George Varughese, MD
Family Medicine · Grand Rapids, MINPI 1154585149
Payments from drug & device makers
Across 62 payments — averaging $11.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$173
- Gilead$112
- Amgen$58
- Johnson & Johnson$57
- Novartis$56
- Novo Nordisk$49
- plus $216 from 11 others
What the payments were for
- Food & beverage$721100%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 20 | $173 |
| Gilead | 11 | $112 |
| Amgen | 5 | $58 |
| Johnson & Johnson | 4 | $57 |
| Novartis | 4 | $56 |
| Novo Nordisk | 3 | $49 |
| Shire North American Group Inc | 2 | $37 |
| AbbVie | 2 | $34 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $26 |
| Mylan Specialty L.p. | 2 | $25 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Insulet Corporation | 1 | $15 |
| Insmed, Inc. | 1 | $14 |
| Amarin Pharma, Inc. | 1 | $14 |
| Dynavax Technologies Corporation | 1 | $11 |
| E.r. Squibb & Sons, L.L.C. | 1 | $11 |
How this compares
$721 in reported general payments places this provider in the 65th percentile of 3,945 family 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 |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 14 | $397 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $142 |
| Atorvastatin Calcium | 11 | $115 |
| Prednisone | 57 | $94 |
| Cephalexin | 12 | $75 |
| Doxycycline Hyclate | 12 | $49 |
| Azithromycin | 22 | $45 |
| Amoxicillin | 12 | $42 |
| Meloxicam | 12 | $27 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Grand Rapids
- Rhonda MejeurGrand Rapids$493K
- Mary DagenGrand Rapids$265K
- Nirali BoraGrand Rapids$133K
- Oren MasonGrand Rapids$97K
- Magalis LlovetGrand Rapids$21K
- Derrick WilliamsonSouthfield$9.9M
- Rebecca RivardRoseville$7M
- Paul BensonBerkley$4.2M
- Michael HafranEast Lansing$2.7M
- Mitzie HewittBuckley$1.3M
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.