Jose de Cardenas, MD
Pulmonary Disease · Ann Arbor, MINPI 1275806408
Payments from drug & device makers
What this record shows
This record is dominated by education: $79,000 of the $115,469 with a category attached, or 68.4%. Intuitive Surgical accounts for 80.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2024 at $56,478 and has fallen 59.3% since, to $22,999 in 2025. Among pulmonary disease 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 134 payments — averaging $861.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$93K
- Medtronic$10K
- Cook Incorporated$10K
- Pinnacle Biologics, Inc$2K
- Pulmonx Corporation$170
- ERBE USA Inc$117
- plus $11 from 1 others
Across 1 payment — averaging $5965.00 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.
- Medtronic$6K
What the payments were for
- Consulting fees$8,1007%
- Speaking & faculty fees$10,8959%
- Travel & lodging$12,91311%
- Food & beverage$4,5614%
- Education$79,00068%
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 |
|---|---|---|
| Intuitive Surgical | 98 | $93,199 |
| Medtronic | 20 | $10,374 |
| Cook Incorporated | 4 | $9,670 |
| Pinnacle Biologics, Inc | 8 | $1,926 |
| Pulmonx Corporation | 2 | $170 |
| ERBE USA Inc | 1 | $117 |
| Ambu Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$92,099
- Blue Rhino$9,595
- DAR$8,100
- Shiley$1,989
- Photofrin$1,702
- VIO3 Cryo APC$117
- DA VINCI SP$105
- Pulmonx Endobronchial Valve EBV$102
How this compares
$115,469 in reported general payments places this provider in the 95th percentile of 463 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 13 | $14,198 |
| Spiriva RespimatTiotropium Bromide | 18 | $9,148 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 13 | $5,915 |
| Incruse ElliptaUmeclidinium Bromide | 11 | $3,640 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 12 | $1,820 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 30 | $1,062 |
| Prednisone | 15 | $36 |
Paid to pharmacies, not to this prescriber.
Other pulmonary disease in Ann Arbor
- Meilan HanAnn Arbor$779K
- Njira LugogoAnn Arbor$741K
- Justin OldhamAnn Arbor$392K
- Kevin FlahertyAnn Arbor$328K
- Timothy BlackwellAnn Arbor$99K
- Philip ChoiAnn Arbor$54K
- Jeanette BrownAnn Arbor$38K
- Jeffrey CurtisAnn Arbor$37K
- Vibha LamaAnn Arbor$26K
- Eric WhiteAnn Arbor$23K
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.