Luis Afonso, MD
Cardiovascular Disease · Detroit, MINPI 1023058575
Payments from drug & device makers
Across 239 payments — averaging $22.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$996
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$616
- Alnylam Pharmaceuticals Inc.$432
- Pfizer$415
- Johnson & Johnson$346
- Merck$327
- plus $2K from 23 others
What the payments were for
- Food & beverage$5,370100%
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 |
|---|---|---|
| Medtronic(2 entities) | 33 | $996 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 27 | $616 |
| Alnylam Pharmaceuticals Inc. | 28 | $432 |
| Pfizer | 25 | $415 |
| Johnson & Johnson | 16 | $346 |
| Merck | 21 | $327 |
| Amgen | 11 | $250 |
| Lantheus Medical Imaging, Inc. | 8 | $208 |
| Boston Scientific | 4 | $195 |
| Novo Nordisk | 6 | $192 |
| Kestra Medical Technology Services, Inc. | 7 | $189 |
| AstraZeneca(2 entities) | 6 | $176 |
| E.r. Squibb & Sons, L.L.C. | 11 | $166 |
| Novartis | 9 | $163 |
| Boehringer Ingelheim | 9 | $157 |
| Angiodynamics, Inc. | 1 | $152 |
| Abbott | 4 | $67 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $58 |
| Sobi, Inc | 1 | $37 |
| Cleerly, Inc. | 1 | $34 |
| United Therapeutics Corporation | 1 | $34 |
| Actelion Pharmaceuticals US, Inc. | 1 | $25 |
| Bridgebio Pharma, Inc. | 1 | $25 |
| Bracco Diagnostics Inc. | 1 | $23 |
| Esperion Therapeutics, Inc. | 1 | $23 |
| Edwards Lifesciences | 1 | $21 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $14 |
| Corcept Therapeutics | 1 | $11 |
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.
- Micra$223
- COBALT DR MRI SURESCAN$151
- EMBLEM MRI S-ICD$140
- Assure WCD$110
How this compares
$5,370 in reported general payments places this provider in the 55th percentile of 760 cardiovascular disease 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 |
|---|---|---|
| VyndamaxTafamidis | 24 | $526,693 |
| JardianceEmpagliflozin | 101 | $114,959 |
| EliquisApixaban | 92 | $73,669 |
| FarxigaDapagliflozin Propanediol | 57 | $59,158 |
| EntrestoSacubitril/Valsartan | 58 | $59,043 |
| MultaqDronedarone Hcl | 26 | $30,800 |
| XareltoRivaroxaban | 24 | $21,814 |
| Repatha SureclickEvolocumab | 14 | $11,904 |
| Ezetimibe | 96 | $2,843 |
| Metoprolol Succinate | 153 | $2,405 |
| Atorvastatin Calcium | 142 | $1,697 |
| Nifedipine ErNifedipine | 37 | $925 |
| Losartan Potassium | 59 | $647 |
| Isosorbide Dinitrate | 14 | $595 |
| ClopidogrelClopidogrel Bisulfate | 37 | $592 |
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 |
|---|---|---|
| PfizerVyndamax, Eliquis | $415 | $600,362116 claims |
| Boehringer IngelheimJardiance | $157 | $114,959101 claims |
| AstraZenecaFarxiga | $176 | $59,15857 claims |
| NovartisEntresto | $163 | $59,04358 claims |
| Johnson & JohnsonXarelto | $346 | $21,81424 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 55th percentile of 760 cardiovascular disease providers in Michigan.
Other cardiovascular disease in Detroit
- Brian OneillDetroit$1.4M
- Pedro Villablanca SpinettoDetroit$844K
- Khaled Abdul NourDetroit$735K
- David LanfearDetroit$719K
- Gerald KoenigDetroit$612K
- Mouaz Al-MallahDetroit$475K
- Sachin ParikhDetroit$458K
- Karthikeyan AnanthasubramaniamDetroit$355K
- Pedro Engel GonzalezDetroit$345K
- Wayne WeaverDetroit$340K
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.