Julianna Friesen, DO
Obstetrics & Gynecology · Grand Blanc, MINPI 1265895031
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Intuitive Surgical at 58.1% of the total. Reporting peaked in 2022 at $7,431 and has fallen 58.3% since, to $3,101 in 2025. Among obstetrics & gynecology 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 314 payments — averaging $56.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Coloplast$2K
- AbbVie$1K
- Aspira Women's Health Inc$536
- Sumitomo Pharma America, Inc.$445
- Myovant Sciences Inc.$413
- plus $3K from 25 others
What the payments were for
- Travel & lodging$3,25118%
- Food & beverage$7,55342%
- Education$7,01739%
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 | 29 | $10,357 |
| Coloplast | 31 | $2,203 |
| AbbVie | 65 | $1,076 |
| Aspira Women's Health Inc | 10 | $536 |
| Sumitomo Pharma America, Inc. | 22 | $445 |
| Myovant Sciences Inc. | 31 | $413 |
| Mayne Pharma Commercial LLC | 14 | $315 |
| Exeltis, USA Inc. | 16 | $270 |
| Pfizer | 14 | $240 |
| Hologic Sales And Service, LLC | 7 | $206 |
| Organon | 12 | $201 |
| Astellas Pharma US Inc | 10 | $170 |
| Medtronic | 4 | $159 |
| Biogen | 6 | $153 |
| Minerva Surgical, Inc | 2 | $130 |
| Caldera Medical, Inc | 1 | $115 |
| Bayer | 6 | $108 |
| Femselect Inc. | 1 | $94 |
| Boston Scientific | 4 | $89 |
| Mylan Pharmaceuticals Inc. | 5 | $75 |
| Therapeuticsmd, Inc. | 4 | $69 |
| Channel Medsystems, Inc. | 1 | $63 |
| Millicent US Inc | 3 | $60 |
| Vertex | 2 | $58 |
| Coopersurgical, Inc. | 3 | $52 |
| Agile Therapeutics, Inc. | 3 | $49 |
| Shield Therapeutics Inc | 2 | $31 |
| Ascend Therapeutics US, LLC | 2 | $30 |
| Avion Pharmaceuticals | 2 | $28 |
| Merck | 1 | $15 |
| Zyla Life Sciences, 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.
- DAVINCI XI$7,000
- Da Vinci Surgical System$2,978
- RESTORELLE$1,084
- ALTIS$747
- Desara$115
How this compares
$17,821 in reported general payments places this provider in the 95th percentile of 1,474 obstetrics & 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 |
|---|---|---|
| Estradiol | 43 | $2,632 |
| Norethindrone Acetate | 12 | $498 |
| Clobetasol Propionate | 14 | $390 |
| Medroxyprogesterone Acetate | 17 | $184 |
| Misoprostol | 15 | $26 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Grand Blanc
- David EisensteinDetroit$272K
- Peter TsengPort Huron$178K
- Robert ValiceChesterfield$175K
- Brent DavidsonDetroit$171K
- Michael EngelLake Orion$165K
- Ethan GoldsteinBloomfield Hills$140K
- Jay FisherWest Bloomfield$136K
- Barbara DepreeZeeland$118K
- Rabbie HannaDetroit$105K
- Gregory GresselGrand Rapids$85K
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.