Marissa Fischer
Physician Assistant · Kalkaska, MINPI 1194299693
Payments from drug & device makers
Across 103 payments — averaging $22.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Boehringer Ingelheim$163
- Medtronic$142
- Novo Nordisk$100
- AstraZeneca$71
- Lilly USA, LLC$68
- plus $537 from 19 others
What the payments were for
- Food & beverage$2,284100%
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 |
|---|---|---|
| AbbVie | 56 | $1,203 |
| Boehringer Ingelheim | 7 | $163 |
| Medtronic | 1 | $142 |
| Novo Nordisk | 6 | $100 |
| AstraZeneca | 3 | $71 |
| Lilly USA, LLC | 4 | $68 |
| Vertex | 3 | $65 |
| Otsuka America Pharmaceutical, Inc. | 2 | $56 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $50 |
| Pfizer | 3 | $49 |
| Mylan Specialty L.p. | 2 | $37 |
| Inari Medical, Inc. | 1 | $31 |
| Gilead | 1 | $28 |
| Boston Scientific | 1 | $24 |
| Indivior Inc. | 1 | $23 |
| Teva Pharmaceuticals USA, Inc. | 1 | $23 |
| Bayer | 1 | $20 |
| Exact Sciences | 1 | $19 |
| Alkermes, Inc. | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Antares Pharma, Inc. | 1 | $17 |
| Merz Pharmaceuticals, LLC | 1 | $17 |
| Merck | 1 | $16 |
| Piramal Critical Care | 1 | $14 |
| GSK | 1 | $13 |
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.
- BOTOX$249
- SYNCHROMEDII$142
- QULIPTA$125
How this compares
$2,284 in reported general payments places this provider in the 85th percentile of 5,453 physician assistant providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Nurtec OdtRimegepant Sulfate | 11 | $15,331 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 29 | $2,278 |
| Baclofen | 20 | $360 |
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 |
|---|---|---|
| PfizerNurtec Odt | $49 | $15,33111 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 85th percentile of 5,453 physician assistant providers in Michigan.
Other physician assistant in Kalkaska
- Sarang PatelRoyal Oak$660K
- Beth SweneyAda$617K
- Zainab JishiCanton$596K
- Taylor HennrickAdrian$430K
- Erin van DykeGrand Rapids$346K
- Ashley AldridgeAnn Arbor$298K
- Derek SusallaRochester Hills$242K
- Gabrielle DamoreRoyal Oak$200K
- Melissa MickelsonKalamazoo$168K
- Patrick CooneyNew Baltimore$91K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.