Helena Bulka, DO
Neurology · Madison Heights, MINPI 1366730020
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 53 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Novartis at 30.2% of the total.
Across 53 payments — averaging $37.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$603
- Biohaven Pharmaceuticals, Inc.$246
- Lilly USA, LLC$244
- Neurocrine Biosciences, Inc.$207
- Sanofi$181
- Amgen$136
- plus $378 from 6 others
Across 27 payments — averaging $30,399 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.
- Novartis$780K
- F. Hoffmann-la Roche AG$29K
- Hoffmann-la Roche Limited$12K
What the payments were for
- Food & beverage$1,995100%
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 |
|---|---|---|
| Novartis | 20 | $603 |
| Biohaven Pharmaceuticals, Inc. | 2 | $246 |
| Lilly USA, LLC | 6 | $244 |
| Neurocrine Biosciences, Inc. | 8 | $207 |
| Sanofi | 9 | $181 |
| Amgen | 1 | $136 |
| AstraZeneca | 1 | $125 |
| AbbVie | 1 | $125 |
| EMD Serono, Inc. | 1 | $52 |
| Teva Pharmaceuticals USA, Inc. | 2 | $51 |
| TG Therapeutics, Inc. | 1 | $14 |
| Corium, LLC | 1 | $10 |
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.
- NURTEC ODT$246
- UPLIZNA$136
- SOLIRIS$125
- QULIPTA$125
- MAYZENT$121
How this compares
$1,995 in reported general payments places this provider in the 55th percentile of 652 neurology 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 |
|---|---|---|
| Kesimpta PenOfatumumab | 98 | $884,968 |
| VumerityDiroximel Fumarate | 59 | $490,540 |
| Glatiramer Acetate | 164 | $407,326 |
| CopaxoneGlatiramer Acetate | 68 | $402,068 |
| Avonex (4 Pack)Interferon Beta-1a | 37 | $282,991 |
| Dimethyl Fumarate | 167 | $233,777 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 26 | $211,948 |
| TecfideraDimethyl Fumarate | 17 | $149,160 |
| BetaseronInterferon Beta-1b | 12 | $115,158 |
| GilenyaFingolimod Hcl | 11 | $109,193 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 13 | $102,064 |
| AubagioTeriflunomide | 11 | $100,542 |
| AmpyraDalfampridine | 14 | $61,751 |
| Dalfampridine ErDalfampridine | 107 | $43,503 |
| Nurtec OdtRimegepant Sulfate | 24 | $24,992 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Copaxone | $51 | $402,06868 claims |
| NovartisGilenya | $603 | $109,19311 claims |
| SanofiAubagio | $181 | $100,54211 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 55th percentile of 652 neurology providers in Michigan.
Other neurology in Madison Heights
- Aaron EllenbogenFarmington Hills$1.6M
- Matthew HoltzmanWayne$1.4M
- Richard TroschFarmington Hills$1.2M
- Wade CooperAnn Arbor$991K
- Bisena BulicaDetroit$900K
- Julie BurnhamMount Clemens$836K
- Amit MasihOkemos$785K
- Martin BelkinFarmington Hills$712K
- Robert PaceOwosso$693K
- Rosemarie WalchOwosso$563K
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.