Angel Peralta-Avila, MD
Critical Care Medicine · Detroit, MINPI 1326354937
Payments from drug & device makers
What this record shows
This record is dominated by education: $113,000 of the $147,092 with a category attached, or 76.8%. Intuitive Surgical accounts for 97.9% of it on its own, with 5 other manufacturers making up the rest. Among critical care 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 172 payments — averaging $855.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$144K
- Pulmonx Corporation$2K
- KARL Storz Endoscopy-america$1K
- Veran Medical Technologies, Inc.$154
- Steris Corporation$38
- Olympus Corporation Of The Americas$26
What the payments were for
- Speaking & faculty fees$9,5006%
- Travel & lodging$17,41912%
- Food & beverage$7,1735%
- Education$113,00077%
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 | 127 | $144,072 |
| Pulmonx Corporation | 38 | $1,645 |
| KARL Storz Endoscopy-america | 4 | $1,157 |
| Veran Medical Technologies, Inc. | 1 | $154 |
| Steris Corporation | 1 | $38 |
| Olympus Corporation Of The Americas | 1 | $26 |
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
$147,092 in reported general payments places this provider in the 95th percentile of 177 critical care 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 |
|---|---|---|
| Spiriva RespimatTiotropium Bromide | 13 | $6,554 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $4,824 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 16 | $776 |
| Montelukast Sodium | 11 | $8 |
Paid to pharmacies, not to this prescriber.
Other critical care medicine in Detroit
- Amin PashaDetroit$8K
- Xavier Fonseca FuentesDetroit$4K
- Domingo Franco PalaciosDetroit$2K
- William PeruzziDetroit$2K
- Mhd Hussam Al JandaliDetroit$1K
- Sai KattaDetroit$1K
- Christine AchoDetroit$918
- Moumen AsbahiTroy$81K
- Mujahed AbbasLansing$28K
- Abdulrazak AlchakakiSouthfield$19K
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.