Bryan Toma, MD
Anesthesiology · Royal Oak, MINPI 1275055469
Payments from drug & device makers
What this record shows
17 manufacturers reported payments, led by Boston Scientific at 41.8% of the total. Reporting peaked in 2022 at $8,953 and has fallen 84.6% since, to $1,380 in 2025. Among anesthesiology 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 199 payments — averaging $111.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$9K
- Abbott$8K
- Nevro Corp.$2K
- Medtronic$1K
- SPR Therapeutics, Inc$230
- Globus Medical$198
- plus $985 from 11 others
What the payments were for
- Travel & lodging$10,05646%
- Food & beverage$12,04454%
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 |
|---|---|---|
| Boston Scientific | 89 | $9,244 |
| Abbott | 40 | $8,448 |
| Nevro Corp. | 27 | $1,961 |
| Medtronic | 15 | $1,034 |
| SPR Therapeutics, Inc | 2 | $230 |
| Globus Medical | 3 | $198 |
| Saluda Medical Americas, Inc. | 1 | $175 |
| MML US, Inc. | 1 | $149 |
| Nalu Medical, Inc. | 3 | $134 |
| Relievant Medsystems, Inc. | 1 | $118 |
| Spinal Simplicity, LLC | 5 | $102 |
| Curonix LLC | 2 | $83 |
| AbbVie | 4 | $80 |
| Stryker | 2 | $71 |
| Vertos Medical, Inc. | 2 | $31 |
| Biotronik NRO, Inc. | 1 | $22 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $21 |
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.
- PROCLAIM$6,942
- WaveWriter Alpha Prime 16$2,630
- WAVEWRITER ALPHA$1,621
- GENERAL - THERAPIES$1,476
- Superion Indirect Decompression System$1,191
- PRODIGY$1,069
- Senza$840
- GENERAL PAIN MANAGEMENT$676
- INTELLIS ADAPTIVESTIM$466
- Intracept$362
- Omnia$337
- Senza Spinal Cord Stimulation System$247
- SPRINT PNS System$178
- Evoke SCS$175
- ReActiv8$149
- SUPERION$146
- INTELLIS$122
How this compares
$22,100 in reported general payments places this provider in the 95th percentile of 1,299 anesthesiology 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 |
|---|---|---|
| Gabapentin | 183 | $1,394 |
| Lidocaine | 19 | $1,249 |
| Ibuprofen | 87 | $969 |
| Methocarbamol | 56 | $487 |
| Pregabalin | 32 | $440 |
| Tizanidine Hcl | 63 | $431 |
| Duloxetine Hcl | 16 | $343 |
| Meloxicam | 154 | $335 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 90 | $255 |
| Cyclobenzaprine Hcl | 21 | $101 |
| Naproxen | 17 | $100 |
| Tramadol Hcl | 34 | $65 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $56 |
| Cephalexin | 14 | $37 |
| Diazepam | 33 | $15 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Royal Oak
- John PappasRoyal Oak$112K
- Jack FolbeRoyal Oak$14K
- Donald SiwekRoyal Oak$8K
- Rebecca ClemansRoyal Oak$6K
- Joseph MelroseRoyal Oak$6K
- Neal DuggalAnn Arbor$206K
- Jay GlobersonSouthfield$79K
- David HovordAnn Arbor$48K
- Birgete WebbGrosse Pointe Park$28K
- Timothy KwiecienMarshall$27K
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.