RxDoctor Payments Data

Colleen Altman

Adult Health · Birmingham, MINPI 1619244142

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.5% of the total across 183 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 49 manufacturers, the largest accounting for just 10.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $1,758 and has fallen 95.6% since, to $78 in 2024. Among adult health clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$3,889in general payments, 2019–2025

Across 183 payments — averaging $21.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$417
  • Daiichi Sankyo Inc.$336
  • Novartis$272
  • Lilly USA, LLC$242
  • Astellas Pharma US Inc$237
  • Eisai Inc.$226
  • plus $2K from 43 others

What the payments were for

  • Food & beverage$3,79097%
  • Education$993%

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

21
22
23
24

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.

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.

How this compares

$3,889 in reported general payments places this provider in the 90th percentile of 527 adult health providers in Michigan.

See all adult health providers in Michigan

Medicare billing

Part B allowed, 2024
$12,630
Medicare patients
92
Services billed
201

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

DrugClaimsCost to plans & patients
Anastrozole11$210

Paid to pharmacies, not to this prescriber.

Other adult health in Birmingham

See the full list for Michigan

Where these figures come from

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