Paul Desmarais, MD
Physical Medicine & Rehabilitation · South Bend, INNPI 1376642249
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $606 of the $803 with a category attached, or 75.5%. 7 manufacturers reported payments, led by Stryker at 34.9% of the total. 2025 is the largest year on record at $454, more than ten times the $16 reported in 2020.
Across 29 payments — averaging $27.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$280
- Nevro Corp.$206
- AbbVie$188
- Globus Medical$57
- Boston Scientific$37
- Merz Pharmaceuticals, LLC$19
- plus $16 from 1 others
What the payments were for
- Travel & lodging$19724%
- Food & beverage$60676%
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 |
|---|---|---|
| Stryker | 5 | $280 |
| Nevro Corp. | 10 | $206 |
| AbbVie(2 entities) | 8 | $188 |
| Globus Medical | 3 | $57 |
| Boston Scientific | 1 | $37 |
| Merz Pharmaceuticals, LLC | 1 | $19 |
| Kerecis Limited | 1 | $16 |
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.
- mild Device Kit$197
How this compares
$803 in reported general payments places this provider in the 60th percentile of 140 physical medicine & rehabilitation providers in Indiana.
See all physical medicine & rehabilitation providers in Indiana →
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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 34 | $12,152 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 228 | $6,549 |
| Gabapentin | 221 | $3,337 |
| Fentanyl | 28 | $2,831 |
| Oxycodone Hcl | 66 | $2,663 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 85 | $2,053 |
| Duloxetine Hcl | 143 | $1,954 |
| Pregabalin | 72 | $1,902 |
| Dantrolene Sodium | 19 | $1,793 |
| Lidocaine | 21 | $1,715 |
| Morphine Sulfate ErMorphine Sulfate | 48 | $1,371 |
| Tizanidine Hcl | 73 | $1,111 |
| Tramadol Hcl | 152 | $1,101 |
| Baclofen | 42 | $696 |
| Diclofenac Sodium | 21 | $372 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in South Bend
- Rachael Harris SprungerSouth Bend$5K
- Paul SmuckerSouth Bend$4K
- Samuel KimmellSouth Bend$2K
- Christopher KetchamSouth Bend$2K
- Amrita PatelSouth Bend$1K
- Christina WalzFort Wayne$503K
- Shashank DaveIndianapolis$198K
- Sayed WaheziFort Wayne$161K
- Andrew DavissonNew Castle$74K
- Sachin MehtaIndianapolis$60K
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.