Cynthia Vakhariya, DO
Internal Medicine · Southfield, MINPI 1114143062
Payments from drug & device makers
Across 120 payments — averaging $185.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$15K
- Seagen Inc.$5K
- Merck$1K
- Novartis$259
- Genentech USA, Inc.$189
- E.r. Squibb & Sons, L.L.C.$175
- plus $1K from 24 others
What the payments were for
- Speaking & faculty fees$8,45075%
- Travel & lodging$5845%
- Food & beverage$2,11919%
- Education$510%
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 |
|---|---|---|
| Pfizer | 9 | $14,663 |
| Seagen Inc. | 4 | $4,687 |
| Merck | 21 | $1,235 |
| Novartis | 15 | $259 |
| Genentech USA, Inc. | 7 | $189 |
| E.r. Squibb & Sons, L.L.C. | 5 | $175 |
| Amgen | 10 | $139 |
| Johnson & Johnson(2 entities) | 6 | $118 |
| Gilead(2 entities) | 6 | $96 |
| AbbVie | 3 | $85 |
| Ipsen Biopharmaceuticals, Inc | 4 | $77 |
| Exelixis Inc. | 4 | $71 |
| Bristol Myers Squibb | 4 | $68 |
| AstraZeneca(2 entities) | 3 | $41 |
| Puma Biotechnology, Inc. | 3 | $39 |
| Array Biopharma Inc | 2 | $37 |
| Recordati_rare_diseases_inc. | 1 | $32 |
| Genmab U.S., Inc. | 1 | $28 |
| Bayer | 1 | $24 |
| Eisai Inc. | 1 | $23 |
| Blueprint Medicines Corporation | 1 | $22 |
| Agios Pharmaceuticals, Inc. | 1 | $22 |
| Verastem, Inc. | 1 | $18 |
| Rigel Pharmaceuticals, Inc. | 1 | $18 |
| Astellas Pharma US Inc | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| G1 Therapeutics, Inc. | 1 | $17 |
| EMD Serono, Inc. | 1 | $16 |
| Mylan Pharmaceuticals Inc. | 1 | $16 |
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
$22,267 in reported general payments places this provider in the 95th percentile of 4,567 internal 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 |
|---|---|---|
| RevlimidLenalidomide | 27 | $461,671 |
| ImbruvicaIbrutinib | 33 | $354,940 |
| JakafiRuxolitinib Phosphate | 13 | $227,226 |
| IbrancePalbociclib | 14 | $217,845 |
| Lenalidomide | 16 | $215,301 |
| VerzenioAbemaciclib | 13 | $185,364 |
| LeukeranChlorambucil | 11 | $172,755 |
| PromactaEltrombopag Olamine | 13 | $159,364 |
| BosulifBosutinib | 11 | $152,593 |
| EliquisApixaban | 86 | $99,222 |
| XareltoRivaroxaban | 47 | $53,513 |
| Imatinib Mesylate | 20 | $16,208 |
| Anastrozole | 273 | $11,107 |
| Exemestane | 51 | $7,662 |
| Temazepam | 29 | $3,580 |
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 |
|---|---|---|
| PfizerIbrance, Bosulif, Eliquis | $14,663 | $469,660111 claims |
| Bristol Myers SquibbRevlimid | $68 | $461,67127 claims |
| NovartisPromacta | $259 | $159,36413 claims |
| Johnson & JohnsonXarelto | $118 | $53,51347 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 95th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Southfield
- Adam FormanSouthfield$524K
- Talal KhaderSouthfield$319K
- Gregory BergerSouthfield$273K
- Ulka VaishampayanAnn Arbor$33.7M
- Jeffrey PottsBay City$14.7M
- Neil FraserTroy$14.3M
- Abdulhassan SaadDearborn$11.5M
- Leslie PelkeyGrand Rapids$8.5M
- Jay SandbergTroy$8.3M
- Ding WangDetroit$6.8M
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.