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Ali Achira, MD

Endocrinology, Diabetes & Metabolism · Dearborn, MINPI 1427345065

Payments from drug & device makers

$9,477in general payments, 2019–2025

Across 629 payments — averaging $15.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • Lilly USA, LLC$1K
  • Dexcom, Inc.$808
  • Currax Pharmaceuticals LLC$646
  • Amgen$337
  • AstraZeneca$336
  • plus $4K from 43 others

What the payments were for

  • Food & beverage$9,40799%
  • Education$711%

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
20
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

$9,477 in reported general payments places this provider in the 70th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.

See all endocrinology, diabetes & metabolism providers in Michigan

Medicare billing

Part B allowed, 2024
$133,084
Medicare patients
356
Services billed
1,619

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
OzempicSemaglutide863$1,150,537
JardianceEmpagliflozin826$743,410
MounjaroTirzepatide605$687,969
TrulicityDulaglutide475$502,835
FarxigaDapagliflozin Propanediol590$465,571
JanuviaSitagliptin Phosphate110$78,866
TradjentaLinagliptin107$73,111
JanumetSitagliptin Phos/Metformin Hcl59$35,990
Lantus SolostarInsulin Glargine,hum.Rec.Anlog281$34,366
Humulin R U-500 KwikpenInsulin Regular, Human25$33,547
Tresiba Flextouch U-100Insulin Degludec54$29,667
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog78$29,532
DapagliflozinDapagliflozin Propanediol50$28,586
RybelsusSemaglutide14$25,128
Fiasp FlextouchInsulin Aspart (Niacinamide)34$24,492

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.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCMounjaro, Trulicity, Baqsimi, Humalog$1,134$1,202,1451,123 claims
Novo NordiskOzempic, Rybelsus, Novolog$1,888$1,179,864909 claims
Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr$220$837,748962 claims
AstraZenecaFarxiga$336$465,571590 claims
MerckJanuvia, Janumet, Janumet Xr$27$126,231180 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$201$4,064422 claims
Sanofi-aventis U.S. LLCLantus$92$2,13818 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 70th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.

Other endocrinology, diabetes & metabolism in Dearborn

See the full list for Michigan

Where these figures come from

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