Kyle Markel, MD
Vascular Surgery · Detroit, MINPI 1982086682
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (34.6%), grants and other — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Medtronic at 33.6% of the total. Among vascular surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 125 payments — averaging $263.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$11K
- Endologix LLC$7K
- Angiodynamics, Inc.$7K
- Boston Scientific$2K
- Silk Road Medical, Inc.$2K
- W. L. Gore & Associates, Inc.$920
- plus $2K from 27 others
What the payments were for
- Consulting fees$1000%
- Grants$9,25128%
- Travel & lodging$4,62914%
- Food & beverage$11,41635%
- Education$5302%
- Other$7,05621%
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 |
|---|---|---|
| Medtronic(2 entities) | 17 | $11,096 |
| Endologix LLC | 28 | $7,365 |
| Angiodynamics, Inc. | 5 | $7,124 |
| Boston Scientific | 13 | $2,401 |
| Silk Road Medical, Inc. | 5 | $1,628 |
| W. L. Gore & Associates, Inc. | 9 | $920 |
| Integra Lifesciences Corporation | 5 | $343 |
| Mimedx Group, Inc. | 5 | $215 |
| Imperative Care, Inc | 2 | $209 |
| Bolton Medical Inc | 2 | $198 |
| Inari Medical, Inc. | 1 | $147 |
| Penumbra, Inc. | 1 | $127 |
| Terumo Medical Corporation | 2 | $125 |
| Bard Peripheral Vascular, Inc. | 1 | $111 |
| Lemaitre Vascular, Inc. | 1 | $109 |
| Cook Medical LLC | 3 | $102 |
| Arrow International, Inc. | 1 | $100 |
| EKOS Corporation | 1 | $95 |
| Cardiva Medical, Inc. | 3 | $82 |
| Kerecis Limited | 2 | $72 |
| Access Pro Medical, LLC | 1 | $58 |
| My01 Inc. | 2 | $53 |
| Cashflow Solutions, LLC | 2 | $50 |
| Johnson & Johnson(2 entities) | 2 | $42 |
| Cordis US CORP. | 2 | $38 |
| Urgo Medical North America, LLC | 1 | $32 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $32 |
| Lifenet Health | 1 | $26 |
| Teleflex LLC | 1 | $18 |
| Siemens Medical Solutions USA, Inc. | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $17 |
| Sanara Medtech Inc. | 1 | $16 |
| Solventum Corporation | 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.
- Endurant$9,251
- Auryon Laser System 100-120 Vac$7,056
- Alto Abdominal Stent Graft System$3,934
- ENROUTE Transcarotid Stent$1,724
- ENROUTE Transcarotid Neuroprotection System$1,492
- GENERAL - THERAPIES$1,459
- Torus Stent Graft System$1,362
- ENDOCROSS Device$1,362
- Valiant Captivia$863
- INTEGRA$417
- AFX2 Bifurcated Endograft System$386
- EXCLUDER Iliac Branch Endoprosthesis$184
- PRODIGY CATHETER$181
- GORE VIABAHN VBX Balloon Expandable Endo$168
- GENERAL VASCULAR INTERVENTION$161
- FLOWTRIEVER CATHETER, S$147
- CT THROMBECTOMY SYSTEM KIT$147
- ENDURANT IIS$145
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$144
- INTEGRA DERMAL REGENERATION TEMPLATE$139
How this compares
$32,981 in reported general payments places this provider in the 90th percentile of 183 vascular surgery 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 |
|---|---|---|
| EliquisApixaban | 44 | $48,755 |
| XareltoRivaroxaban | 48 | $33,208 |
| ClopidogrelClopidogrel Bisulfate | 121 | $1,839 |
| Cilostazol | 15 | $364 |
| Atorvastatin Calcium | 17 | $325 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $107 |
| Prednisone | 13 | $16 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $42 | $33,20848 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 90th percentile of 183 vascular surgery providers in Michigan.
Other vascular surgery in Detroit
- Kevin OnofreyDetroit$65K
- Yevgeniy RitsDetroit$57K
- Andi PeshkepijaDetroit$24K
- Loay KabbaniDetroit$19K
- Judith LinDetroit$15K
- Alice LeeDetroit$14K
- Sun KimDetroit$11K
- David LorelliDetroit$7K
- Michael PerryDetroit$7K
- Nicolas MouawadWest Branch$1.7M
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.