Sirish Palle
Pediatrics · Hyden, KYNPI 1962717785
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $62,977 of the $89,160 with a category attached, or 70.6%. 10 manufacturers reported payments, led by Mirum Pharmaceuticals, Inc. at 48.5% of the total. Reporting peaked in 2024 at $32,953 and has fallen 68.5% since, to $10,389 in 2025. Among pediatrics clinicians in KY 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 149 payments — averaging $598.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mirum Pharmaceuticals, Inc.$43K
- Travere Therapeutics, Inc.$41K
- Albireo Pharma, Inc.$5K
- Ipsen Biopharmaceuticals, Inc$63
- Takeda Pharmaceuticals U.S.A., Inc.$51
- Sanofi$42
- plus $84 from 4 others
Across 55 payments — averaging $1332.99 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.
- Travere Therapeutics, Inc.$31K
- Takeda Pharmaceuticals U.S.A., Inc.$23K
- Mirum Pharmaceuticals, Inc.$19K
What the payments were for
- Consulting fees$62,97771%
- Speaking & faculty fees$18,35021%
- Travel & lodging$5,5076%
- Food & beverage$2,3263%
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 |
|---|---|---|
| Mirum Pharmaceuticals, Inc. | 70 | $43,286 |
| Travere Therapeutics, Inc. | 63 | $40,590 |
| Albireo Pharma, Inc. | 5 | $5,043 |
| Ipsen Biopharmaceuticals, Inc | 3 | $63 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $51 |
| Sanofi | 2 | $42 |
| AstraZeneca | 1 | $25 |
| Rhythm Pharmaceuticals, Inc. | 1 | $24 |
| AbbVie | 1 | $24 |
| Intercept Pharmaceuticals, Inc. | 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.
- (820) Cholbam$47,089
- Livmarli$31,106
- Bylvay$5,026
- (815) Thiola$4,134
How this compares
$89,160 in reported general payments places this provider in the 95th percentile of 777 pediatrics providers in Kentucky.
Other pediatrics in Hyden
- Christian BerkhahnLouisville$85K
- Maurice AllgeierLouisville$38K
- Stanley BlockBardstown$34K
- Michael SimonNicholasville$32K
- Patricia PurcellLouisville$27K
- Daniel FinnBardstown$17K
- Lakshmi KoonapuFort Campbell$15K
- John CecilPaducah$13K
- Amber PendletonLouisville$10K
- Byron AlbertsonBenton$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.