Arthur Efros, MD
Geriatric Medicine · Southfield, MINPI 1972672103
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 143 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Novo Nordisk at 29.0% of the total.
Across 143 payments — averaging $14.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$600
- Amgen$187
- Novartis$142
- Abbott$115
- Lilly USA, LLC$107
- Boehringer Ingelheim$106
- plus $812 from 17 others
What the payments were for
- Food & beverage$2,068100%
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 |
|---|---|---|
| Novo Nordisk | 49 | $600 |
| Amgen | 14 | $187 |
| Novartis | 10 | $142 |
| Abbott | 6 | $115 |
| Lilly USA, LLC | 7 | $107 |
| Boehringer Ingelheim | 7 | $106 |
| AstraZeneca | 6 | $96 |
| Dexcom, Inc. | 5 | $93 |
| Astellas Pharma US Inc | 5 | $90 |
| Pfizer | 6 | $88 |
| Sanofi-aventis U.S. LLC | 5 | $79 |
| AbbVie | 4 | $68 |
| Merck | 3 | $50 |
| GSK | 3 | $48 |
| Amarin Pharma, Inc. | 3 | $40 |
| Phathom Pharmaceuticals, Inc. | 2 | $35 |
| Teva Pharmaceuticals USA, Inc. | 2 | $24 |
| Bayer | 1 | $24 |
| Abiomed | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $17 |
| Bausch Health US, LLC | 1 | $15 |
| Alnylam Pharmaceuticals Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
How this compares
$2,068 in reported general payments places this provider in the 85th percentile of 168 geriatric 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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 61 | $85,560 |
| RybelsusSemaglutide | 16 | $28,211 |
| OzempicSemaglutide | 26 | $26,041 |
| JardianceEmpagliflozin | 22 | $23,934 |
| XareltoRivaroxaban | 11 | $17,358 |
| Breo ElliptaFluticasone/Vilanterol | 36 | $12,982 |
| FarxigaDapagliflozin Propanediol | 11 | $6,254 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 14 | $5,231 |
| Atorvastatin Calcium | 247 | $3,570 |
| ZocorSimvastatin | 26 | $3,486 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $3,355 |
| Wixela InhubFluticasone Propion/Salmeterol | 12 | $3,316 |
| Metoprolol Succinate | 147 | $2,959 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 18 | $2,915 |
| Rosuvastatin Calcium | 124 | $2,235 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| MerckJanuvia | $50 | $85,56061 claims |
| Novo NordiskRybelsus, Ozempic | $600 | $54,25242 claims |
| Boehringer IngelheimJardiance | $106 | $23,93422 claims |
| GSKBreo Ellipta | $48 | $12,98236 claims |
| AstraZenecaFarxiga | $96 | $6,25411 claims |
| AbbVieSynthroid | $68 | $1,23118 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 85th percentile of 168 geriatric medicine providers in Michigan.
Other geriatric medicine in Southfield
- Arletha AndersonSouthfield$5K
- Mutahhar AhmadSouthfield$671
- Gerald DaneshvarHamtramck$23K
- Jailan ElayoubiDearborn$20K
- Grace JenqAnn Arbor$12K
- Afriyie GrayGrand Rapids$12K
- Bnan RazokyTroy$11K
- Saket SaxenaDetroit$11K
- Randolph SchumacherFlint$9K
- Ronald BarnettLivonia$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.