RxDoctor Payments Data

Daniel Shuster, DO

Vascular Neurology · Royal Oak, MINPI 1326573361

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 17 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 11 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $170 and has fallen 89.8% since, to $17 in 2025. That places this record below the midpoint for vascular neurology clinicians in MI, where the typical reported total is $1,265.

$309in general payments, 2019–2025

Across 17 payments — averaging $18.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$54
  • AbbVie$50
  • Avanir Pharmaceuticals, Inc.$36
  • Mallinckrodt Enterprises LLC$35
  • Genentech USA, Inc.$28
  • Neurelis, Inc.$23
  • plus $83 from 5 others

What the payments were for

  • Food & beverage$309100%

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

19
20
21
24
25

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.

How this compares

$309 in reported general payments places this provider in the 15th percentile of 29 vascular neurology providers in Michigan.

See all vascular neurology providers in Michigan

Medicare billing

Part B allowed, 2024
$67,441
Medicare patients
185
Services billed
541

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
EliquisApixaban11$17,916
Atorvastatin Calcium86$1,102
Rosuvastatin Calcium29$438
Propranolol Hcl ErPropranolol Hcl13$424
Carbidopa-LevodopaCarbidopa/Levodopa15$385
Levetiracetam16$379
ClopidogrelClopidogrel Bisulfate24$226
Donepezil Hcl38$216
Gabapentin32$199
Losartan Potassium11$189

Paid to pharmacies, not to this prescriber.

Other vascular neurology in Royal Oak

See the full list for Michigan

Where these figures come from

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