Lilian Mikael, MD
Geriatric Medicine · Concord, MANPI 1245346162
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 96 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 23.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,181 and has fallen 66.8% since, to $391 in 2025. Among geriatric medicine clinicians in MA 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 96 payments — averaging $57.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Johnson & Johnson$528
- GSK$517
- Neurocrine Biosciences, Inc.$511
- Acadia Pharmaceuticals Inc$452
- Organogenesis Inc.$309
- plus $2K from 17 others
What the payments were for
- Food & beverage$5,497100%
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 | 15 | $1,286 |
| Johnson & Johnson | 10 | $528 |
| GSK | 12 | $517 |
| Neurocrine Biosciences, Inc. | 5 | $511 |
| Acadia Pharmaceuticals Inc | 5 | $452 |
| Organogenesis Inc. | 6 | $309 |
| Teva Pharmaceuticals USA, Inc. | 3 | $221 |
| Pfizer | 5 | $221 |
| AbbVie(2 entities) | 8 | $175 |
| Biogen | 4 | $165 |
| Smith+Nephew | 3 | $162 |
| Sunovion Pharmaceuticals Inc. | 1 | $126 |
| Otsuka America Pharmaceutical, Inc. | 1 | $125 |
| Merck | 2 | $121 |
| Phathom Pharmaceuticals, Inc. | 1 | $121 |
| Lilly USA, LLC | 3 | $116 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $108 |
| Idorsia Pharmaceuticals US Inc | 1 | $81 |
| Kowa Pharmaceuticals America, Inc. | 3 | $63 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $26 |
| Novo Nordisk | 1 | $26 |
| Novartis | 1 | $22 |
| Nabriva Therapeutics, PLC | 1 | $17 |
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.
- BREZTRI$484
- INGREZZA$484
- FARXIGA$361
- NUPLAZID$330
- AIRSUPRA$239
- XARELTO$234
- AREXVY$130
- COLLAGENASE SANTYL$125
- PICO$125
- ALLEVYN LIFE L 15.4X15.4 CTN10$125
- TRELEGY ELLIPTA$125
- REXULTI$125
- AUSTEDO$121
- VOQUEZNA$121
- ELIQUIS$113
How this compares
$5,497 in reported general payments places this provider in the 95th percentile of 156 geriatric medicine providers in Massachusetts.
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 | 130 | $52,172 |
| TrulicityDulaglutide | 23 | $16,695 |
| XareltoRivaroxaban | 59 | $16,164 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 12 | $6,276 |
| Tiotropium Bromide | 11 | $5,156 |
| Atorvastatin Calcium | 254 | $3,164 |
| LevemirInsulin Detemir | 18 | $2,199 |
| Metoprolol Succinate | 105 | $2,114 |
| Mirtazapine | 80 | $1,937 |
| Gabapentin | 98 | $1,419 |
| Estradiol | 15 | $1,261 |
| Amlodipine Besylate | 127 | $1,246 |
| Carbamazepine | 24 | $1,233 |
| Levetiracetam | 36 | $1,136 |
| Acyclovir | 11 | $1,129 |
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 |
|---|---|---|
| PfizerEliquis | $221 | $52,172130 claims |
| Lilly USA, LLCTrulicity, Humalog | $116 | $17,61436 claims |
| Johnson & JohnsonXarelto | $528 | $16,16459 claims |
| Novo NordiskLevemir, Novolog | $26 | $3,12329 claims |
| Teva Pharmaceuticals USA, Inc.Acyclovir | $221 | $1,12911 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 95th percentile of 156 geriatric medicine providers in Massachusetts.
Other geriatric medicine in Concord
- Medha MunshiBoston$64K
- W Vincent PerrelliWaltham$64K
- Ahmet DiricanNew Bedford$9K
- Irving RestituyoNew Bedford$9K
- Asif MerchantChelmsford$6K
- Rocco RossiMashpee$6K
- Douglas KielBoston$5K
- Michael CantorBraintree$3K
- Lyanne Santana KhouryBrookline$3K
- Maura BrennanSpringfield$2K
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.