Bhagwan Sayal, MD
Family Medicine · Flint, MINPI 1881796555
Payments from drug & device makers
Across 330 payments — averaging $17.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$909
- Novo Nordisk$691
- AstraZeneca$597
- AbbVie$510
- Pfizer$340
- Lilly USA, LLC$272
- plus $2K from 29 others
What the payments were for
- Food & beverage$5,617100%
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 |
|---|---|---|
| Amgen(2 entities) | 50 | $909 |
| Novo Nordisk | 45 | $691 |
| AstraZeneca | 39 | $597 |
| AbbVie(2 entities) | 37 | $510 |
| Pfizer | 22 | $340 |
| Lilly USA, LLC | 16 | $272 |
| Nestle Healthcare Nutrition Inc. | 13 | $241 |
| Bayer | 10 | $209 |
| Novartis | 10 | $191 |
| Exact Sciences | 9 | $184 |
| GSK | 9 | $150 |
| Biohaven Pharmaceutical Holding Company Ltd. | 6 | $148 |
| Biohaven Pharmaceuticals, Inc. | 3 | $111 |
| Boehringer Ingelheim | 5 | $108 |
| E.r. Squibb & Sons, L.L.C. | 7 | $107 |
| Sanofi-aventis U.S. LLC | 6 | $97 |
| Antares Pharma, Inc. | 5 | $92 |
| Teva Pharmaceuticals USA, Inc. | 5 | $88 |
| Johnson & Johnson | 6 | $86 |
| Otsuka America Pharmaceutical, Inc. | 4 | $81 |
| Axsome Therapeutics, Inc. | 2 | $44 |
| Vivus LLC | 2 | $40 |
| Smith+Nephew | 2 | $39 |
| Paratek Pharmaceuticals, Inc. | 2 | $38 |
| Amarin Pharma, Inc. | 2 | $35 |
| Merck | 2 | $27 |
| Eisai Inc. | 2 | $26 |
| Sanofi Pasteur Inc. | 2 | $26 |
| Indivior Inc. | 1 | $23 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $22 |
| Alvogen Inc | 1 | $20 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $17 |
| Dexcom, Inc. | 1 | $16 |
| Shire North American Group Inc | 1 | $14 |
How this compares
$5,617 in reported general payments places this provider in the 90th percentile of 3,945 family 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 |
|---|---|---|
| OzempicSemaglutide | 79 | $136,021 |
| TrulicityDulaglutide | 49 | $72,580 |
| EliquisApixaban | 53 | $61,886 |
| JardianceEmpagliflozin | 41 | $54,035 |
| XareltoRivaroxaban | 55 | $43,086 |
| FarxigaDapagliflozin Propanediol | 46 | $42,523 |
| ProliaDenosumab | 17 | $28,710 |
| MounjaroTirzepatide | 16 | $19,074 |
| CreonLipase/Protease/Amylase | 12 | $17,262 |
| Levemir FlexpenInsulin Detemir | 11 | $6,484 |
| Atorvastatin Calcium | 291 | $5,422 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 11 | $5,028 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $4,914 |
| Levothyroxine Sodium | 348 | $4,253 |
| Potassium Chloride | 198 | $4,074 |
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 |
|---|---|---|
| Novo NordiskOzempic | $691 | $136,02179 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $272 | $91,65465 claims |
| PfizerEliquis | $340 | $61,88653 claims |
| Boehringer IngelheimJardiance | $108 | $54,03541 claims |
| Johnson & JohnsonXarelto | $86 | $43,08655 claims |
| AstraZenecaFarxiga | $597 | $42,52346 claims |
| AmgenProlia | $909 | $28,71017 claims |
| AbbVieCreon | $510 | $17,26212 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 90th percentile of 3,945 family medicine providers in Michigan.
Other family medicine in Flint
- Ramez AbdallaFlint$25K
- Derrick WilliamsonSouthfield$9.9M
- Rebecca RivardRoseville$7M
- Paul BensonBerkley$4.2M
- Michael HafranEast Lansing$2.7M
- Mitzie HewittBuckley$1.3M
- Loren ChudlerSouthfield$1.3M
- Solomon AmsterWhite Lake$981K
- Matt RosenbergJackson$559K
- Rhonda MejeurGrand Rapids$493K
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.