Laura Gruskin, MD
Obstetrics & Gynecology · Farmington Hills, MINPI 1225029473
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,023 of the $14,368 with a category attached, or 83.7%. Intuitive Surgical accounts for 95.4% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2020 at $12,986 and has fallen 99.0% since, to $130 in 2025. Among obstetrics & gynecology 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 53 payments — averaging $271.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- AbbVie$125
- Astellas Pharma US Inc$72
- Sage Therapeutics, LLC$57
- Daiichi Sankyo Inc.$56
- Exeltis, USA Inc.$42
- plus $309 from 12 others
What the payments were for
- Travel & lodging$1,60211%
- Food & beverage$7425%
- Education$12,02384%
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 |
|---|---|---|
| Intuitive Surgical | 17 | $13,707 |
| AbbVie | 5 | $125 |
| Astellas Pharma US Inc | 4 | $72 |
| Sage Therapeutics, LLC | 3 | $57 |
| Daiichi Sankyo Inc. | 4 | $56 |
| Exeltis, USA Inc. | 3 | $42 |
| Coopersurgical, Inc. | 2 | $40 |
| Bayer | 2 | $39 |
| Novo Nordisk | 2 | $35 |
| Therapeuticsmd, Inc. | 2 | $31 |
| Avion Pharmaceuticals | 2 | $30 |
| Hologic Sales And Service, LLC | 1 | $26 |
| Myovant Sciences Inc. | 1 | $23 |
| Millicent US Inc | 1 | $21 |
| Mayne Pharma Commercial LLC | 1 | $20 |
| Supernus Pharmaceuticals, Inc. | 1 | $16 |
| Meditrina | 1 | $15 |
| Aspira Women's Health Inc | 1 | $13 |
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.
- Da Vinci Surgical System$13,545
How this compares
$14,368 in reported general payments places this provider in the 95th percentile of 1,474 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 109 | $8,952 |
| PremarinEstrogens, Conjugated | 13 | $5,809 |
| EstringEstradiol | 11 | $5,690 |
| ValacyclovirValacyclovir Hcl | 26 | $1,101 |
| Metronidazole | 11 | $416 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $292 |
| Clobetasol Propionate | 18 | $236 |
| Fluconazole | 24 | $137 |
| Alendronate Sodium | 12 | $70 |
| Gabapentin | 12 | $64 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Farmington Hills
- Amanda YancyFarmington Hills$15K
- David EisensteinDetroit$272K
- Peter TsengPort Huron$178K
- Robert ValiceChesterfield$175K
- Brent DavidsonDetroit$171K
- Michael EngelLake Orion$165K
- Ethan GoldsteinBloomfield Hills$140K
- Jay FisherWest Bloomfield$136K
- Barbara DepreeZeeland$118K
- Rabbie HannaDetroit$105K
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.