Monika Chmielewska, DO
Facial Plastic Surgery · Grand Blanc, MINPI 1538309711
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.5% of the total across 86 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations.
Across 86 payments — averaging $26.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$370
- Sanofi$365
- Regeneron Healthcare Solutions, Inc.$348
- Optinose US, Inc.$272
- Medtronic$168
- GSK$138
- plus $591 from 11 others
What the payments were for
- Food & beverage$2,21898%
- Education$342%
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 |
|---|---|---|
| Acclarent, Inc | 8 | $370 |
| Sanofi | 16 | $365 |
| Regeneron Healthcare Solutions, Inc. | 16 | $348 |
| Optinose US, Inc. | 17 | $272 |
| Medtronic | 3 | $168 |
| GSK | 8 | $138 |
| Aerin Medical Inc. | 1 | $116 |
| Inspire Medical Systems, Inc. | 1 | $100 |
| Stryker | 4 | $93 |
| Amgen | 2 | $62 |
| Integra Lifesciences Corporation | 1 | $47 |
| Novartis | 2 | $47 |
| Boston Scientific | 2 | $44 |
| Vertex | 2 | $32 |
| Merck | 1 | $20 |
| Fortovia Therapeutics, Inc. | 1 | $17 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
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.
- Relieva Spinplus$171
- Vivaer RF Stylus$116
- PROPEL$104
- Inspire$100
How this compares
$2,252 in reported general payments places this provider in the 55th percentile of 30 facial plastic surgery 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 |
|---|---|---|
| Ipratropium Bromide | 215 | $5,428 |
| Famotidine | 136 | $905 |
| Omeprazole | 126 | $904 |
| Azelastine Hcl | 23 | $530 |
| Ofloxacin | 11 | $443 |
| Amitriptyline Hcl | 34 | $224 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 24 | $216 |
| Fluticasone Propionate | 14 | $157 |
| Ciprofloxacin Hcl | 11 | $135 |
| Mupirocin | 28 | $135 |
| Doxycycline Hyclate | 17 | $119 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $114 |
| Prednisone | 26 | $113 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $103 |
| Gabapentin | 12 | $70 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Grand Blanc
- John UlrichGrand Blanc$7K
- Ahmed MakiPontiac$24K
- Casey AshbyFarmington Hills$15K
- Andrew BehlerGrand Rapids$10K
- Christopher MetzMadison Heights$7K
- Laura Garcia RodriguezDetroit$6K
- Anthony HowardGrand Rapids$4K
- Noah SternDetroit$4K
- Adam RourkeSterling Heights$4K
- John RileyGrand Rapids$3K
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.