Howard Kerwin
Internal Medicine · Clinton Twp, MINPI 1134124209
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 158 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 18.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $782 and has fallen 95.2% since, to $37 in 2023.
Across 158 payments — averaging $15.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$455
- Johnson & Johnson$288
- AstraZeneca$206
- AbbVie$171
- Novartis$133
- Fresenius USA Marketing, Inc.$132
- plus $1K from 22 others
What the payments were for
- Food & beverage$2,423100%
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 |
|---|---|---|
| Amgen | 32 | $455 |
| Johnson & Johnson | 19 | $288 |
| AstraZeneca(2 entities) | 15 | $206 |
| AbbVie(2 entities) | 11 | $171 |
| Novartis | 9 | $133 |
| Fresenius USA Marketing, Inc. | 8 | $132 |
| GSK | 8 | $123 |
| Boehringer Ingelheim | 7 | $121 |
| Novo Nordisk | 7 | $105 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $92 |
| Sanofi | 4 | $71 |
| Mallinckrodt Enterprises LLC | 4 | $60 |
| Abbott | 3 | $56 |
| Otsuka America Pharmaceutical, Inc. | 4 | $54 |
| Mallinckrodt Hospital Products Inc. | 3 | $47 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $43 |
| Calliditas Therapeutics US Inc. | 2 | $38 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $37 |
| Bardy Diagnostics, Inc. | 2 | $35 |
| Aurinia Pharma U.S., Inc. | 2 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $31 |
| Vifor Pharma, Inc. | 1 | $15 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
| Bayer | 1 | $14 |
| Akebia Therapeutics Inc | 1 | $14 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
| Pfizer | 1 | $11 |
| Bard Peripheral Vascular, Inc. | 1 | $11 |
How this compares
$2,423 in reported general payments places this provider in the 85th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Clinton Twp
- Terry SmithAnn Arbor$2.3M
- Michael ValituttoKalamazoo$1.8M
- Ulka VaishampayanAnn Arbor$996K
- Tina AbrahamPontiac$834K
- Steven KatzmanLivonia$715K
- Adam FormanSouthfield$453K
- Saroj NeupaneDetroit$373K
- James BazziDearborn Heights$368K
- Mohamad HatahetWaterford$352K
- A FendrickAnn Arbor$347K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.