Rachel O'Keefe, DO
Obstetrics & Gynecology · West Bloomfield, MINPI 1134357288
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.5% of the total across 211 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations. Among obstetrics & gynecology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 211 payments — averaging $21.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$609
- Astellas Pharma US Inc$472
- Sumitomo Pharma America, Inc.$380
- Hologic Sales And Service, LLC$331
- Myovant Sciences Inc.$289
- Aspira Women's Health Inc$272
- plus $2K from 29 others
What the payments were for
- Food & beverage$4,29195%
- Education$2045%
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 |
|---|---|---|
| AbbVie(2 entities) | 32 | $609 |
| Astellas Pharma US Inc | 17 | $472 |
| Sumitomo Pharma America, Inc. | 15 | $380 |
| Hologic Sales And Service, LLC | 14 | $331 |
| Myovant Sciences Inc. | 13 | $289 |
| Aspira Women's Health Inc | 6 | $272 |
| Mayne Pharma Commercial LLC | 10 | $259 |
| Exeltis, USA Inc. | 14 | $242 |
| Evofem Biosciences, Inc. | 10 | $199 |
| Sage Therapeutics, LLC | 8 | $187 |
| Coopersurgical, Inc. | 9 | $175 |
| Organon | 9 | $157 |
| Daiichi Sankyo Inc. | 7 | $132 |
| Merck | 6 | $106 |
| Amgen | 6 | $97 |
| Lupin Inc. | 5 | $64 |
| Therapeuticsmd, Inc. | 4 | $62 |
| AMAG Pharmaceuticals, Inc. | 3 | $58 |
| Smith+Nephew | 2 | $53 |
| Vertical Pharmaceuticals, LLC | 3 | $46 |
| Channel Medsystems, Inc. | 1 | $33 |
| Ascend Therapeutics US, LLC | 2 | $33 |
| Shield Therapeutics Inc | 2 | $27 |
| DJO, LLC | 1 | $25 |
| Duchesnay USA Incorporated | 2 | $24 |
| Millicent US Inc | 1 | $21 |
| Minerva Surgical, Inc | 1 | $21 |
| BD | 1 | $18 |
| Gynesonics, Inc. | 1 | $17 |
| Scynexis, Inc. | 1 | $17 |
| Medicem Inc. | 1 | $15 |
| Abbott | 1 | $14 |
| Supernus Pharmaceuticals, Inc. | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Mission Pharmacal Company | 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.
- Veozah$125
How this compares
$4,494 in reported general payments places this provider in the 90th percentile of 1,474 obstetrics & gynecology providers in Michigan.
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 | 69 | $5,758 |
| Raloxifene Hcl | 56 | $3,083 |
| Estradiol (Twice Weekly)Estradiol | 15 | $1,215 |
| ProgesteroneProgesterone, Micronized | 17 | $578 |
| ValacyclovirValacyclovir Hcl | 12 | $512 |
| Medroxyprogesterone Acetate | 12 | $130 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $126 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in West Bloomfield
- Jay FisherWest Bloomfield$136K
- David EisensteinDetroit$272K
- Peter TsengPort Huron$178K
- Robert ValiceChesterfield$175K
- Brent DavidsonDetroit$171K
- Michael EngelLake Orion$165K
- Ethan GoldsteinBloomfield Hills$140K
- Barbara DepreeZeeland$118K
- Rabbie HannaDetroit$105K
- Gregory GresselGrand Rapids$85K
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.