Joseph Rakowski, DO
Gynecology · Grosse Pointe, MINPI 1639389893
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,122 of the $5,692 with a category attached, or 72.4%. Intuitive Surgical accounts for 73.4% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2024 at $4,374 and has fallen 95.6% since, to $192 in 2025.
Across 67 payments — averaging $84.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Merck$359
- GSK$347
- AstraZeneca$198
- Clovis Oncology, Inc.$189
- Pfizer$56
- plus $364 from 13 others
What the payments were for
- Food & beverage$1,57028%
- Education$4,12272%
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 | 3 | $4,180 |
| Merck | 15 | $359 |
| GSK | 15 | $347 |
| AstraZeneca | 4 | $198 |
| Clovis Oncology, Inc. | 12 | $189 |
| Pfizer | 2 | $56 |
| Tesaro, Inc. | 2 | $50 |
| Fortovia Therapeutics, Inc. | 3 | $45 |
| Aspira Women's Health Inc | 1 | $38 |
| Eisai Inc. | 1 | $36 |
| Abbott | 1 | $31 |
| Johnson & Johnson | 1 | $31 |
| Smith+Nephew | 1 | $27 |
| Myovant Sciences Inc. | 1 | $23 |
| Seagen Inc. | 1 | $20 |
| Coopersurgical, Inc. | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Tersera Therapeutics LLC | 1 | $15 |
| Amgen | 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$4,150
How this compares
$5,692 in reported general payments places this provider in the 80th percentile of 50 gynecology 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $98 |
| Clobetasol Propionate | 12 | $77 |
| Ibuprofen | 11 | $32 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Grosse Pointe
- Jay BermanSouthfield$218K
- John LagrandGrand Rapids$58K
- Noor Dasouki AbualnadiAnn Arbor$47K
- Deborah RussellSaginaw$30K
- Mona FakihDearborn Heights$11K
- Roderick CairgleDetroit$8K
- Lisa CardwellSouthfield$7K
- Michele ThomasSouthfield$6K
- Ginger ConnorLake Orion$5K
- Dov SchuchmanBloomfield Hills$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.