Leann Munaco
Family · Eastpointe, MINPI 1245616788
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 348 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by AstraZeneca at 27.5% of the total. 2025 is the largest year on record at $1,681, 2.3 times the $726 reported in 2021. Among family 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 348 payments — averaging $19.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Amgen$1K
- GSK$813
- Regeneron Healthcare Solutions, Inc.$540
- Sanofi$472
- CSL Behring$289
- plus $2K from 23 others
What the payments were for
- Food & beverage$6,74899%
- Education$551%
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 |
|---|---|---|
| AstraZeneca | 74 | $1,872 |
| Amgen | 84 | $1,165 |
| GSK | 53 | $813 |
| Regeneron Healthcare Solutions, Inc. | 26 | $540 |
| Sanofi | 23 | $472 |
| CSL Behring | 14 | $289 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $285 |
| Pfizer | 11 | $212 |
| Novartis | 7 | $161 |
| Kaleo, Inc. | 6 | $120 |
| Bio Products Laboratory USA, Inc. | 8 | $110 |
| Pharming Healthcare, Inc. | 4 | $98 |
| Regeneron | 1 | $94 |
| Genentech USA, Inc. | 5 | $94 |
| Boehringer Ingelheim | 3 | $85 |
| Teva Pharmaceuticals USA, Inc. | 3 | $59 |
| Sanofi-aventis U.S. LLC | 1 | $55 |
| Alk-abello, Inc | 2 | $43 |
| Organon | 2 | $36 |
| Ionis Pharmaceuticals, Inc. | 1 | $36 |
| Aimmune Therapeutics, Inc. | 1 | $27 |
| LEO Pharma Inc. | 1 | $21 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $20 |
| Optinose US, Inc. | 1 | $20 |
| Phadia US Inc. | 1 | $19 |
| Biocryst US Sales Co., LLC | 1 | $15 |
| Hospira, Inc. | 1 | $15 |
| Grifols USA, LLC | 1 | $15 |
| Hikma Pharmaceuticals USA | 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.
How this compares
$6,803 in reported general payments places this provider in the 95th percentile of 3,657 family providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 44 | $1,798 |
| Montelukast Sodium | 56 | $1,181 |
| Fluticasone Propionate | 26 | $478 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $204 |
| Methylprednisolone | 31 | $199 |
| Azithromycin | 18 | $87 |
| Prednisone | 20 | $38 |
Paid to pharmacies, not to this prescriber.
Other family in Eastpointe
- Jayme HeimGrandville$663K
- Susan WolgamottBloomfield Township$327K
- Elisheva EllenbergDetroit$150K
- Sarah JohnsonFarmington Hills$119K
- Daniela MaximTroy$112K
- Kelsey PrinceGrand Rapids$87K
- Brent MillerFremont$66K
- Rachael CompeauFlint$62K
- David KocendaLapeer$49K
- Tracy RobertsonBay City$47K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.