Melissa Ianitelli, DO
Cardiovascular Disease · Mount Clemens, MINPI 1497066963
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.7% of the total across 326 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 21.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,771 and has fallen 73.1% since, to $747 in 2025.
Across 326 payments — averaging $33.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$2K
- Boston Scientific$2K
- Johnson & Johnson$559
- Edwards Lifesciences$540
- Angiodynamics, Inc.$505
- E.r. Squibb & Sons, L.L.C.$503
- plus $4K from 27 others
Across 84 payments — averaging $575.29 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.
- Esperion Therapeutics, Inc.$37K
- AstraZeneca$11K
What the payments were for
- Travel & lodging$5865%
- Food & beverage$10,00093%
- Education$1982%
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 | 52 | $2,355 |
| Boston Scientific | 26 | $1,839 |
| Johnson & Johnson | 32 | $559 |
| Edwards Lifesciences | 9 | $540 |
| Angiodynamics, Inc. | 8 | $505 |
| E.r. Squibb & Sons, L.L.C. | 31 | $503 |
| Novartis | 27 | $494 |
| Inari Medical, Inc. | 3 | $438 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 24 | $426 |
| Pfizer | 31 | $401 |
| Kestra Medical Technology Services, Inc. | 5 | $367 |
| Cardiovascular Systems Inc. | 2 | $292 |
| Amgen | 19 | $282 |
| Bracco Diagnostics Inc. | 3 | $261 |
| Astellas Pharma US Inc | 3 | $217 |
| Kiniksa Pharmaceuticals, Ltd. | 8 | $194 |
| Boehringer Ingelheim | 11 | $171 |
| Abiomed | 4 | $161 |
| Philips North America LLC | 3 | $154 |
| Bayer | 1 | $128 |
| EKOS Corporation | 1 | $106 |
| Kiniksa Pharmaceuticals International, PLC | 4 | $97 |
| AstraZeneca | 5 | $59 |
| Scpharmaceuticals Inc. | 2 | $35 |
| Daiichi Sankyo Inc. | 2 | $35 |
| Irhythm Technologies, Inc. | 2 | $31 |
| Regeneron Healthcare Solutions, Inc. | 2 | $27 |
| Actelion Pharmaceuticals US, Inc. | 1 | $23 |
| ZOLL Circulation Inc | 1 | $20 |
| United Therapeutics Corporation | 1 | $19 |
| Merck | 1 | $17 |
| Baxter Healthcare | 1 | $15 |
| Gilead | 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.
- Watchman$701
- AVEIR$466
- FLOWTRIEVER CATHETER, S$342
- CT THROMBECTOMY SYSTEM KIT$342
- Quadra Allure MP RF CRT Pacemkr$307
- Edwards SAPIEN 3 Transcatheter Heart Valve$299
- WATCHMAN Access System$269
- CEUS$247
- Diamondback Peripheral$160
- AlphaVac$141
- PRESSUREWIRE$136
- CardioMEMS HF System$134
- Peripheral Orbital Atherectomy System$132
- Ranger$131
- Adempas$128
- ENCORE$125
- POLARIS$123
- GENERAL - THERAPIES$120
- MitraClip System$119
- Impella$113
How this compares
$10,785 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| EliquisApixaban | 362 | $475,075 |
| CamzyosMavacamten | 25 | $197,394 |
| XareltoRivaroxaban | 101 | $127,950 |
| EntrestoSacubitril/Valsartan | 93 | $102,321 |
| JardianceEmpagliflozin | 39 | $62,488 |
| FarxigaDapagliflozin Propanediol | 57 | $56,873 |
| Repatha SureclickEvolocumab | 44 | $48,789 |
| BrilintaTicagrelor | 15 | $12,716 |
| Metoprolol Succinate | 630 | $12,430 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 182 | $8,090 |
| Atorvastatin Calcium | 400 | $6,245 |
| Losartan Potassium | 426 | $5,596 |
| Potassium Chloride | 159 | $4,863 |
| Carvedilol | 306 | $4,150 |
| Midodrine Hcl | 49 | $3,931 |
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 |
|---|---|---|
| PfizerEliquis | $401 | $475,075362 claims |
| E.r. Squibb & Sons, L.L.C.Camzyos | $503 | $197,39425 claims |
| Johnson & JohnsonXarelto | $559 | $127,950101 claims |
| NovartisEntresto | $494 | $102,32193 claims |
| AstraZenecaFarxiga, Brilinta | $59 | $69,59072 claims |
| Boehringer IngelheimJardiance | $171 | $62,48839 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 75th percentile of 760 cardiovascular disease providers in Michigan.
Other cardiovascular disease in Mount Clemens
- Michael DeyoungMount Clemens$69K
- Timothy LoganMount Clemens$61K
- Marschall RungeAnn Arbor$1.8M
- Jihad MustaphaGrand Rapids$1.6M
- Vallerie McLaughlinAnn Arbor$947K
- Pedro Villablanca SpinettoDetroit$620K
- Stanley ChetcutiAnn Arbor$573K
- David HainesRoyal Oak$492K
- Steven AlmanyTroy$471K
- David StroblLansing$445K
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.