Heather Orkwis, DO
Dermatology · Clinton Township, MINPI 1750514865
Payments from drug & device makers
Across 248 payments — averaging $26.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- AbbVie$1K
- E.r. Squibb & Sons, L.L.C.$601
- Sanofi$441
- Galderma Laboratories, L.p.$377
- Novartis$326
- plus $2K from 18 others
What the payments were for
- Consulting fees$1,20018%
- Food & beverage$5,37181%
- Education$981%
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 |
|---|---|---|
| Johnson & Johnson | 26 | $1,732 |
| AbbVie(2 entities) | 47 | $1,220 |
| E.r. Squibb & Sons, L.L.C. | 32 | $601 |
| Sanofi | 20 | $441 |
| Galderma Laboratories, L.p. | 12 | $377 |
| Novartis | 19 | $326 |
| LEO Pharma Inc. | 15 | $281 |
| Regeneron Healthcare Solutions, Inc. | 10 | $250 |
| Sun Pharmaceutical Industries Inc. | 12 | $191 |
| Amgen | 9 | $180 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $165 |
| Lilly USA, LLC | 7 | $144 |
| Incyte Corporation | 6 | $139 |
| Arcutis Biotherapeutics, Inc. | 7 | $121 |
| Dermavant Sciences, Inc. | 5 | $101 |
| Pfizer | 6 | $93 |
| Almirall LLC | 4 | $74 |
| UCB, Inc. | 2 | $70 |
| Revance Therapeutics, Inc. | 1 | $52 |
| Encore Dermatology Inc. | 2 | $34 |
| Organon | 2 | $29 |
| Fresenius Kabi USA, LLC | 1 | $21 |
| Boehringer Ingelheim | 1 | $17 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $11 |
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.
- Tremfya$1,325
- BOTOX COSMETIC$125
- Sotyktu$120
How this compares
$6,670 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 11 | $75,819 |
| Fluorouracil | 39 | $2,285 |
| Clobetasol Propionate | 70 | $2,011 |
| Clindamycin Phosphate | 64 | $1,904 |
| Gentamicin Sulfate | 26 | $1,663 |
| Ammonium Lactate | 108 | $1,398 |
| Betamethasone Dipropionate | 20 | $945 |
| Metronidazole | 29 | $930 |
| Minoxidil | 56 | $870 |
| Triamcinolone Acetonide | 92 | $851 |
| Mupirocin | 123 | $777 |
| Econazole Nitrate | 39 | $775 |
| Doxycycline Hyclate | 52 | $769 |
| ValacyclovirValacyclovir Hcl | 26 | $696 |
| Hydrocortisone | 74 | $563 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Clinton Township
- Daniel StewartClinton Township$644K
- Mary Veremis LeyClinton Township$336K
- Davide IacobelliClinton Township$278K
- Tiffany CukrowskiClinton Township$36K
- Johann GudjonssonAnn Arbor$15.9M
- Ali MoiinTroy$9.9M
- Linda Stein GoldWest Bloomfield$7.5M
- Wendy McFaldaClarkston$3.6M
- Kristi HawleyCaledonia$2.5M
- Brent BoyceSebewaing$2.2M
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.