RxDoctor Payments Data

Ghazwan Atto, MD

Internal Medicine · Wyandotte, MINPI 1578553301

Payments from drug & device makers

$20,558in general payments, 2019–2025

Across 1,467 payments — averaging $14.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • AbbVie$2K
  • AstraZeneca$1K
  • Lilly USA, LLC$1K
  • Amgen$1K
  • Pfizer$1K
  • plus $12K from 54 others
$18,959in research payments, 2019–2025

Across 1 payment — averaging $18,959 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.

  • Currax Pharmaceuticals LLC$19K

What the payments were for

  • Food & beverage$20,33699%
  • Education$2221%

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
22
23
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.

CompanyPaymentsTotal
Novo Nordisk168$1,906
AbbVie(2 entities)134$1,710
AstraZeneca72$1,479
Lilly USA, LLC101$1,276
Amgen(2 entities)92$1,236
Pfizer97$1,042
GSK97$928
Boehringer Ingelheim55$797
Merck52$742
Johnson & Johnson78$649
Novartis33$509
Astellas Pharma US Inc22$492
Bayer29$480
E.r. Squibb & Sons, L.L.C.29$469
Sanofi-aventis U.S. LLC36$457
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC28$447
Merz North America, Inc.2$418
Takeda Pharmaceuticals U.S.A., Inc.32$361
Otsuka America Pharmaceutical, Inc.20$340
Corcept Therapeutics14$338
Teva Pharmaceuticals USA, Inc.20$321
Axsome Therapeutics, Inc.19$316
Xeris Pharmaceuticals, Inc.16$294
Sunovion Pharmaceuticals Inc.21$258
Amarin Pharma, Inc.15$235
Medtronic6$226
Sumitomo Pharma America, Inc.13$192
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)12$180
Corium, LLC14$153
UCB, Inc.7$141
Biogen8$128
Mylan Specialty L.p.6$121
Radius Health, Inc.8$109
Ironwood Pharmaceuticals, Inc6$92
Biohaven Pharmaceutical Holding Company Ltd.6$91
Biohaven Pharmaceuticals, Inc.5$85
Eisai Inc.7$85
Neurocrine Biosciences, Inc.5$71
Dexcom, Inc.5$69
Boston Scientific3$66
Lundbeck LLC4$64
Aimmune Therapeutics, Inc.4$62
Ultragenyx Pharmaceutical Inc.4$62
United Therapeutics Corporation2$55
Seqirus USA Inc3$52
Grifols USA, LLC3$51
Lexicon Pharmaceuticals, Inc.3$49
Genentech USA, Inc.3$46
Inari Medical, Inc.2$42
Jazz Pharmaceuticals Inc.3$42
Esperion Therapeutics, Inc.2$41
Scilex Pharmaceuticals Inc.2$41
Abbott2$39
Nestle Healthcare Nutrition Inc.2$38
Krystal Biotech Inc2$37
IBSA Pharma Inc.2$35
Insulet Corporation2$35
Alnylam Pharmaceuticals Inc.2$34
Impulse Dynamics (USA) Inc.1$28
Mannkind Corporation2$28

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

$20,558 in reported general payments places this provider in the 95th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$2,305,496
Medicare patients
1,193
Services billed
12,311

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
KorlymMifepristone12$484,079
JardianceEmpagliflozin386$423,230
EliquisApixaban353$371,834
OzempicSemaglutide276$315,865
MounjaroTirzepatide205$296,425
FarxigaDapagliflozin Propanediol247$261,219
Enbrel SureclickEtanercept25$241,310
EntrestoSacubitril/Valsartan156$170,941
TrulicityDulaglutide131$147,598
XareltoRivaroxaban157$142,951
Trelegy ElliptaFluticasone/Umeclidin/Vilanter164$141,050
RexultiBrexpiprazole32$65,801
XifaxanRifaximin21$56,165
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog51$40,647
GemtesaVibegron44$34,452

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Corcept TherapeuticsKorlym$338$484,07912 claims
Boehringer IngelheimJardiance, Spiriva Respimat$797$450,014427 claims
Lilly USA, LLCMounjaro, Trulicity$1,276$444,023336 claims
PfizerEliquis, Nurtec Odt$1,042$391,585366 claims
Novo NordiskOzempic, Rybelsus, Wegovy$1,906$358,000299 claims
AstraZenecaFarxiga, Brilinta, Breztri Aerosphere$1,479$302,137303 claims
NovartisEntresto$509$170,941156 claims
Johnson & JohnsonXarelto, Invokana$649$164,433176 claims
GSKTrelegy Ellipta$928$141,050164 claims
Otsuka America Pharmaceutical, Inc.Rexulti$340$65,80132 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$447$56,16521 claims
Sumitomo Pharma America, Inc.Gemtesa$192$34,45244 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 4,567 internal medicine providers in Michigan.

Other internal medicine in Wyandotte

See the full list for Michigan

Where these figures come from

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