Marc Zughaib
Internal Medicine · Southfield, MINPI 1942824453
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 208 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 33 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,945, more than ten times the $104 reported in 2020. Among internal medicine 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 208 payments — averaging $42.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$2K
- Kestra Medical Technology Services, Inc.$1K
- Abiomed$748
- Amgen$664
- Chiesi USA, Inc.$558
- Medtronic$555
- plus $3K from 27 others
Across 1 payment — averaging $17,972 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.
- Novartis$18K
What the payments were for
- Food & beverage$8,53698%
- Education$2102%
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 |
|---|---|---|
| Abbott | 34 | $1,773 |
| Kestra Medical Technology Services, Inc. | 40 | $1,249 |
| Abiomed | 12 | $748 |
| Amgen | 10 | $664 |
| Chiesi USA, Inc. | 24 | $558 |
| Medtronic | 10 | $555 |
| Inari Medical, Inc. | 11 | $510 |
| Boston Scientific | 5 | $442 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 13 | $401 |
| Edwards Lifesciences | 5 | $316 |
| Pfizer | 10 | $209 |
| Stryker | 3 | $191 |
| Shockwave Medical, Inc | 2 | $173 |
| Penumbra, Inc. | 1 | $143 |
| Impulse Dynamics (USA) Inc. | 1 | $122 |
| Johnson & Johnson | 1 | $112 |
| Novartis | 5 | $93 |
| Bard Peripheral Vascular, Inc. | 1 | $76 |
| Merck | 3 | $63 |
| Cardiva Medical, Inc. | 2 | $48 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $39 |
| Lexicon Pharmaceuticals, Inc. | 2 | $38 |
| Teleflex LLC | 2 | $38 |
| Reflow Medical Inc | 1 | $24 |
| Lantheus Medical Imaging, Inc. | 1 | $23 |
| Neurocrine Biosciences, Inc. | 1 | $22 |
| Scpharmaceuticals Inc. | 1 | $18 |
| AstraZeneca | 1 | $18 |
| GE HealthCare | 1 | $18 |
| Eisai Inc. | 1 | $17 |
| SK Life Science, Inc. | 1 | $16 |
| Inspiremd Ltd | 1 | $14 |
| Janssen Scientific Affairs, LLC | 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.
- Repatha$606
- Assure WCD$420
- COREVALVE EVOLUT R$370
- FLOWTRIEVER CATHETER, S$321
- CT THROMBECTOMY SYSTEM KIT$321
- AMPLATZER$282
- ENSITE$272
- OPTIMIZER$244
- SAPIEN 3 Ultra RESILIA$244
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$153
- ARTIX MT$150
- CARDIOMEMS$148
- AVVIGO Guidance System$146
- HeartMate 3 Left Ventricular Assist Device$146
- Impella$145
- Penumbra System$143
- PERCLOSE PROGLIDE$137
- WATCHMAN Access System$133
- XARELTO$112
- Perclose ProStyle$106
How this compares
$8,746 in reported general payments places this provider in the 95th percentile of 4,567 internal medicine providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 18 | $522 |
| Rosuvastatin Calcium | 11 | $250 |
| Atorvastatin Calcium | 16 | $210 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Southfield
- Adam FormanSouthfield$453K
- Terry SmithAnn Arbor$2.3M
- Michael ValituttoKalamazoo$1.8M
- Ulka VaishampayanAnn Arbor$996K
- Tina AbrahamPontiac$834K
- Steven KatzmanLivonia$715K
- Saroj NeupaneDetroit$373K
- James BazziDearborn Heights$368K
- Mohamad HatahetWaterford$352K
- A FendrickAnn Arbor$347K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.