Helene Lacoste, MD
Obstetrics & Gynecology · Novi, MINPI 1629063029
Payments from drug & device makers
Across 116 payments — averaging $20.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$687
- Sumitomo Pharma America, Inc.$232
- Myovant Sciences Inc.$190
- Hologic Sales And Service, LLC$152
- Exeltis, USA Inc.$132
- Organon$113
- plus $866 from 23 others
What the payments were for
- Food & beverage$2,32098%
- Education$522%
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 |
|---|---|---|
| AbbVie | 35 | $687 |
| Sumitomo Pharma America, Inc. | 9 | $232 |
| Myovant Sciences Inc. | 7 | $190 |
| Hologic Sales And Service, LLC | 8 | $152 |
| Exeltis, USA Inc. | 7 | $132 |
| Organon | 4 | $113 |
| Astellas Pharma US Inc | 4 | $86 |
| Pfizer | 4 | $83 |
| Mylan Pharmaceuticals Inc. | 5 | $70 |
| Bayer | 4 | $64 |
| Aspira Women's Health Inc | 1 | $57 |
| Coopersurgical, Inc. | 3 | $57 |
| Sage Therapeutics, LLC | 2 | $44 |
| Mayne Pharma Commercial LLC | 2 | $40 |
| Channel Medsystems, Inc. | 2 | $39 |
| Agile Therapeutics, Inc. | 2 | $37 |
| Exact Sciences | 2 | $34 |
| Therapeuticsmd, Inc. | 2 | $32 |
| Amgen | 2 | $32 |
| AMAG Pharmaceuticals, Inc. | 2 | $29 |
| Daiichi Sankyo Inc. | 1 | $26 |
| Avion Pharmaceuticals | 1 | $23 |
| Lupin Inc. | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Baxter Healthcare | 1 | $19 |
| Meditrina | 1 | $17 |
| Merck | 1 | $15 |
| Scynexis, Inc. | 1 | $13 |
| Zyla Life Sciences, Inc. | 1 | $12 |
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.
- Orilissa$125
How this compares
$2,372 in reported general payments places this provider in the 80th percentile of 1,474 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 59 | $5,008 |
| YuvafemEstradiol | 11 | $1,976 |
| ValacyclovirValacyclovir Hcl | 27 | $1,217 |
| Raloxifene Hcl | 15 | $982 |
| Clobetasol Propionate | 23 | $766 |
| ProgesteroneProgesterone, Micronized | 11 | $524 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 23 | $367 |
| Alendronate Sodium | 27 | $203 |
| Escitalopram Oxalate | 17 | $167 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $107 |
| Fluconazole | 17 | $66 |
| Triamcinolone Acetonide | 14 | $35 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Novi
- Sarah Deighton CollinsNovi$14K
- Haider MahdiDetroit$3.4M
- Andrew WagnerMidland$2M
- Jason BellAnn Arbor$548K
- Jacquelyn RobinsonSaginaw$539K
- Jouhaina MalehDearborn$524K
- Awoniyi AwonugaSouthfield$445K
- Rabbie HannaDetroit$421K
- David EisensteinDetroit$296K
- Duane HeilbronnSaginaw$234K
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.