Mickey Karram, MD
Urogynecology and Reconstructive Pelvic Surgery · West Chester, OHNPI 1245313535
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (45.7%), education and speaking fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Coloplast at 24.3% of the total. Reporting peaked in 2019 at $45,972 and has fallen 84.2% since, to $7,281 in 2025. Among urogynecology and reconstructive pelvic surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 153 payments — averaging $830.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$31K
- AbbVie$25K
- Axonics, Inc.$22K
- Contura, Inc.$15K
- Surgalign Spine Technologies, Inc.$13K
- Caldera Medical, Inc$7K
- plus $13K from 14 others
Across 18 payments — averaging $9275.11 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Coloplast$127K
- AbbVie$19K
- Cook Research Incorporated$10K
- Ipsen Innovation$6K
- Acell, Inc.$4K
- Integra Lifesciences Corporation$300
What the payments were for
- Consulting fees$58,02846%
- Speaking & faculty fees$27,90522%
- Travel & lodging$4,6874%
- Food & beverage$7,6856%
- Education$28,12722%
- Entertainment$6290%
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 |
|---|---|---|
| Coloplast | 30 | $30,914 |
| AbbVie(2 entities) | 27 | $25,045 |
| Axonics, Inc. | 53 | $22,234 |
| Contura, Inc. | 4 | $15,193 |
| Surgalign Spine Technologies, Inc. | 4 | $13,478 |
| Caldera Medical, Inc | 5 | $7,117 |
| Inspire Medical Systems, Inc. | 2 | $6,888 |
| Urovant Sciences Inc | 5 | $3,690 |
| RTI Surgical, Inc | 1 | $1,000 |
| Boston Scientific | 6 | $438 |
| Spinesmith Holdings, LLC | 2 | $426 |
| Escala Medical Inc. | 1 | $168 |
| Arthrex | 1 | $136 |
| Hologic Sales And Service, LLC | 2 | $133 |
| Medtronic | 3 | $110 |
| Pfizer | 3 | $35 |
| Coopersurgical, Inc. | 1 | $22 |
| Astellas Pharma US Inc | 1 | $14 |
| Renovia Inc | 1 | $11 |
| Therapeuticsmd, 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.
- ALTIS$30,433
- BOTOX$24,628
- Axonics r-SNM System$18,869
- Bulkamid$17,123
- FASCIA LATA$12,928
- Desara$7,022
- Inspire$6,888
- GEMTESA$3,673
- Axonics$1,445
- CORTIVA ALLOGRAFT DERMIS$1,000
- Vertessa$890
- Coloplast AXIS$450
- Advantage System$120
- GENERAL - THERAPIES$109
- NovaSure$108
- Acessa$108
How this compares
$127,061 in reported general payments places this provider in the 95th percentile of 60 urogynecology and reconstructive pelvic surgery providers in Ohio.
See all urogynecology and reconstructive pelvic surgery providers in Ohio →
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 |
|---|---|---|
| Estradiol | 104 | $6,455 |
| Ibuprofen | 13 | $86 |
| Ondansetron Hcl | 12 | $35 |
| Oxycodone Hcl | 13 | $26 |
Paid to pharmacies, not to this prescriber.
Other urogynecology and reconstructive pelvic surgery in West Chester
- Hayley BarnesWest Chester$3K
- Robert OwensWest Chester$2K
- Rachel PaulsWest Chester$2K
- Costas ApostolisStrongsville$982K
- Sangeeta MahajanMayfield Hts$48K
- Emily SlopnickCleveland$37K
- Mitesh ParekhZanesville$33K
- Andrew CroakMaumee$26K
- Ly Hoang RobertsCleveland$23K
- Marie ParaisoCleveland$20K
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.