George Ghanem, MD
Cardiovascular Disease · St Clair Shores, MINPI 1104899269
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 30 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Boston Scientific at 27.9% of the total. Reporting peaked in 2021 at $437 and has fallen 75.6% since, to $106 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in MI, where the typical reported total is $2,775.
Across 30 payments — averaging $51.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$435
- Abbott$412
- Pinnacle, Inc$139
- Atricure, Inc.$134
- Bayer$118
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$79
- plus $242 from 6 others
What the payments were for
- Food & beverage$1,555100%
- Education$40%
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 |
|---|---|---|
| Boston Scientific | 5 | $435 |
| Abbott | 7 | $412 |
| Pinnacle, Inc | 1 | $139 |
| Atricure, Inc. | 1 | $134 |
| Bayer | 2 | $118 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $79 |
| E.r. Squibb & Sons, L.L.C. | 4 | $69 |
| Medtronic | 1 | $58 |
| Kestra Medical Technology Services, Inc. | 1 | $47 |
| Amgen | 2 | $29 |
| Cook Medical LLC | 1 | $22 |
| Tactile Systems Technology 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
$1,559 in reported general payments places this provider in the 40th percentile of 760 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 194 | $230,560 |
| XareltoRivaroxaban | 58 | $61,250 |
| EntrestoSacubitril/Valsartan | 21 | $29,291 |
| Metoprolol Succinate | 356 | $5,839 |
| Rosuvastatin Calcium | 293 | $4,533 |
| Losartan Potassium | 254 | $3,764 |
| Atorvastatin Calcium | 234 | $2,531 |
| Amlodipine Besylate | 252 | $2,319 |
| Metoprolol Tartrate | 193 | $2,271 |
| ClopidogrelClopidogrel Bisulfate | 83 | $2,096 |
| Digoxin | 65 | $2,069 |
| Carvedilol | 124 | $1,668 |
| Amiodarone Hcl | 54 | $1,555 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 76 | $1,520 |
| Lisinopril | 143 | $1,508 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in St Clair Shores
- Thomas DavisSt Clair Shores$127K
- Thomas LalondeSt Clair Shores$65K
- Marc GosselinSt Clair Shores$43K
- Marschall RungeAnn Arbor$1.8M
- Jihad MustaphaGrand Rapids$1.6M
- Vallerie McLaughlinAnn Arbor$947K
- Pedro Villablanca SpinettoDetroit$620K
- Stanley ChetcutiAnn Arbor$573K
- David HainesRoyal Oak$492K
- Steven AlmanyTroy$471K
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.