Alanna Yapo, NP
Acute Care · Rochester Hills, MINPI 1396385340
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 57 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Cardiovascular Systems Inc. at 26.2% of the total. Reporting peaked in 2022 at $858 and has fallen 84.1% since, to $136 in 2025.
Across 57 payments — averaging $40.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cardiovascular Systems Inc.$601
- Cordis US CORP.$409
- Silk Road Medical, Inc.$364
- Veryan Medical Incorporated$350
- Medtronic$109
- Novo Nordisk$97
- plus $364 from 11 others
What the payments were for
- Food & beverage$2,294100%
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 |
|---|---|---|
| Cardiovascular Systems Inc. | 14 | $601 |
| Cordis US CORP. | 6 | $409 |
| Silk Road Medical, Inc. | 3 | $364 |
| Veryan Medical Incorporated | 11 | $350 |
| Medtronic | 6 | $109 |
| Novo Nordisk | 1 | $97 |
| Penumbra, Inc. | 1 | $66 |
| Philips North America LLC | 1 | $40 |
| Boston Scientific | 2 | $38 |
| Johnson & Johnson(2 entities) | 2 | $37 |
| Angiodynamics, Inc. | 2 | $37 |
| Smith+Nephew | 2 | $36 |
| Endologix LLC | 2 | $31 |
| Shockwave Medical, Inc | 1 | $23 |
| Cook Medical LLC | 1 | $21 |
| Abbott | 1 | $21 |
| Cardinal Health 200 LLC | 1 | $14 |
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
$2,294 in reported general payments places this provider in the 85th percentile of 567 acute care 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $101 |
Paid to pharmacies, not to this prescriber.
Other acute care in Rochester Hills
- Janet WymanDetroit$103K
- Stephanie Mellon ReppenDetroit$57K
- Ashley WozniakLivonia$26K
- Julia BriggsBirch Run$16K
- Candise LovePort Huron$14K
- Janette GuertinPort Huron$14K
- Gregory AliNovi$13K
- Andrew PalmerLansing$9K
- Angela BrennanDearborn Heights$7K
- Jennifer RutzenLansing$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.