Michelle Chance
Gerontology · Orlando, FLNPI 1447708524
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,163 of the $6,828 with a category attached, or 61.0%. 8 manufacturers reported payments, led by Actelion Pharmaceuticals US, Inc. at 43.6% of the total. Reporting peaked in 2023 at $2,806 and has fallen 71.1% since, to $811 in 2025. Among gerontology clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 77 payments — averaging $88.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Actelion Pharmaceuticals US, Inc.$3K
- Merck$2K
- United Therapeutics Corporation$1K
- Bayer$339
- Philips North America LLC$234
- Medtronic$166
- plus $158 from 2 others
What the payments were for
- Consulting fees$2,27533%
- Travel & lodging$2404%
- Food & beverage$4,16361%
- Education$1492%
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc. | 35 | $2,975 |
| Merck | 9 | $1,506 |
| United Therapeutics Corporation | 19 | $1,449 |
| Bayer | 3 | $339 |
| Philips North America LLC | 7 | $234 |
| Medtronic | 2 | $166 |
| Cvrx, Inc. | 1 | $134 |
| Genentech USA, Inc. | 1 | $24 |
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
$6,828 in reported general payments places this provider in the 90th percentile of 714 gerontology providers in Florida.
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 gerontology in Orlando
- Boni MayOrlando$22K
- Daniel Prieto RomeroOrlando$9K
- Jing LiuOrlando$6K
- Flavius NascimentoCoral Springs$226K
- Michelle HartogWinter Park$90K
- Alejandra Rosales-CohenOrange City$88K
- Jennifer PacilettiAtlantis$66K
- Tatiana ClarkBradenton$34K
- Brandi LigonWinter Park$27K
- Dennis VerducciMiami$22K
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.