James Paxton, MD
Emergency Medicine · Detroit, MINPI 1063622793
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.0%), food and beverage and grants — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Vertex at 57.9% of the total. Among emergency medicine clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 17 payments — averaging $574.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vertex$6K
- Sanofi$2K
- AOP Health US, LLC$1K
- Quidel Corporation$400
- Abbott$143
- AstraZeneca$118
- plus $202 from 2 others
Across 17 payments — averaging $28,323 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.
- Instrumentation Laboratory Company$389K
- Pfizer$79K
- CSL Behring$13K
What the payments were for
- Consulting fees$4,78549%
- Grants$2,00020%
- Travel & lodging$98210%
- Food & beverage$2,00521%
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 |
|---|---|---|
| Vertex | 9 | $5,661 |
| Sanofi | 2 | $2,000 |
| AOP Health US, LLC | 1 | $1,248 |
| Quidel Corporation | 1 | $400 |
| Abbott | 1 | $143 |
| AstraZeneca | 1 | $118 |
| Genentech USA, Inc. | 1 | $103 |
| Teleflex LLC | 1 | $100 |
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.
How this compares
$9,771 in reported general payments places this provider in the 95th percentile of 2,532 emergency medicine 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 |
|---|---|---|
| Naproxen | 17 | $48 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Detroit
- Joseph MillerDetroit$202K
- Jacob ManteuffelDetroit$185K
- Phillip LevyDetroit$177K
- Robert WelchDetroit$44K
- Richard NowakDetroit$38K
- Kimberlydawn WisdomDetroit$37K
- Ankit NanavatiDetroit$10K
- Tolulope SonuyiDetroit$6K
- Dion SamersonDetroit$3K
- Claire PearsonDetroit$2K
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.