Mark Palit, MD
Orthopaedic Surgery of the Spine · Clarion, IANPI 1568404788
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Smith+Nephew at 32.3% of the total.
Across 140 payments — averaging $138.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$6K
- Zimmer Biomet$5K
- Arthrex$2K
- Si-bone, Inc.$2K
- Wardlow Enterprises$2K
- Aesculap Implant Systems, LLC$975
- plus $2K from 17 others
What the payments were for
- Travel & lodging$9,60750%
- Food & beverage$7,31538%
- Education$2,40012%
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 |
|---|---|---|
| Smith+Nephew | 27 | $6,247 |
| Zimmer Biomet | 39 | $4,792 |
| Arthrex | 14 | $2,059 |
| Si-bone, Inc. | 13 | $1,745 |
| Wardlow Enterprises | 8 | $1,675 |
| Aesculap Implant Systems, LLC | 7 | $975 |
| Stryker | 9 | $287 |
| Prism Medical | 2 | $264 |
| Abbott | 2 | $212 |
| Pacira Pharmaceuticals Incorporated | 3 | $167 |
| Heron Therapeutics, Inc. | 3 | $138 |
| Inspire Medical Systems, Inc. | 1 | $128 |
| Encore Medical, LP | 1 | $128 |
| Intrinsic Therapeutics | 1 | $119 |
| Orthalign Inc | 1 | $119 |
| Rhythm Pharmaceuticals, Inc. | 1 | $76 |
| Maxx Orthopedics, Inc. | 2 | $75 |
| Johnson & Johnson | 1 | $38 |
| Surgalign Spine Technologies, Inc. | 1 | $20 |
| Medtronic | 1 | $18 |
| Novo Nordisk | 1 | $17 |
| Supernus Pharmaceuticals, Inc. | 1 | $15 |
| Heraeus Medical, LLC. | 1 | $12 |
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.
- Q-FIX$2,620
- Bioinductive Implant with Arthroscopic Delivery System - Medium$1,878
- Mini-Open Latarjet$1,878
- MICRORAPTOR$1,878
- AETOS Shoulder System$1,878
- ROSA$1,303
- Engage Partial Knee System$1,157
- IFUSE IMPLANT SYSTEM$1,067
- Oxford$1,019
- REAL INTELLIGENCE$1,015
- Journey II$1,015
- VISIONAIRE$1,015
- ACTIVL$903
- Comprehensive Primary Stem$884
- Latarjet System$741
- Persona$395
- Healicoil$292
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$238
- Regeneten$219
- MULTIFIX S$219
How this compares
Too few orthopaedic surgery of the spine providers in Iowato place this figure against a meaningful peer group, so we don't.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $177 |
| Prednisone | 13 | $64 |
| Tramadol Hcl | 21 | $50 |
| Amoxicillin | 28 | $14 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Clarion
- Andrew PugelyIowa City$208K
- Joshua BarberCedar Rapids$112K
- Brian HandalWest Des Moines$92K
- Catherine OlingerIowa City$51K
- Zaki IbrahimClive$19K
- Evan LarsonIowa City$9K
- Mitchell HughesWest Des Moines$9K
- Michael ChapmanDubuque$9K
- Trevor SchmitzDes Moines$6K
- Benjamin MaclennanNorth Liberty$4K
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.