Adam Peruski, PA
Physician Assistant · West Bloomfield, MINPI 1558743096
Payments from drug & device makers
Across 272 payments — averaging $24.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$829
- Lilly USA, LLC$795
- Novo Nordisk$687
- Abbott$473
- Sanofi-aventis U.S. LLC$445
- Corcept Therapeutics$346
- plus $3K from 34 others
What the payments were for
- Food & beverage$6,582100%
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 |
|---|---|---|
| Amgen(2 entities) | 32 | $829 |
| Lilly USA, LLC | 36 | $795 |
| Novo Nordisk | 35 | $687 |
| Abbott | 29 | $473 |
| Sanofi-aventis U.S. LLC | 16 | $445 |
| Corcept Therapeutics | 16 | $346 |
| Medtronic | 4 | $336 |
| Cequr Corporation | 3 | $285 |
| Amneal Pharmaceuticals LLC | 11 | $249 |
| AbbVie | 13 | $238 |
| Neurocrine Biosciences, Inc. | 3 | $182 |
| Xeris Pharmaceuticals, Inc. | 8 | $162 |
| Ascendis Pharma Endocrinology Inc | 2 | $152 |
| Ascensia Diabetes Care US Inc. | 8 | $152 |
| BETA Bionics, Inc. | 6 | $149 |
| Dexcom, Inc. | 2 | $137 |
| Recordati_rare_diseases_inc. | 4 | $92 |
| Tolmar, Inc. | 5 | $91 |
| Mannkind Corporation | 4 | $77 |
| Boehringer Ingelheim | 3 | $65 |
| Tandem Diabetes Care, Inc. | 4 | $65 |
| Radius Health, Inc. | 3 | $64 |
| Amphastar Pharmaceuticals, Inc. | 3 | $59 |
| Azurity Pharmaceuticals, Inc. | 3 | $56 |
| Antares Pharma, Inc. | 2 | $45 |
| Halozyme Inc | 2 | $44 |
| Amryt Pharma Holdings Ltd | 2 | $33 |
| AstraZeneca | 1 | $28 |
| Madrigal Pharmaceuticals | 1 | $27 |
| Sandoz | 1 | $24 |
| Averitas Pharma Inc. | 1 | $23 |
| GSK | 1 | $23 |
| IBSA Pharma Inc. | 1 | $22 |
| Organon | 1 | $21 |
| Rhythm Pharmaceuticals, Inc. | 1 | $20 |
| Insulet Corporation | 1 | $20 |
| Chiesi USA, Inc. | 1 | $20 |
| Alvogen Inc | 1 | $19 |
| Aimmune Therapeutics, Inc. | 1 | $18 |
| Theracosbio, LLC | 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.
- MINIMED 780G$284
- TEPEZZA$228
- CeQur Simplicity$152
- CRENESSITY$138
- TZIELD$126
- Repatha$125
- Yorvipath$125
- DEXCOM G7 GSS (161)$114
How this compares
$6,582 in reported general payments places this provider in the 95th percentile of 5,453 physician assistant 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 |
|---|---|---|
| OzempicSemaglutide | 142 | $183,086 |
| JardianceEmpagliflozin | 128 | $141,166 |
| TrulicityDulaglutide | 77 | $99,832 |
| MounjaroTirzepatide | 48 | $58,303 |
| JanuviaSitagliptin Phosphate | 26 | $27,652 |
| Novolog FlexpenInsulin Aspart | 40 | $18,542 |
| Humalog Kwikpen U-100Insulin Lispro | 29 | $18,462 |
| TradjentaLinagliptin | 21 | $17,070 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 65 | $11,377 |
| Humulin 70/30 KwikpenInsulin Nph Hum/Reg Insulin Hm | 21 | $6,992 |
| Novolin 70-30 FlexpenInsulin Nph Hum/Reg Insulin Hm | 27 | $6,924 |
| Novolog Mix 70-30 FlexpenInsulin Aspart Prot/Insuln Asp | 15 | $4,674 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 36 | $4,001 |
| SynthroidLevothyroxine Sodium | 33 | $3,871 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 11 | $2,956 |
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 |
|---|---|---|
| Novo NordiskOzempic | $687 | $183,086142 claims |
| Boehringer IngelheimJardiance, Tradjenta | $65 | $158,236149 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $795 | $158,134125 claims |
| AbbVieSynthroid | $238 | $3,87133 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid | $249 | $89983 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 95th percentile of 5,453 physician assistant providers in Michigan.
Other physician assistant in West Bloomfield
- Sarang PatelRoyal Oak$660K
- Beth SweneyAda$617K
- Zainab JishiCanton$596K
- Taylor HennrickAdrian$430K
- Erin van DykeGrand Rapids$346K
- Ashley AldridgeAnn Arbor$298K
- Derek SusallaRochester Hills$242K
- Gabrielle DamoreRoyal Oak$200K
- Melissa MickelsonKalamazoo$168K
- Patrick CooneyNew Baltimore$91K
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.