George Murakawa, MD
Dermatology · Troy, MINPI 1265422497
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $125,415 of the $191,692 with a category attached, or 65.4%. 39 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 32.3% of the total. Among dermatology clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,242 payments — averaging $154.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$62K
- Sanofi$50K
- Galderma Laboratories, L.p.$26K
- Sun Pharmaceutical Industries Inc.$19K
- Novartis$5K
- LEO Pharma Inc.$5K
- plus $25K from 33 others
Across 307 payments — averaging $3561.59 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- UCB SA$358K
- Janssen Research & Development, LLC$166K
- AbbVie$127K
- E.r. Squibb & Sons, L.L.C.$100K
- Eli Lilly$98K
- Pfizer$56K
- plus $188K from 13 others
What the payments were for
- Consulting fees$21,38411%
- Speaking & faculty fees$125,41565%
- Travel & lodging$6,9084%
- Food & beverage$37,23419%
- Education$7510%
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.
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.
- DUPIXENT$107,189
- ILUMYA$16,447
- LIBTAYO$10,060
- NEMLUVIO$9,071
- Tremfya$3,295
- Cimzia$1,635
- WYNZORA$1,500
- Clarify Medical$1,500
- InnovaMatrix AC$1,390
- Rinvoq$1,273
- Kerecis SurgiClose$1,044
- COSENTYX$823
- Skyrizi$786
- ZORYVE$536
- POTELIGEO$515
- VTAMA$377
- Kerecis GraftGuide$261
- Bimzelx$258
- OPZELURA$240
- Winlevi$232
How this compares
$191,692 in reported general payments places this provider in the 95th percentile of 404 dermatology 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 |
|---|---|---|
| Dupixent SyringeDupilumab | 94 | $364,612 |
| Dupixent PenDupilumab | 39 | $171,103 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 14 | $95,008 |
| Humira(Cf) PenAdalimumab | 12 | $92,684 |
| Acitretin | 54 | $26,909 |
| Mycophenolate Mofetil | 153 | $13,994 |
| Alclometasone Dipropionate | 254 | $9,375 |
| Triamcinolone Acetonide | 519 | $7,915 |
| Tacrolimus | 70 | $7,052 |
| Doxycycline Ir-DrDoxycycline Monohydrate | 13 | $7,035 |
| Mometasone Furoate | 333 | $5,930 |
| Doxycycline Hyclate | 245 | $5,394 |
| Azelaic Acid | 49 | $4,845 |
| Clobetasol Propionate | 105 | $2,597 |
| Econazole Nitrate | 76 | $2,249 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Troy
- Ann HernTroy$118K
- Ali MoiinTroy$29K
- Farah MalickTroy$17K
- Linda Stein GoldWest Bloomfield$3.3M
- Kristi HawleyCaledonia$2.2M
- David AltmanWarren$1.9M
- Michael SiegelWaterford$708K
- Johann GudjonssonAnn Arbor$535K
- Michael DormanWest Bloomfield$433K
- Steven DaveluyDearborn$350K
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.