Karim Fram
Clinical Neurophysiology · Lapeer, MINPI 1265478671
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 482 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 41 manufacturers, the largest accounting for just 13.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $2,716 and has fallen 56.2% since, to $1,190 in 2022.
Across 482 payments — averaging $13.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$870
- Novartis$661
- UCB, Inc.$530
- MDD US Operations, LLC$378
- Teva Pharmaceuticals USA, Inc.$374
- Amgen$331
- plus $3K from 35 others
What the payments were for
- Speaking & faculty fees$901%
- Food & beverage$6,36798%
- Education$290%
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.
How this compares
Too few clinical neurophysiology providers in Michiganto place this figure against a meaningful peer group, so we don't.
Other clinical neurophysiology in Lapeer
- Rohit MarawarDetroit$60K
- Lawrence ZeidmanDetroit$31K
- Tyson BurghardtEast Lansing$4K
- Edward ChenGrand Rapids$2K
- Mohammad PoostizadehGrand Rapids$2K
- Tammam DayyoubDetroit$1K
- Erica AustinTraverse City$1K
- Daniela MinecanAnn Arbor$971
- Jian XuDetroit$757
- Mona ElsayedGrand Rapids$558
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.