Michael Ghannam, MD
Clinical Cardiac Electrophysiology · Ann Arbor, MINPI 1023301900
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.4%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Boston Scientific at 37.5% of the total. Reporting peaked in 2024 at $11,082 and has fallen 96.6% since, to $380 in 2025.
Across 64 payments — averaging $309.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$7K
- Abbott$4K
- Medical Device Business Services, Inc.$4K
- Medtronic$2K
- Biotronik Inc.$2K
- Impulse Dynamics (USA) Inc.$235
- plus $130 from 1 others
Across 4 payments — averaging $8223.50 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.
- Janssen Research & Development, LLC$33K
What the payments were for
- Consulting fees$7,57538%
- Speaking & faculty fees$1,2006%
- Travel & lodging$8,41142%
- Food & beverage$2,63413%
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 |
|---|---|---|
| Boston Scientific | 15 | $7,442 |
| Abbott | 30 | $4,447 |
| Medical Device Business Services, Inc. | 1 | $3,575 |
| Medtronic(2 entities) | 6 | $2,300 |
| Biotronik Inc. | 8 | $1,691 |
| Impulse Dynamics (USA) Inc. | 2 | $235 |
| Biosense Webster, Inc. | 2 | $130 |
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 FLX$4,000
- Carto 3$3,575
- AVEIR$2,726
- WATCHMAN Access System$1,176
- Watchman$1,087
- GENERAL - THERAPIES$880
- AGILIS$725
- OPTIMIZER$308
- BioMonitor$252
- ENSITE PRECISION$163
- Edora$146
- Rivacor$146
- Acticor$146
- Solia$146
- Confirm Rx$141
- Acticor 7 VR-T DX$111
How this compares
$19,820 in reported general payments places this provider in the 55th percentile of 105 clinical cardiac electrophysiology providers in Michigan.
See all clinical cardiac electrophysiology 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 | 156 | $181,184 |
| XareltoRivaroxaban | 28 | $35,607 |
| Amiodarone Hcl | 51 | $1,919 |
| Flecainide Acetate | 27 | $1,279 |
| Metoprolol Succinate | 68 | $1,105 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 15 | $569 |
| Metoprolol Tartrate | 27 | $352 |
| ClopidogrelClopidogrel Bisulfate | 21 | $308 |
| Carvedilol | 12 | $166 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Ann Arbor
- Jackson LiangAnn Arbor$229K
- Ryan CunnaneAnn Arbor$218K
- Daniel AlyeshAnn Arbor$97K
- Kelly ArpsAnn Arbor$96K
- Emma HegwoodAnn Arbor$74K
- Muazzum ShahAnn Arbor$57K
- Frank PelosiAnn Arbor$51K
- Hamid GhanbariAnn Arbor$47K
- Boldizsar KovacsAnn Arbor$43K
- Amrish DeshmukhAnn Arbor$21K
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.