John Varga, MD
Rheumatology · Ann Arbor, MINPI 1528288495
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $48,314 of the $63,563 with a category attached, or 76.0%. 6 manufacturers reported payments, led by Boehringer Ingelheim at 44.8% of the total. Reporting peaked in 2019 at $26,854 and has fallen 54.2% since, to $12,291 in 2025. Among rheumatology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 64 payments — averaging $993.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$28K
- Boehringer Ingelheim International GmbH$14K
- Amgen$9K
- E.r. Squibb & Sons, L.L.C.$7K
- Takeda Pharmaceuticals U.S.A., Inc.$4K
- Bristol Myers Squibb$294
Across 24 payments — averaging $12,856 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.
- Pfizer$179K
- GSK$57K
- Sun Pharmaceutical Industries Inc.$50K
- Kadmon Corporation LLC$23K
What the payments were for
- Consulting fees$48,31476%
- Speaking & faculty fees$9,90816%
- Travel & lodging$4,2567%
- Food & beverage$1,0862%
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 |
|---|---|---|
| Boehringer Ingelheim | 28 | $28,486 |
| Boehringer Ingelheim International GmbH | 16 | $14,493 |
| Amgen(2 entities) | 2 | $8,814 |
| E.r. Squibb & Sons, L.L.C. | 8 | $6,983 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $4,493 |
| Bristol Myers Squibb | 7 | $294 |
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.
- OFEV$29,550
- NINTEDANIB$142
How this compares
$63,563 in reported general payments places this provider in the 90th percentile of 195 rheumatology 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 |
|---|---|---|
| Enbrel SureclickEtanercept | 13 | $95,427 |
| Mycophenolate Mofetil | 12 | $5,401 |
| Omeprazole | 12 | $293 |
| Prednisone | 17 | $123 |
| Amlodipine Besylate | 12 | $99 |
Paid to pharmacies, not to this prescriber.
Other rheumatology in Ann Arbor
- Dinesh KhannaAnn Arbor$1.2M
- Elena SchiopuAnn Arbor$180K
- Daniel ClauwAnn Arbor$102K
- Katherine ChakrabartiAnn Arbor$82K
- Puja KhannaAnn Arbor$78K
- Joanne KahlenbergAnn Arbor$74K
- Samardeep GuptaAnn Arbor$58K
- Jason KnightAnn Arbor$38K
- Sheeja FrancisAnn Arbor$23K
- Inocencio CuestaAnn Arbor$12K
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.