Michael Malian, MD
Surgical Critical Care · Dearborn, MINPI 1215090840
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 11 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Smith+Nephew at 31.9% of the total. Reporting peaked in 2024 at $461 and has fallen 78.4% since, to $99 in 2025. That places this record below the midpoint for surgical critical care clinicians in MI, where the typical reported total is $2,699.
Across 11 payments — averaging $103.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$363
- Acera Surgical, Inc.$186
- Aroa Biosurgery Incorporated$129
- Johnson & Johnson$125
- TELA Bio, Inc.$121
- Medtronic$99
- plus $113 from 2 others
What the payments were for
- Food & beverage$1,137100%
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 |
|---|---|---|
| Smith+Nephew | 4 | $363 |
| Acera Surgical, Inc. | 1 | $186 |
| Aroa Biosurgery Incorporated | 1 | $129 |
| Johnson & Johnson | 1 | $125 |
| TELA Bio, Inc. | 1 | $121 |
| Medtronic | 1 | $99 |
| Integra Lifesciences Corporation | 1 | $98 |
| Pfizer | 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.
- Restrata Wound Matrix$186
- GRAFIX PL$146
- Stravix$146
- MATRIXRIB$125
- Ovitex$121
How this compares
$1,137 in reported general payments places this provider in the 35th percentile of 70 surgical critical care 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.
Other surgical critical care in Dearborn
- Lena NapolitanoAnn Arbor$119K
- Robert SawyerKalamazoo$31K
- John SharpeSaginaw$30K
- Jamal FarhanFlint$27K
- Gregory CerilliYpsilanti$26K
- Lindsey RieckPontiac$19K
- Matthew DullGrand Rapids$16K
- Alistair ChapmanGrand Rapids$15K
- Jenna OverlyTroy$14K
- Douglas KwazneskiGrand Rapids$12K
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.