Ihab Saab, MD
Plastic and Reconstructive Surgery · Flint, MINPI 1366874968
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Axogen at 34.8% of the total. Reporting peaked in 2019 at $1,982 and has fallen 92.0% since, to $159 in 2025.
Across 28 payments — averaging $191.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Pinnacle, Inc$2K
- Integra Lifesciences Corporation$282
- TELA Bio, Inc.$259
- Musculoskeletal Transplant Foundation Inc.$259
- Johnson & Johnson$179
- plus $799 from 7 others
What the payments were for
- Travel & lodging$84816%
- Food & beverage$2,81152%
- Education$1,70932%
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 |
|---|---|---|
| Axogen | 9 | $1,868 |
| Pinnacle, Inc | 3 | $1,722 |
| Integra Lifesciences Corporation | 3 | $282 |
| TELA Bio, Inc. | 2 | $259 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $259 |
| Johnson & Johnson(2 entities) | 2 | $179 |
| Polynovo North America LLC | 1 | $141 |
| Avita Medical Americas, LLC | 1 | $138 |
| AbbVie | 1 | $137 |
| Baxter Healthcare | 1 | $126 |
| Stryker | 1 | $125 |
| Bard Peripheral Vascular, Inc. | 1 | $112 |
| Mentor Worldwide LLC | 1 | $21 |
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.
- AVANCE NERVE GRAFT$1,814
- AxoGuard Nerve Connector$1,814
- AxoGuard Nerve Protector$1,814
- INTEGRA$500
- Ovitex$259
- INTEGRA DERMAL REGENERATION TEMPLATE$167
- PRIMATRIX$167
- AXOGUARD HA+ NERVE PROTECTOR$156
- AxoGuard Nerve Cap$156
- Novosorb BTM$141
- Cohealyx$138
- RECELL$138
- PERMEADERM$138
- NATRELLE$137
- ARTISS$126
- 1588 HD 3 CHIP CAMERA$125
- TRUMATCH$124
How this compares
$5,368 in reported general payments places this provider in the 70th percentile of 55 plastic and reconstructive surgery providers in Michigan.
See all plastic and reconstructive surgery 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.
Other plastic and reconstructive surgery in Flint
- Michael MeiningerBloomfield Hills$152K
- Dunya AtishaDetroit$74K
- Barak TanzmanBerkley$70K
- Firas KarmoPontiac$47K
- Melek KayserSaint Clair Shores$28K
- Theodore KungAnn Arbor$19K
- Pravin PuriTroy$16K
- Christopher LumleyBingham Farms$15K
- Maristella EvangelistaDetroit$11K
- Kenneth ShaheenTroy$9K
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.