Meenakshi Palani, DO
Gynecologic Oncology · Fort Madison, IANPI 1669631099
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (58.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 83.8% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $4,205 and has fallen 89.8% since, to $430 in 2023.
Across 55 payments — averaging $92.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Pfizer$186
- AbbVie$169
- Sumitomo Pharma America, Inc.$101
- Merck$76
- Daiichi Sankyo Inc.$66
- plus $233 from 12 others
What the payments were for
- Travel & lodging$83116%
- Food & beverage$1,28325%
- Education$3,00059%
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 | 10 | $4,283 |
| Pfizer | 12 | $186 |
| AbbVie | 9 | $169 |
| Sumitomo Pharma America, Inc. | 5 | $101 |
| Merck | 3 | $76 |
| Daiichi Sankyo Inc. | 3 | $66 |
| Hologic Sales And Service, LLC | 2 | $29 |
| Medicem Inc. | 1 | $28 |
| Roche Diagnostics Corporation | 1 | $26 |
| Davol Inc. | 1 | $21 |
| Mallinckrodt Enterprises LLC | 1 | $20 |
| Exeltis, USA Inc. | 1 | $19 |
| Myovant Sciences Inc. | 1 | $17 |
| Ironwood Pharmaceuticals, Inc | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| KCI USA, Inc. | 1 | $15 |
| IBSA Pharma Inc. | 1 | $15 |
| Amgen | 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.
- Da Vinci Surgical System$4,097
How this compares
Too few gynecologic oncology 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.
Other gynecologic oncology in Fort Madison
- Kevin KremerDes Moines$17K
- David BenderIowa City$3K
- Steven ElgDes Moines$2K
- Emily HillIowa City$355
- Andrew PolioIowa City$325
- Vincent WagnerIowa City$285
- Michael GoodheartIowa City$200
- Jesus Gonzalez BosquetIowa City$200
- Megan McDonaldIowa City$87
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.