Afriyie Gray, DO
Geriatric Medicine · Grand Rapids, MINPI 1477842904
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Lilly USA, LLC accounts for 61.2% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $9,170 and has fallen 71.6% since, to $2,601 in 2025. Among geriatric medicine clinicians in MI 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 272 payments — averaging $43.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$7K
- Amgen$1K
- Novo Nordisk$785
- AstraZeneca$599
- GSK$420
- Axsome Therapeutics, Inc.$280
- plus $1K from 11 others
What the payments were for
- Consulting fees$5,07543%
- Travel & lodging$1,83215%
- Food & beverage$4,98642%
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 |
|---|---|---|
| Lilly USA, LLC | 23 | $7,276 |
| Amgen | 113 | $1,493 |
| Novo Nordisk | 33 | $785 |
| AstraZeneca | 21 | $599 |
| GSK | 26 | $420 |
| Axsome Therapeutics, Inc. | 7 | $280 |
| Otsuka America Pharmaceutical, Inc. | 10 | $225 |
| Eisai Inc. | 7 | $142 |
| Exact Sciences | 5 | $132 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 5 | $112 |
| Esperion Therapeutics, Inc. | 7 | $107 |
| AbbVie | 5 | $102 |
| Bayer | 5 | $100 |
| Hologic Sales And Service, LLC | 1 | $39 |
| Boehringer Ingelheim | 2 | $37 |
| Sumitomo Pharma America, Inc. | 1 | $26 |
| Dexcom, Inc. | 1 | $18 |
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
$11,893 in reported general payments places this provider in the 95th percentile of 168 geriatric medicine 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 |
|---|---|---|
| EliquisApixaban | 36 | $34,818 |
| OzempicSemaglutide | 14 | $14,310 |
| XareltoRivaroxaban | 11 | $13,854 |
| EntrestoSacubitril/Valsartan | 18 | $13,238 |
| MyrbetriqMirabegron | 15 | $10,444 |
| Potassium Chloride | 55 | $3,561 |
| Atorvastatin Calcium | 159 | $2,517 |
| Levothyroxine Sodium | 178 | $2,110 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 17 | $2,069 |
| Celecoxib | 17 | $1,958 |
| Rosuvastatin Calcium | 92 | $1,917 |
| Tamsulosin Hcl | 68 | $1,523 |
| Ezetimibe | 58 | $1,507 |
| Metoprolol Succinate | 81 | $1,477 |
| Escitalopram Oxalate | 67 | $1,477 |
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 | $785 | $14,31014 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 168 geriatric medicine providers in Michigan.
Other geriatric medicine in Grand Rapids
- Mary BallGrand Rapids$710
- Gerald DaneshvarHamtramck$23K
- Jailan ElayoubiDearborn$20K
- Grace JenqAnn Arbor$12K
- Bnan RazokyTroy$11K
- Saket SaxenaDetroit$11K
- Randolph SchumacherFlint$9K
- Ronald BarnettLivonia$7K
- Michael BurryLivonia$7K
- Keith TobinLivonia$7K
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.