George Miguel, DO
Plastic Surgery Within the Head and Neck · Troy, MINPI 1487894754
Payments from drug & device makers
What this record shows
19 manufacturers reported payments, led by Stryker at 58.8% of the total. Reporting peaked in 2022 at $1,439 and has fallen 64.9% since, to $504 in 2025.
Across 49 payments — averaging $85.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- AbbVie$314
- Revance Therapeutics, Inc.$288
- Acclarent, Inc$171
- Medtronic$155
- Zimmer Biomet$146
- plus $646 from 13 others
What the payments were for
- Consulting fees$1,80043%
- Food & beverage$2,36857%
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 |
|---|---|---|
| Stryker | 11 | $2,449 |
| AbbVie(2 entities) | 15 | $314 |
| Revance Therapeutics, Inc. | 3 | $288 |
| Acclarent, Inc | 1 | $171 |
| Medtronic | 1 | $155 |
| Zimmer Biomet | 1 | $146 |
| Optinose US, Inc. | 1 | $123 |
| Ambu Inc. | 1 | $117 |
| Aerin Medical Inc. | 1 | $109 |
| Regeneron Healthcare Solutions, Inc. | 5 | $95 |
| Checkpoint Surgical, Inc | 1 | $50 |
| Convatec Inc. | 1 | $30 |
| ETS Wound Care LLC | 1 | $25 |
| Johnson & Johnson | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Acera Surgical, Inc. | 1 | $17 |
| Sanofi | 1 | $17 |
| Vertex | 1 | $14 |
| Merck | 1 | $13 |
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.
- XPRESS ENT DILATION SYSTEM$1,486
- LATERA$600
- Relieva Spinplus$171
- PROPEL$155
- DAXXIFY$150
- Omni Max$146
- RibFix Blu$146
- RibFix Advantage$146
- VSP SYSTEM, VSP CRANIAL$127
- Xhance$123
How this compares
$4,168 in reported general payments places this provider in the 85th percentile of 27 plastic surgery within the head and neck providers in Michigan.
See all plastic surgery within the head and neck 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 |
|---|---|---|
| Cephalexin | 16 | $69 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $60 |
| Ondansetron Hcl | 12 | $11 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head and neck in Troy
- Al-Waleed AbuzeidAnn Arbor$10K
- Hassan NasserSaint Clair Shores$8K
- Richard StrabbingHolland$6K
- Alec BoniferGrand Rapids$5K
- Drue ManningClinton Township$4K
- Narendra KumarSaginaw$3K
- Nicholas CameronGrand Rapids$2K
- Tracy OrtonHolland$2K
- Luxman SrikanthaCommerce Township$2K
- Shivani Shah-BeckerAnn Arbor$2K
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.