Smyrne Balan-Louis
Gerontology · West Palm Beach, FLNPI 1841886546
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,316 of the $9,248 with a category attached, or 89.9%. It is spread thinly across 54 manufacturers, the largest accounting for just 12.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,867, more than ten times the $74 reported in 2022. Among gerontology clinicians in FL 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 382 payments — averaging $24.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- AstraZeneca$854
- Bristol Myers Squibb$726
- Merck$536
- Astellas Pharma US Inc$504
- Bayer$413
- plus $5K from 48 others
What the payments were for
- Food & beverage$8,31690%
- Education$93210%
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.
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.
How this compares
$9,248 in reported general payments places this provider in the 95th percentile of 714 gerontology providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Anastrozole | 55 | $897 |
| Prochlorperazine Maleate | 16 | $421 |
| Ondansetron Hcl | 20 | $324 |
| Dexamethasone | 16 | $188 |
| Potassium Chloride | 12 | $18 |
Paid to pharmacies, not to this prescriber.
Other gerontology in West Palm Beach
- Flavius NascimentoCoral Springs$226K
- Michelle HartogWinter Park$90K
- Alejandra Rosales-CohenOrange City$88K
- Jennifer PacilettiAtlantis$66K
- Tatiana ClarkBradenton$34K
- Brandi LigonWinter Park$27K
- Boni MayOrlando$22K
- Dennis VerducciMiami$22K
- Christina Duffy-HenriquesMaitland$19K
- Nichole StanleyNaples$18K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.