Krisha Howell, MD
Radiation Oncology · Troy, MINPI 1134327554
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Teleflex LLC at 33.2% of the total. 2025 is the largest year on record at $518, more than ten times the $18 reported in 2019.
Across 26 payments — averaging $40.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$351
- Elekta, Inc.$298
- Boston Scientific$111
- Novocure Inc.$56
- Sumitomo Pharma America, Inc.$41
- Blue Earth Diagnostics$33
- plus $167 from 7 others
Across 28 payments — averaging $3431.54 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boston Scientific$41K
- Teleflex LLC$37K
- E.r. Squibb & Sons, L.L.C.$18K
What the payments were for
- Food & beverage$1,058100%
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 |
|---|---|---|
| Teleflex LLC | 5 | $351 |
| Elekta, Inc. | 6 | $298 |
| Boston Scientific | 2 | $111 |
| Novocure Inc. | 2 | $56 |
| Sumitomo Pharma America, Inc. | 2 | $41 |
| Blue Earth Diagnostics | 1 | $33 |
| Novartis | 2 | $33 |
| Boehringer Ingelheim | 1 | $30 |
| Ambu Inc. | 1 | $29 |
| Taiho Oncology, Inc. | 1 | $28 |
| Bayer | 1 | $18 |
| Eisai Inc. | 1 | $16 |
| Myriad Genetic Laboratories, Inc. | 1 | $14 |
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.
- Barrigel$243
How this compares
$1,058 in reported general payments places this provider in the 70th percentile of 198 radiation oncology 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 |
|---|---|---|
| OrgovyxRelugolix | 19 | $46,277 |
| Sucralfate | 13 | $1,226 |
| Mometasone Furoate | 41 | $713 |
| Tamsulosin Hcl | 45 | $486 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Orgovyx | $41 | $46,27719 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 70th percentile of 198 radiation oncology providers in Michigan.
Other radiation oncology in Troy
- Zachary SeymourTroy$8K
- Kuei LeeTroy$4K
- Frank ViciniPontiac$231K
- Thomas BoikeClarkston$171K
- Farzan SiddiquiDetroit$72K
- Daniel WahlAnn Arbor$42K
- Daniel ChangAnn Arbor$38K
- Shruti JollyAnn Arbor$30K
- Brandon ManciniGrand Rapids$30K
- Alvaro MartinezFarmington Hills$24K
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.