Cara Smith, MD
Obstetrics & Gynecology · Rochester Hills, MINPI 1417262387
Payments from drug & device makers
Across 100 payments — averaging $50.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- AbbVie$283
- Hologic Sales And Service, LLC$189
- Organon$128
- Pfizer$116
- GSK$97
- plus $1K from 30 others
What the payments were for
- Consulting fees$160%
- Travel & lodging$1,51530%
- Food & beverage$1,94939%
- Education$1,53031%
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 | 9 | $3,164 |
| AbbVie(2 entities) | 14 | $283 |
| Hologic Sales And Service, LLC | 10 | $189 |
| Organon | 5 | $128 |
| Pfizer | 7 | $116 |
| GSK | 1 | $97 |
| Medtronic | 4 | $96 |
| Aspira Women's Health Inc | 2 | $80 |
| Mayne Pharma Commercial LLC | 3 | $76 |
| Sumitomo Pharma America, Inc. | 3 | $75 |
| Coopersurgical, Inc. | 3 | $68 |
| Exeltis, USA Inc. | 4 | $60 |
| Dysis Medical, Inc. | 4 | $55 |
| Bayer | 2 | $42 |
| Lupin Inc. | 2 | $36 |
| Mylan Pharmaceuticals Inc. | 2 | $32 |
| Mission Pharmacal Company | 2 | $31 |
| Astellas Pharma US Inc | 2 | $30 |
| AMAG Pharmaceuticals, Inc. | 2 | $30 |
| Biogen | 1 | $29 |
| Johnson & Johnson | 1 | $29 |
| Amgen | 2 | $28 |
| Therapeuticsmd, Inc. | 2 | $26 |
| Millicent US Inc | 1 | $22 |
| Gynesonics, Inc. | 1 | $20 |
| Shield Therapeutics Inc | 1 | $19 |
| Sage Therapeutics, LLC | 1 | $18 |
| Axonics, Inc. | 1 | $18 |
| Merck | 1 | $17 |
| Avion Pharmaceuticals | 1 | $16 |
| Biotissue Holdings Inc. | 1 | $16 |
| Ascend Therapeutics US, LLC | 1 | $16 |
| Meditrina | 1 | $12 |
| Agile Therapeutics, Inc. | 1 | $12 |
| Duchesnay USA Incorporated | 1 | $12 |
| Zyla Life Sciences, Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$1,562
- DAVINCI XI$1,500
How this compares
$5,009 in reported general payments places this provider in the 90th percentile of 1,474 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 47 | $3,166 |
| ValacyclovirValacyclovir Hcl | 12 | $733 |
| Risedronate Sodium | 12 | $282 |
| Fluoxetine Hcl | 23 | $34 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Rochester Hills
- Threasa WalserRochester Hills$34K
- Haider MahdiDetroit$3.4M
- Andrew WagnerMidland$2M
- Jason BellAnn Arbor$548K
- Jacquelyn RobinsonSaginaw$539K
- Jouhaina MalehDearborn$524K
- Awoniyi AwonugaSouthfield$445K
- Rabbie HannaDetroit$421K
- David EisensteinDetroit$296K
- Duane HeilbronnSaginaw$234K
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.