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Joseph Melrose, MD

Anesthesiology · Royal Oak, MINPI 1740629153

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $4,766 of the $5,505 with a category attached, or 86.6%. 32 manufacturers reported payments, led by Medtronic at 31.0% of the total. Reporting peaked in 2019 at $2,679 and has fallen 97.1% since, to $77 in 2025. Among anesthesiology 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.

$5,505in general payments, 2019–2025

Across 198 payments — averaging $27.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$2K
  • Nevro Corp.$638
  • Vertos Medical, Inc.$490
  • Amgen$362
  • Relievant Medsystems, Inc.$209
  • Scilex Pharmaceuticals Inc.$186
  • plus $2K from 26 others

What the payments were for

  • Travel & lodging$73913%
  • Food & beverage$4,76687%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Medtronic(2 entities)34$1,706
Nevro Corp.14$638
Vertos Medical, Inc.7$490
Amgen(2 entities)19$362
Relievant Medsystems, Inc.3$209
Scilex Pharmaceuticals Inc.13$186
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC14$167
AbbVie12$156
Lilly USA, LLC9$150
Almatica Pharma LLC1$140
Biodelivery Sciences International, Inc.11$130
MDD US Operations, LLC9$127
Boston Scientific6$112
Surgalign Spine Technologies, Inc.1$106
Vertiflex, Inc.2$104
Pfizer6$91
Pacira Therapeutics, Inc.3$74
Collegium Pharmaceutical, Inc.5$70
Haemonetics Corporation2$56
Radius Health, Inc.4$55
Zyla Life Sciences, Inc.4$53
West Therapeutics Development, LLC3$44
Fidia Pharma USA Inc.2$43
BD1$39
Hemosonics LLC1$29
Teva Pharmaceuticals USA, Inc.2$28
Redhill Biopharma Inc.2$27
Daiichi Sankyo Inc.2$27
Abbott1$25
Vertical Pharmaceuticals, LLC2$24
Sentynl Therapeutics, Inc.2$23
Merck1$16

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

$5,505 in reported general payments places this provider in the 95th percentile of 1,299 anesthesiology providers in Michigan.

See all anesthesiology providers in Michigan →

Medicare billing

Part B allowed, 2024
$49,834
Medicare patients
339
Services billed
385

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.

Other anesthesiology in Royal Oak

See the full list for Michigan →

Where these figures come from

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