RxDoctor Payments Data

Alexander Michaels, MD

Cardiovascular Disease · Detroit, MINPI 1578805883

Payments from drug & device makers

$5,295in general payments, 2019–2025

Across 41 payments — averaging $129.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$5K
  • Abiomed$254
  • Procyrion, Inc.$137
  • Conmed Corporation$19
  • Novo Nordisk$18
  • Enterra Medical, Inc.$17
  • plus $14 from 1 others

What the payments were for

  • Travel & lodging$2,34544%
  • Food & beverage$2,78553%
  • Education$1653%

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

19
21
22
23
24
25

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.

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

$5,295 in reported general payments places this provider in the 55th percentile of 760 cardiovascular disease providers in Michigan.

See all cardiovascular disease providers in Michigan

Medicare billing

Part B allowed, 2024
$30,782
Medicare patients
103
Services billed
335

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

DrugClaimsCost to plans & patients
VyndaqelTafamidis Meglumine12$257,434
EntrestoSacubitril/Valsartan147$187,500
JardianceEmpagliflozin57$77,112
EliquisApixaban40$48,403
FarxigaDapagliflozin Propanediol25$27,851
Sirolimus32$13,192
LokelmaSodium Zirconium Cyclosilicate13$12,014
Tacrolimus76$6,044
Sildenafil Citrate12$4,624
Bumetanide84$2,907
Amiodarone Hcl60$2,135
Warfarin Sodium88$1,443
Isosorbide Dinitrate13$1,365
Potassium Chloride43$1,221
Losartan Potassium103$1,129

Paid to pharmacies, not to this prescriber.

Other cardiovascular disease in Detroit

See the full list for Michigan

Where these figures come from

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