetine Hcl | 19 | $442 |
| Atorvastatin Calcium | 74 | $380 |
| Rosuvastatin Calcium | 27 | $343 |
| Buspirone Hcl | 13 | $320 |
| Lisinopril | 57 | $242 |
| Carvedilol | 38 | $214 |
| Divalproex Sodium | 11 | $172 |
| Metoprolol Succinate | 18 | $171 |
| Fluticasone Propionate | 18 | $146 |
| Montelukast Sodium | 25 | $145 |
| Levothyroxine Sodium | 17 | $129 |
| Omeprazole | 20 | $120 |
| Losartan Potassium | 30 | $114 |
| Pravastatin Sodium | 21 | $85 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Madisonville
- Christopher RhyneLouisville$933K
- John RichardLexington$226K
- James TurnboPaducah$124K
- Edward SchumannFlorence$79K
- Ronald KoffNew Castle$71K
- Suraj GathaniLouisville$69K
- Bradley GrayFlorence$51K
- Jackie KazeeAshland$45K
- Mandy WhittLouisville$38K
- Derek JonesAshland$37K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.