RxDoctor Payments Data

Michael Machuzak, MD

Pulmonary Disease · Cleveland, OHNPI 1851355085

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (55.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Olympus Corporation Of The Americas accounts for 63.5% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2019 at $88,038 and has fallen 68.6% since, to $27,614 in 2025. Among pulmonary disease clinicians in OH 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.

$285,986in general payments, 2019–2025

Across 443 payments — averaging $645.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Olympus Corporation Of The Americas$182K
  • Johnson & Johnson$36K
  • Medical Device Business Services, Inc.$22K
  • Olympus America Inc.$18K
  • Olympus Medical Systems Corporation$7K
  • Serpex Medical Inc$7K
  • plus $14K from 18 others
$104,461in research payments, 2019–2025

Across 23 payments — averaging $4541.78 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.

  • Johnson & Johnson$69K
  • Ethicon Endo-surgery Inc.$19K
  • Pulmonx Corporation$17K

What the payments were for

  • Consulting fees$97,74534%
  • Speaking & faculty fees$4400%
  • Travel & lodging$20,4797%
  • Food & beverage$9,6193%
  • Education$157,70355%

General payments by program year

19
20
21
22
23
24
25

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.

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

$285,986 in reported general payments places this provider in the 95th percentile of 571 pulmonary disease providers in Ohio.

See all pulmonary disease providers in Ohio

Medicare billing

Part B allowed, 2024
$36,277
Medicare patients
142
Services billed
330

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

DrugClaimsCost to plans & patients
Trelegy ElliptaFluticasone/Umeclidin/Vilanter12$7,681

Paid to pharmacies, not to this prescriber.

Other pulmonary disease in Cleveland

See the full list for Ohio

Where these figures come from

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