Michelle Betz, DO
Neurology · Virginia Beach, VANPI 1982862561
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $210,284 of the $250,370 with a category attached, or 84.0%. 10 manufacturers reported payments, led by Biogen at 46.6% of the total. Among neurology clinicians in VA 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.
Across 248 payments — averaging $1009.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$117K
- Amgen$80K
- Genentech USA, Inc.$30K
- Sanofi$16K
- EMD Serono, Inc.$6K
- AbbVie$1K
- plus $360 from 4 others
Across 215 payments — averaging $13,968 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.
- Novartis$2.7M
- EMD Serono, Inc.$89K
- AbbVie$61K
- Biogen$50K
- Sanofi$48K
- TG Therapeutics, Inc.$24K
What the payments were for
- Consulting fees$21,5689%
- Speaking & faculty fees$210,28484%
- Travel & lodging$12,1285%
- Food & beverage$6,3813%
- Education$90%
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 |
|---|---|---|
| Biogen | 103 | $116,728 |
| Amgen(2 entities) | 73 | $80,394 |
| Genentech USA, Inc. | 37 | $29,540 |
| Sanofi | 21 | $16,464 |
| EMD Serono, Inc. | 6 | $5,695 |
| AbbVie | 3 | $1,189 |
| AstraZeneca | 2 | $131 |
| TG Therapeutics, Inc. | 1 | $106 |
| Novartis | 1 | $66 |
| Carbofix Spine Inc | 1 | $57 |
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
$250,370 in reported general payments places this provider in the 95th percentile of 474 neurology providers in Virginia.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 34 | $318,272 |
| CopaxoneGlatiramer Acetate | 19 | $108,964 |
| Teriflunomide | 23 | $88,123 |
| Glatiramer Acetate | 20 | $62,984 |
| Emgality PenGalcanezumab-Gnlm | 39 | $44,547 |
| Dalfampridine ErDalfampridine | 19 | $10,755 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 11 | $9,375 |
| Aimovig AutoinjectorErenumab-Aooe | 11 | $7,858 |
| Pregabalin | 47 | $1,602 |
| Levetiracetam | 60 | $1,598 |
| Baclofen | 96 | $1,568 |
| Gabapentin | 67 | $882 |
| Carbamazepine | 15 | $519 |
| Topiramate | 34 | $258 |
| Amitriptyline Hcl | 26 | $249 |
Paid to pharmacies, not to this prescriber.
Other neurology in Virginia Beach
- Amelito B MalapiraVirginia Beach$227K
- Patrick KilhennyVirginia Beach$102K
- Ramsey FalconerAlexandria$2M
- Robert ShinCharlottesville$1.7M
- Heidi CraytonVienna$1.5M
- Mark LandrioWinchester$631K
- Catherine HamRichmond$603K
- Jill CramerChristiansburg$598K
- Rahul DaveFairfax$540K
- Daniel HardyRichmond$382K
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.