Jay Szekely
Facial Plastic Surgery · Commerce Township, MINPI 1417349713
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 74 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 25.0% of the total. Reporting peaked in 2023 at $520 and has fallen 51.3% since, to $253 in 2025. That places this record below the midpoint for facial plastic surgery clinicians in MI, where the typical reported total is $2,180.
Across 74 payments — averaging $26.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$488
- Sanofi$379
- GSK$363
- Inspire Medical Systems, Inc.$299
- Cochlear Americas$133
- ARS Pharmaceuticals Operations, Inc.$120
- plus $171 from 9 others
What the payments were for
- Food & beverage$1,953100%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 18 | $488 |
| Sanofi | 18 | $379 |
| GSK | 20 | $363 |
| Inspire Medical Systems, Inc. | 5 | $299 |
| Cochlear Americas | 1 | $133 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $120 |
| Stryker | 3 | $43 |
| Amgen | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Merck | 1 | $19 |
| Pfizer | 1 | $14 |
| Inari Medical, Inc. | 1 | $13 |
| Hikma Pharmaceuticals USA | 1 | $13 |
| Smith+Nephew | 1 | $13 |
| Biohaven Pharmaceutical Holding Company Ltd. | 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.
How this compares
$1,953 in reported general payments places this provider in the 45th percentile of 30 facial plastic 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Azelastine Hcl | 75 | $2,062 |
| Ipratropium Bromide | 50 | $1,536 |
| Ofloxacin | 43 | $1,030 |
| Fluticasone Propionate | 67 | $792 |
| Fluocinolone Acetonide Oil | 12 | $413 |
| Famotidine | 46 | $207 |
| Nortriptyline Hcl | 13 | $201 |
| Meclizine Hcl | 16 | $117 |
| Promethazine Hcl | 12 | $69 |
| Omeprazole | 16 | $53 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Commerce Township
- Ahmed MakiPontiac$24K
- Casey AshbyFarmington Hills$15K
- Andrew BehlerGrand Rapids$10K
- Christopher MetzMadison Heights$7K
- John UlrichGrand Blanc$7K
- Laura Garcia RodriguezDetroit$6K
- Anthony HowardGrand Rapids$4K
- Noah SternDetroit$4K
- Adam RourkeSterling Heights$4K
- John RileyGrand Rapids$3K
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.