Alain Elian, MD
Surgery · Kalamazoo, MINPI 1871750844
Payments from drug & device makers
What this record shows
This record is dominated by education: $85,121 of the $104,902 with a category attached, or 81.1%. Intuitive Surgical accounts for 97.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2023 at $38,756 and has fallen 99.5% since, to $192 in 2025. Among surgery 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 160 payments — averaging $655.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$102K
- W. L. Gore & Associates, Inc.$2K
- Davol Inc.$235
- Baxter Healthcare$172
- Novo Nordisk$99
- Covidien LP$55
- plus $56 from 2 others
What the payments were for
- Speaking & faculty fees$7,5007%
- Travel & lodging$6,0716%
- Food & beverage$6,2106%
- Education$85,12181%
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 | 128 | $102,088 |
| W. L. Gore & Associates, Inc. | 19 | $2,197 |
| Davol Inc. | 3 | $235 |
| Baxter Healthcare | 2 | $172 |
| Novo Nordisk | 5 | $99 |
| Covidien LP | 1 | $55 |
| Enterra Medical, Inc. | 1 | $34 |
| Integra Lifesciences Corporation | 1 | $22 |
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$89,979
- DA VINCI SP$7,650
- DAVINCI XI$3,000
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$1,411
- BioSurgery - PERI-STRIPS$150
- PHASIX$129
How this compares
$104,902 in reported general payments places this provider in the 95th percentile of 1,081 surgery 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 |
|---|---|---|
| Omeprazole | 42 | $342 |
| Rabeprazole Sodium | 15 | $264 |
| Metoclopramide Hcl | 11 | $177 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $64 |
Paid to pharmacies, not to this prescriber.
Other surgery in Kalamazoo
- Ryan BlyKalamazoo$36K
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$435K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
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.