Lena Napolitano, MD
Surgical Critical Care · Ann Arbor, MINPI 1740381656
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (60.0%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Merck at 53.4% of the total. Reporting peaked in 2019 at $108,809 and has fallen 99.0% since, to $1,118 in 2025. Among surgical critical care 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 62 payments — averaging $1924.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$64K
- Pfizer$43K
- CSL Behring$8K
- Ferring Pharmaceuticals Inc.$4K
- Intuitive Surgical$1K
- Bard Access Systems, Inc.$300
- plus $212 from 3 others
Across 18 payments — averaging $12,618 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.
- CSL Behring$227K
What the payments were for
- Consulting fees$71,55060%
- Speaking & faculty fees$5,0704%
- Travel & lodging$41,44735%
- Food & beverage$1,2491%
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 |
|---|---|---|
| Merck | 34 | $63,655 |
| Pfizer | 4 | $42,875 |
| CSL Behring | 16 | $7,530 |
| Ferring Pharmaceuticals Inc. | 1 | $3,625 |
| Intuitive Surgical | 3 | $1,118 |
| Bard Access Systems, Inc. | 1 | $300 |
| AbbVie | 1 | $125 |
| Potrero Medical, Inc. | 1 | $57 |
| Medtronic | 1 | $30 |
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.
- ZERBAXA$20,824
- Kcentra$5,641
- Da Vinci Surgical System$1,081
- STRATTICE$125
How this compares
$119,316 in reported general payments places this provider in the 95th percentile of 70 surgical critical care 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.
Other surgical critical care in Ann Arbor
- Andrew BenjaminAnn Arbor$8K
- Kristen CarterAnn Arbor$7K
- Gary VercruysseAnn Arbor$4K
- Roger RamcharanAnn Arbor$2K
- Brian GeorgeAnn Arbor$633
- Raymond JeanAnn Arbor$481
- Mary HunterAnn Arbor$440
- Kajal MehtaAnn Arbor$151
- Robert SawyerKalamazoo$31K
- John SharpeSaginaw$30K
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.