Jamie Karek, CNM
Advanced Practice Midwife · East Lansing, MINPI 1235610924
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 55 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AbbVie at 35.9% of the total. Reporting peaked in 2021 at $416 and has fallen 80.0% since, to $83 in 2025. Among advanced practice midwife 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 55 payments — averaging $19.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$378
- Daiichi Sankyo Inc.$122
- Pfizer$115
- Hologic Sales And Service, LLC$66
- Myovant Sciences Inc.$48
- Biogen$46
- plus $278 from 12 others
What the payments were for
- Food & beverage$1,053100%
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 | 22 | $378 |
| Daiichi Sankyo Inc. | 6 | $122 |
| Pfizer | 7 | $115 |
| Hologic Sales And Service, LLC | 3 | $66 |
| Myovant Sciences Inc. | 2 | $48 |
| Biogen | 2 | $46 |
| Aspira Women's Health Inc | 1 | $37 |
| Merck | 1 | $35 |
| Mylan Pharmaceuticals Inc. | 2 | $32 |
| Johnson & Johnson | 1 | $29 |
| Exeltis, USA Inc. | 1 | $22 |
| Organon | 1 | $21 |
| Agile Therapeutics, Inc. | 1 | $19 |
| Mayne Pharma Commercial LLC | 1 | $18 |
| Ascend Therapeutics US, LLC | 1 | $18 |
| Coopersurgical, Inc. | 1 | $17 |
| Lilly USA, LLC | 1 | $17 |
| Therapeuticsmd, Inc. | 1 | $12 |
How this compares
$1,053 in reported general payments places this provider in the 95th percentile of 262 advanced practice midwife 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 | 19 | $2,962 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in East Lansing
- Kelley HammisSaginaw$10K
- Siham GellaniDearborn$4K
- Pamela BradshawBenton Harbor$3K
- Dominique PhelpsHaslett$2K
- Lorie PenderWest Bloomfield$1K
- Angela ThorntonRoyal Oak$1K
- Taya HamiltonRoyal Oak$1K
- Erin SuminskiBloomfield Hills$1K
- Suzanne ZiemkeDetroit$1K
- Jane WoodwardKalamazoo$945
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.