Skivakumar Hanubal, MD
Gynecology · Leesburg, FLNPI 1164492542
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (52.3%), food and beverage and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Intuitive Surgical at 55.0% of the total. 2024 is the largest year on record at $1,667, 8.8 times the $189 reported in 2019.
Across 65 payments — averaging $43.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Abbott$174
- Caldera Medical, Inc$170
- AbbVie$115
- Astellas Pharma US Inc$104
- Millicent US Inc$89
- plus $614 from 19 others
What the payments were for
- Travel & lodging$1,47052%
- Food & beverage$1,29246%
- Education$301%
- Gifts$201%
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 | 9 | $1,545 |
| Abbott | 1 | $174 |
| Caldera Medical, Inc | 2 | $170 |
| AbbVie(2 entities) | 7 | $115 |
| Astellas Pharma US Inc | 5 | $104 |
| Millicent US Inc | 5 | $89 |
| Shield Therapeutics Inc | 4 | $83 |
| Roche Diagnostics Corporation | 3 | $57 |
| Organon | 4 | $56 |
| Johnson & Johnson | 3 | $54 |
| Exeltis, USA Inc. | 2 | $47 |
| Mylan Pharmaceuticals Inc. | 2 | $43 |
| Pfizer | 3 | $43 |
| Myovant Sciences Inc. | 2 | $31 |
| Avion Pharmaceuticals | 2 | $29 |
| Therapeuticsmd, Inc. | 2 | $29 |
| Exact Sciences | 1 | $20 |
| Ascend Therapeutics US, LLC | 1 | $20 |
| Medtronic | 1 | $20 |
| Agile Therapeutics, Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $15 |
| AMAG Pharmaceuticals, Inc. | 1 | $14 |
| Sumitomo Pharma America, Inc. | 1 | $13 |
| Meditrina | 1 | $12 |
| Minerva Surgical, 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.
- Da Vinci Surgical System$1,432
- MitraClip$174
How this compares
$2,812 in reported general payments places this provider in the 80th percentile of 290 gynecology providers in Florida.
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 | 515 | $27,623 |
| PremarinEstrogens, Conjugated | 45 | $19,827 |
| MyrbetriqMirabegron | 21 | $16,380 |
| CombipatchEstradiol/Norethindrone Acet | 19 | $6,473 |
| Clobetasol Propionate | 59 | $3,191 |
| PremproEstrogen,con/M-Progest Acet | 13 | $3,094 |
| Estradiol (Twice Weekly)Estradiol | 23 | $2,457 |
| Tolterodine Tartrate ErTolterodine Tartrate | 31 | $2,414 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 119 | $2,388 |
| Metronidazole | 14 | $1,488 |
| Medroxyprogesterone Acetate | 71 | $1,039 |
| Raloxifene Hcl | 23 | $877 |
| Oxybutynin Chloride ErOxybutynin Chloride | 26 | $729 |
| ProgesteroneProgesterone, Micronized | 24 | $604 |
| ValacyclovirValacyclovir Hcl | 19 | $542 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerPremarin, Prempro | $43 | $22,92258 claims |
| Astellas Pharma US IncMyrbetriq | $104 | $16,38021 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 290 gynecology providers in Florida.
Other gynecology in Leesburg
- Aileen CaceresKissimmee$406K
- Parveen VahoraNew Port Richey$327K
- James KondrupVenice$310K
- Andrea GallowayThe Villages$252K
- Jessica VaughtOrlando$129K
- Steven ChavoustieMiami$113K
- Marshall BovelskyMelbourne$52K
- Minda NeimarkFt Lauderdale$46K
- Meenakshi JainSt Petersburg$35K
- Michael SpragueWeston$34K
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.