Kristi Kostoff
Obstetrics & Gynecology · Monroe, MINPI 1043887672
Payments from drug & device makers
Across 67 payments — averaging $22.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sage Therapeutics, LLC$163
- Aspira Women's Health Inc$143
- Sumitomo Pharma America, Inc.$137
- Hologic Sales And Service, LLC$133
- Acella Pharmaceuticals, LLC$130
- Astellas Pharma US Inc$101
- plus $708 from 15 others
What the payments were for
- Food & beverage$1,515100%
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 |
|---|---|---|
| Sage Therapeutics, LLC | 6 | $163 |
| Aspira Women's Health Inc | 2 | $143 |
| Sumitomo Pharma America, Inc. | 7 | $137 |
| Hologic Sales And Service, LLC | 7 | $133 |
| Acella Pharmaceuticals, LLC | 1 | $130 |
| Astellas Pharma US Inc | 4 | $101 |
| AbbVie | 4 | $95 |
| Pfizer | 5 | $95 |
| Mayne Pharma Commercial LLC | 7 | $82 |
| Organon | 7 | $81 |
| Myovant Sciences Inc. | 3 | $72 |
| Scynexis, Inc. | 1 | $60 |
| Lilly USA, LLC | 4 | $60 |
| Avion Pharmaceuticals | 2 | $28 |
| Agile Therapeutics, Inc. | 1 | $23 |
| Novo Nordisk | 1 | $23 |
| Shield Therapeutics Inc | 1 | $20 |
| Mylan Pharmaceuticals Inc. | 1 | $19 |
| Axonics, Inc. | 1 | $18 |
| Millicent US Inc | 1 | $17 |
| Amgen | 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.
- NP Thyroid 60$130
How this compares
$1,515 in reported general payments places this provider in the 70th percentile of 1,474 obstetrics & gynecology providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 16 | $684 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 35 | $316 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 11 | $65 |
| Cephalexin | 19 | $55 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Monroe
- Haider MahdiDetroit$3.4M
- Andrew WagnerMidland$2M
- Jason BellAnn Arbor$548K
- Jacquelyn RobinsonSaginaw$539K
- Jouhaina MalehDearborn$524K
- Awoniyi AwonugaSouthfield$445K
- Rabbie HannaDetroit$421K
- David EisensteinDetroit$296K
- Duane HeilbronnSaginaw$234K
- Donna HrozencikCanton$196K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.