Michael Ghobrial, MD
Pulmonary Disease · Cleveland, OHNPI 1669727582
Payments from drug & device makers
Across 193 payments — averaging $100.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$6K
- GSK$4K
- Boehringer Ingelheim$2K
- Regeneron Healthcare Solutions, Inc.$2K
- Sanofi$2K
- Shire North American Group Inc$900
- plus $2K from 6 others
What the payments were for
- Consulting fees$9,51949%
- Speaking & faculty fees$4,40023%
- Travel & lodging$1331%
- Food & beverage$5,26927%
- Education$1281%
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 |
|---|---|---|
| AstraZeneca | 21 | $5,995 |
| GSK | 67 | $4,192 |
| Boehringer Ingelheim | 11 | $2,220 |
| Regeneron Healthcare Solutions, Inc. | 10 | $2,056 |
| Sanofi | 27 | $2,029 |
| Shire North American Group Inc | 1 | $900 |
| Amgen | 21 | $843 |
| United Therapeutics Corporation | 11 | $557 |
| Insmed, Inc. | 20 | $547 |
| Sanofi-aventis U.S. LLC | 1 | $58 |
| Verona Pharma, Inc. | 2 | $37 |
| Electromed, Inc. | 1 | $15 |
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.
How this compares
$19,449 in reported general payments places this provider in the 80th percentile of 571 pulmonary disease providers in Ohio.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 832 | $643,425 |
| OfevNintedanib Esylate | 22 | $240,636 |
| Dupixent PenDupilumab | 52 | $197,966 |
| TezspireTezepelumab-Ekko | 41 | $180,184 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 171 | $139,361 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 109 | $73,490 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 85 | $62,222 |
| Spiriva RespimatTiotropium Bromide | 34 | $28,271 |
| SymbicortBudesonide/Formoterol Fumarate | 58 | $24,220 |
| Advair HfaFluticasone Propion/Salmeterol | 44 | $21,276 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $13,156 |
| Incruse ElliptaUmeclidinium Bromide | 20 | $12,640 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 376 | $10,667 |
| DuleraMometasone/Formoterol | 23 | $10,080 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 46 | $9,502 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta | $4,192 | $742,711985 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort | $5,995 | $343,765270 claims |
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $2,220 | $331,128141 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 80th percentile of 571 pulmonary disease providers in Ohio.
Other pulmonary disease in Cleveland
- Kristin HighlandCleveland$3.2M
- Leslie TolleCleveland$1M
- Rodney FolzCleveland$733K
- Marie BudevCleveland$658K
- Joseph ParambilCleveland$586K
- Douglas ConradCleveland$461K
- Daniel CulverCleveland$456K
- Elliott DasenbrookCleveland$456K
- Michael MachuzakCleveland$390K
- Gustavo Heresi DavilaCleveland$357K
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.