Joseph Varghese, MD
Pulmonary Disease · Flint, MINPI 1740280049
Payments from drug & device makers
Across 192 payments — averaging $22.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$730
- GSK$597
- Actelion Pharmaceuticals US, Inc.$364
- Boehringer Ingelheim$299
- Regeneron Healthcare Solutions, Inc.$273
- Insmed, Inc.$228
- plus $2K from 28 others
What the payments were for
- Food & beverage$4,32699%
- Education$481%
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 |
|---|---|---|
| AstraZeneca | 33 | $730 |
| GSK | 28 | $597 |
| Actelion Pharmaceuticals US, Inc. | 15 | $364 |
| Boehringer Ingelheim | 11 | $299 |
| Regeneron Healthcare Solutions, Inc. | 12 | $273 |
| Insmed, Inc. | 11 | $228 |
| Harmony Biosciences LLC | 6 | $214 |
| Inspire Medical Systems, Inc. | 2 | $178 |
| Verona Pharma, Inc. | 12 | $176 |
| Resmed Corp | 8 | $171 |
| Philips North America LLC | 5 | $141 |
| Pulmonx Corporation | 4 | $110 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $101 |
| Baxter Healthcare | 3 | $94 |
| Sanofi | 3 | $76 |
| Mylan Specialty L.p. | 5 | $76 |
| United Therapeutics Corporation | 3 | $72 |
| Jazz Pharmaceuticals Inc. | 3 | $60 |
| Merck | 3 | $59 |
| Grifols USA, LLC | 3 | $50 |
| Axsome Therapeutics, Inc. | 2 | $42 |
| Inogen, Inc. | 2 | $40 |
| Sunovion Pharmaceuticals Inc. | 2 | $31 |
| Pharming Healthcare, Inc. | 1 | $30 |
| Novartis | 1 | $30 |
| Viatris Specialty LLC | 1 | $23 |
| AbbVie | 1 | $23 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
| Covis Pharma GmbH | 1 | $16 |
| ZOLL Respicardia, Inc. | 1 | $14 |
| Genentech USA, Inc. | 1 | $13 |
| Gilead | 1 | $13 |
| 3b Medical, Inc. | 1 | $9 |
| Itamar Medical Inc | 1 | $9 |
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
$4,374 in reported general payments places this provider in the 60th 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 | 381 | $443,365 |
| OfevNintedanib Esylate | 25 | $328,350 |
| Pirfenidone | 23 | $178,136 |
| Spiriva RespimatTiotropium Bromide | 100 | $105,589 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 100 | $88,196 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 103 | $50,494 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 52 | $33,345 |
| SymbicortBudesonide/Formoterol Fumarate | 64 | $24,731 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 21 | $23,216 |
| Ventolin HfaAlbuterol Sulfate | 161 | $18,462 |
| Breo ElliptaFluticasone/Vilanterol | 17 | $14,679 |
| Advair HfaFluticasone Propion/Salmeterol | 30 | $12,387 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 222 | $11,827 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 37 | $10,501 |
| Incruse ElliptaUmeclidinium Bromide | 16 | $9,780 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $299 | $490,500198 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $597 | $467,825414 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $730 | $112,927164 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 463 pulmonary disease providers in Michigan.
Other pulmonary disease in Flint
- John YoussefFlint$92K
- Njira LugogoAnn Arbor$12.9M
- Timothy BlackwellAnn Arbor$2.5M
- Kevin FlahertyAnn Arbor$2.3M
- Meilan HanAnn Arbor$1.8M
- Gary FergusonLivonia$1.5M
- Justin OldhamAnn Arbor$1.4M
- Robert PaineAnn Arbor$1.3M
- Irina ShanidzeFarmington Hills$1.2M
- Oscar Parodi Ortiz de VillateWarren$1.1M
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.