Kara Hoisington
Endocrinology, Diabetes & Metabolism · Lansing, MINPI 1588877419
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $157,920 of the $178,205 with a category attached, or 88.6%. 37 manufacturers reported payments, led by Novo Nordisk at 41.3% of the total. Reporting peaked in 2019 at $80,947 and has fallen 99.5% since, to $415 in 2025. Among endocrinology, diabetes & metabolism 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 612 payments — averaging $291.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$74K
- Sanofi-aventis U.S. LLC$36K
- AstraZeneca$29K
- Lilly USA, LLC$17K
- Amgen$15K
- Boehringer Ingelheim$6K
- plus $2K from 31 others
What the payments were for
- Consulting fees$2,9252%
- Speaking & faculty fees$157,92089%
- Travel & lodging$8,0505%
- Food & beverage$9,1205%
- Education$1910%
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 |
|---|---|---|
| Novo Nordisk | 267 | $73,561 |
| Sanofi-aventis U.S. LLC | 63 | $35,500 |
| AstraZeneca(2 entities) | 68 | $29,180 |
| Lilly USA, LLC | 40 | $17,176 |
| Amgen(2 entities) | 36 | $14,848 |
| Boehringer Ingelheim | 24 | $5,601 |
| Insulet Corporation | 3 | $263 |
| Medtronic(2 entities) | 3 | $209 |
| GRT US Holding, Inc. | 11 | $194 |
| Valeritas, Inc. | 9 | $172 |
| Averitas Pharma Inc. | 14 | $156 |
| Merck | 16 | $146 |
| Ascendis Pharma Endocrinology Inc | 4 | $140 |
| Bayer | 3 | $132 |
| Dexcom, Inc. | 6 | $124 |
| Cequr Corporation | 1 | $99 |
| IBSA Pharma Inc. | 6 | $87 |
| Tandem Diabetes Care, Inc. | 4 | $63 |
| Corcept Therapeutics | 4 | $61 |
| Abbott | 3 | $59 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $58 |
| Johnson & Johnson | 3 | $45 |
| Antares Pharma, Inc. | 3 | $41 |
| AbbVie | 3 | $35 |
| UCB, Inc. | 2 | $35 |
| Novartis | 1 | $30 |
| Shire North American Group Inc | 1 | $24 |
| Sequel Med Tech, LLC | 1 | $22 |
| Lexicon Pharmaceuticals, Inc. | 1 | $21 |
| Pfizer | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| BD | 1 | $16 |
| Amneal Pharmaceuticals LLC | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Tolmar, Inc. | 1 | $13 |
| Xeris Pharmaceuticals, Inc. | 1 | $12 |
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
$178,205 in reported general payments places this provider in the 95th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| KorlymMifepristone | 12 | $968,159 |
| OzempicSemaglutide | 106 | $200,552 |
| MounjaroTirzepatide | 76 | $102,622 |
| JardianceEmpagliflozin | 71 | $94,276 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 52 | $82,285 |
| FarxigaDapagliflozin Propanediol | 42 | $62,980 |
| TrulicityDulaglutide | 37 | $60,250 |
| ForteoTeriparatide | 13 | $29,345 |
| Repatha SureclickEvolocumab | 21 | $22,402 |
| XyostedTestosterone Enanthate | 20 | $21,323 |
| KerendiaFinerenone | 14 | $19,826 |
| Tresiba Flextouch U-200Insulin Degludec | 11 | $16,302 |
| Victoza 3-PakLiraglutide | 11 | $16,150 |
| SynthroidLevothyroxine Sodium | 132 | $14,898 |
| WegovySemaglutide | 11 | $14,373 |
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 |
|---|---|---|
| Corcept TherapeuticsKorlym | $61 | $968,15912 claims |
| Novo NordiskOzempic, Wegovy, Novolog | $73,561 | $219,449129 claims |
| Lilly USA, LLCMounjaro, Trulicity, Forteo, Humalog | $17,176 | $197,453142 claims |
| Boehringer IngelheimJardiance | $5,601 | $94,27671 claims |
| AstraZenecaFarxiga | $29,180 | $62,98042 claims |
| IBSA Pharma Inc.Tirosint, Tirosint-Sol | $87 | $24,68966 claims |
| Antares Pharma, Inc.Xyosted | $41 | $21,32320 claims |
| BayerKerendia | $132 | $19,82614 claims |
| AbbVieSynthroid, Armour Thyroid | $35 | $17,085165 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $15 | $4,708399 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 95th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.
Other endocrinology, diabetes & metabolism in Lansing
- Lowell SchmeltzFarmington Hills$1.3M
- George GrunbergerBloomfield Hills$931K
- Gary EdelsonFarmington Hills$503K
- Michael BrennanSaint Clair Shores$433K
- Jamal HammoudFlint$386K
- Abdulsalam Al KassabRochester Hills$351K
- Richard AuchusAnn Arbor$250K
- Eric LangerSterling Heights$213K
- Ashish VermaShelby Twp$179K
- Henry BoneDetroit$120K
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.