Casey Ashby, DO
Facial Plastic Surgery · Farmington Hills, MINPI 1003055971
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,775 of the $15,490 with a category attached, or 63.1%. 27 manufacturers reported payments, led by Aerin Medical Inc. at 24.4% of the total. Among facial plastic surgery 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 300 payments — averaging $51.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$4K
- Inspire Medical Systems, Inc.$3K
- Acclarent, Inc$2K
- Medical Device Business Services, Inc.$1K
- Sanofi$1K
- Intersect ENT, Inc.$881
- plus $4K from 21 others
What the payments were for
- Consulting fees$2,80018%
- Speaking & faculty fees$5003%
- Travel & lodging$2,28915%
- Food & beverage$9,77563%
- Education$1261%
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 |
|---|---|---|
| Aerin Medical Inc. | 23 | $3,774 |
| Inspire Medical Systems, Inc. | 48 | $3,276 |
| Acclarent, Inc | 50 | $1,790 |
| Medical Device Business Services, Inc. | 1 | $1,223 |
| Sanofi | 31 | $1,004 |
| Intersect ENT, Inc. | 8 | $881 |
| Regeneron Healthcare Solutions, Inc. | 39 | $736 |
| Medtronic(2 entities) | 10 | $485 |
| Stryker | 9 | $433 |
| Alk-abello, Inc | 23 | $390 |
| Integra Lifesciences Corporation | 5 | $263 |
| GSK | 15 | $260 |
| Optinose US, Inc. | 14 | $223 |
| Hologic Sales And Service, LLC | 2 | $138 |
| Smith+Nephew | 4 | $125 |
| Olympus America Inc. | 1 | $107 |
| Sanofi-aventis U.S. LLC | 2 | $101 |
| Cochlear Americas | 2 | $84 |
| Novartis | 3 | $43 |
| Hikma Pharmaceuticals USA | 2 | $33 |
| Kaleo, Inc. | 2 | $28 |
| Resmed Corp | 1 | $25 |
| Zimmer Biomet | 1 | $15 |
| Preceptis Medical, Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Pfizer | 1 | $13 |
| Johnson & Johnson | 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.
- VIVAER STYLUS$3,300
- Inspire$1,695
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$1,494
- TruDi Navigation System$1,223
- TruDi Nav Suction$1,223
- TruDi Nav Cable$1,223
- Inspire Upper Airway Stimulation System$725
- DUPIXENT$661
- PROPEL$584
- RHINAER STYLUS$500
- Acclarent Navwire$289
- CLARIFIX$224
- Relieva Spinplus$171
- NUVENT$148
- CoolSeal Generator$132
- STEALTHSTATION S8 PLATFORM$128
- Olympus Capital Accessories$107
- SINUVA$101
How this compares
$15,490 in reported general payments places this provider in the 95th percentile of 30 facial plastic surgery 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 |
|---|---|---|
| Azelastine Hcl | 226 | $5,322 |
| Ipratropium Bromide | 89 | $2,814 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 20 | $2,218 |
| Omeprazole | 29 | $824 |
| Fluticasone Propionate | 54 | $777 |
| Clotrimazole | 14 | $453 |
| Montelukast Sodium | 15 | $318 |
| Levothyroxine Sodium | 19 | $261 |
| Ofloxacin | 24 | $195 |
| Promethazine Hcl | 13 | $143 |
| Cefdinir | 12 | $134 |
| Mupirocin | 22 | $100 |
| Prednisone | 23 | $76 |
| Cephalexin | 11 | $47 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Farmington Hills
- Ahmed MakiPontiac$24K
- Andrew BehlerGrand Rapids$10K
- Christopher MetzMadison Heights$7K
- John UlrichGrand Blanc$7K
- Laura Garcia RodriguezDetroit$6K
- Anthony HowardGrand Rapids$4K
- Noah SternDetroit$4K
- Adam RourkeSterling Heights$4K
- John RileyGrand Rapids$3K
- Colin BohrPontiac$3K
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.