Maria Palacios
Family Medicine · Madisonville, KYNPI 1548848187
Payments from drug & device makers
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 65th 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
- Brian SmithVersailles$7.7M
- Barbara Fleming-PhillipsLexington$1.4M
- Christopher RhyneLouisville$1M
- Kruti PatelBurlington$463K
- Michael LovelaceLouisville$244K
- John RichardLexington$226K
- Diego MastronardiBowling Green$196K
- James TurnboPaducah$124K
- Eleida Tur OlivaLexington$113K
- Jeffrey GreenParis$103K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.