Spencer Gadlage, APRN
Gerontology · Louisville, KYNPI 1386233633
Payments from drug & device makers
What this record shows
This record is dominated by other: $10,333 of the $12,836 with a category attached, or 80.5%. Angiodynamics, Inc. accounts for 81.9% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2023 at $8,851 and has fallen 98.8% since, to $103 in 2025. Among gerontology 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 98 payments — averaging $130.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$11K
- Boston Scientific$575
- AbbVie$445
- Amgen$294
- AstraZeneca$187
- Johnson & Johnson$165
- plus $660 from 15 others
What the payments were for
- Food & beverage$2,50319%
- Other$10,33381%
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 |
|---|---|---|
| Angiodynamics, Inc. | 10 | $10,510 |
| Boston Scientific | 26 | $575 |
| AbbVie | 16 | $445 |
| Amgen | 6 | $294 |
| AstraZeneca | 5 | $187 |
| Johnson & Johnson | 4 | $165 |
| Medtronic | 7 | $137 |
| Baxter Healthcare | 1 | $98 |
| Pfizer | 5 | $75 |
| GSK | 5 | $70 |
| Davol Inc. | 1 | $66 |
| Novo Nordisk | 2 | $30 |
| W. L. Gore & Associates, Inc. | 1 | $29 |
| Bayer | 2 | $29 |
| Abbott | 1 | $28 |
| Dexcom, Inc. | 1 | $22 |
| Inari Medical, Inc. | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $16 |
| Shield Therapeutics Inc | 1 | $15 |
| Merck | 1 | $14 |
| Lucid Diagnostics Inc. | 1 | $13 |
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.
- Auryon Laser System 100-120 Vac$10,333
- GENERAL VASCULAR INTERVENTION$144
- UBRELVY$125
- Otezla$125
- FARXIGA$123
- VRAYLAR$116
- XARELTO$110
How this compares
$12,836 in reported general payments places this provider in the 95th percentile of 84 gerontology providers in Kentucky.
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 |
|---|---|---|
| GemtesaVibegron | 16 | $9,240 |
| Estradiol | 32 | $1,759 |
| Oxycodone Hcl | 14 | $17 |
Paid to pharmacies, not to this prescriber.
Other gerontology in Louisville
- Devan CostelleLouisville$12K
- Emily CorsentinoLouisville$3K
- Ashley WilliamsLouisville$3K
- Kristen WernertLouisville$3K
- Brent KleierLouisville$2K
- Aruna MathewLouisville$2K
- Angela UrhammerLouisville$2K
- Stacie O'NeilLouisville$1K
- Hannah JazdzewskiLouisville$1K
- Ruth Gay LawtonLouisville$839
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.