Mahmoud Al-Shami, MD
Internal Medicine · Troy, MINPI 1639279458
Payments from drug & device makers
Across 5 payments — averaging $136.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$539
- Axsome Therapeutics, Inc.$111
- Abbott$18
- Avadel CNS Pharmaceuticals, LLC$15
What the payments were for
- Travel & lodging$53979%
- Food & beverage$14421%
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 |
|---|---|---|
| Abiomed | 2 | $539 |
| Axsome Therapeutics, Inc. | 1 | $111 |
| Abbott | 1 | $18 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $15 |
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
$684 in reported general payments places this provider in the 70th percentile of 4,567 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 64 | $45,452 |
| Metoprolol Succinate | 78 | $960 |
| Atorvastatin Calcium | 64 | $461 |
| Omeprazole | 40 | $322 |
| Carvedilol | 49 | $286 |
| Bumetanide | 15 | $259 |
| Levothyroxine Sodium | 25 | $246 |
| ClopidogrelClopidogrel Bisulfate | 28 | $244 |
| Losartan Potassium | 31 | $224 |
| Potassium Chloride | 27 | $199 |
| Digoxin | 11 | $194 |
| Furosemide | 54 | $185 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 36 | $173 |
| Doxycycline Hyclate | 16 | $169 |
| Amlodipine Besylate | 38 | $165 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Troy
- Neil FraserTroy$14.3M
- Jay SandbergTroy$8.3M
- John CaladoTroy$198K
- Ulka VaishampayanAnn Arbor$33.7M
- Jeffrey PottsBay City$14.7M
- Abdulhassan SaadDearborn$11.5M
- Leslie PelkeyGrand Rapids$8.5M
- Ding WangDetroit$6.8M
- Dipenkumar ModiDetroit$4.1M
- Ahmed ArifFlint$4.1M
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.