Marisha Agana
Pediatrics · Muskegon, MINPI 1639121064
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 252 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 37 manufacturers, the largest accounting for just 23.1% — the pattern of someone who eats at a lot of different presentations. Among pediatrics 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 252 payments — averaging $18.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supernus Pharmaceuticals, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$612
- Novo Nordisk$554
- Teva Pharmaceuticals USA, Inc.$304
- Otsuka America Pharmaceutical, Inc.$238
- AbbVie$219
- plus $2K from 31 others
What the payments were for
- Food & beverage$4,691100%
- Education$70%
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 |
|---|---|---|
| Supernus Pharmaceuticals, Inc. | 43 | $1,086 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 34 | $612 |
| Novo Nordisk | 34 | $554 |
| Teva Pharmaceuticals USA, Inc. | 18 | $304 |
| Otsuka America Pharmaceutical, Inc. | 15 | $238 |
| AbbVie | 11 | $219 |
| Vanda Pharmaceuticals Inc. | 8 | $185 |
| Boehringer Ingelheim | 11 | $162 |
| Bayer | 11 | $155 |
| Exact Sciences | 5 | $128 |
| Merck | 5 | $102 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $87 |
| GSK | 5 | $84 |
| Lilly USA, LLC | 5 | $63 |
| Sunovion Pharmaceuticals Inc. | 4 | $59 |
| Medtronic | 2 | $52 |
| Hologic Sales And Service, LLC | 3 | $51 |
| Collegium Pharmaceutical, Inc. | 3 | $49 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $46 |
| Neurocrine Biosciences, Inc. | 2 | $44 |
| USWM, LLC | 2 | $40 |
| Philips North America LLC | 3 | $40 |
| Xeris Pharmaceuticals, Inc. | 2 | $38 |
| Actelion Pharmaceuticals US, Inc. | 2 | $36 |
| Abiomed | 2 | $35 |
| Amgen | 2 | $30 |
| Corium, LLC | 1 | $22 |
| Tempus AI, Inc | 1 | $22 |
| Pfizer | 1 | $19 |
| Lundbeck LLC | 1 | $19 |
| Tris Pharma Inc | 1 | $19 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $19 |
| Gilead | 1 | $19 |
| Alkermes, Inc. | 1 | $17 |
| Baxter Healthcare | 1 | $14 |
| Cranial Technologies, Inc | 1 | $14 |
| AstraZeneca | 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.
- QELBREE$467
How this compares
$4,698 in reported general payments places this provider in the 95th percentile of 1,473 pediatrics 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 pediatrics in Muskegon
- Rickey WilsonCaledonia$263K
- Meera ChitlurDetroit$236K
- Randall LejaGrand Rapids$211K
- Madhvi RajpurkarDetroit$162K
- Wanda Whitten-ShurneyDetroit$152K
- Brian LecleirGrand Rapids$145K
- Jeanette CampbellPontiac$94K
- David SvilarAnn Arbor$66K
- Marcus DegrawDetroit$62K
- Allison BannickGrand Rapids$62K
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.