Michelle El-Hosni, MD
Allergy & Immunology · Grosse Pointe, MINPI 1033596903
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,034 of the $4,681 with a category attached, or 64.8%. 15 manufacturers reported payments, led by Sanofi at 48.5% of the total. 2025 is the largest year on record at $3,143, more than ten times the $252 reported in 2022.
Across 133 payments — averaging $35.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$2K
- Regeneron Healthcare Solutions, Inc.$525
- GSK$481
- AstraZeneca$344
- CSL Behring$285
- Genentech USA, Inc.$155
- plus $622 from 9 others
What the payments were for
- Consulting fees$1,44631%
- Food & beverage$3,03465%
- Education$2004%
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 |
|---|---|---|
| Sanofi | 28 | $2,268 |
| Regeneron Healthcare Solutions, Inc. | 16 | $525 |
| GSK | 26 | $481 |
| AstraZeneca | 14 | $344 |
| CSL Behring | 14 | $285 |
| Genentech USA, Inc. | 6 | $155 |
| Novartis | 6 | $124 |
| ARS Pharmaceuticals Operations, Inc. | 5 | $122 |
| Amgen | 5 | $105 |
| Organon | 5 | $81 |
| Pharming Healthcare, Inc. | 3 | $70 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $63 |
| Cycle Pharmaceuticals Inc | 1 | $24 |
| Optinose US, Inc. | 1 | $18 |
| Dermavant Sciences, Inc. | 1 | $17 |
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.
- TEZSPIRE$115
How this compares
$4,681 in reported general payments places this provider in the 60th percentile of 119 allergy & immunology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 62 | $55,703 |
| XolairOmalizumab | 11 | $32,011 |
| Breo ElliptaFluticasone/Vilanterol | 18 | $10,660 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 58 | $8,577 |
| Epinephrine | 26 | $6,116 |
| Pulmicort FlexhalerBudesonide | 13 | $5,682 |
| Azelastine Hcl | 151 | $4,283 |
| Mometasone Furoate | 43 | $4,114 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 16 | $2,832 |
| Fluticasone Propionate | 124 | $2,691 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $2,275 |
| Montelukast Sodium | 163 | $1,891 |
| Zafirlukast | 11 | $1,739 |
| Olopatadine Hcl | 15 | $1,473 |
| Ipratropium Bromide | 50 | $1,432 |
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, Breo Ellipta | $481 | $66,36380 claims |
| AstraZenecaPulmicort Flexhaler, Symbicort | $344 | $7,95724 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 60th percentile of 119 allergy & immunology providers in Michigan.
Other allergy & immunology in Grosse Pointe
- Steven StrykCanton$949K
- Hassan NasirWest Branch$736K
- Theodore KelbelGrand Rapids$695K
- Nicholas HartogGrand Rapids$575K
- Kathleen DassOak Park$446K
- Pulin PatelMount Clemens$431K
- Alan BaptistAnn Arbor$168K
- Mohsen NasirSaginaw$99K
- Abdul Husein BahrainwalaRoyal Oak$47K
- Jason ParisLivonia$44K
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.