Mtanious Makhoul, MD
Family Medicine · Springfield, OHNPI 1326211020
Payments from drug & device makers
Across 445 payments — averaging $14.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- AstraZeneca$1K
- Astellas Pharma US Inc$426
- Pfizer$392
- Amgen$363
- GSK$313
- plus $2K from 26 others
What the payments were for
- Food & beverage$6,13896%
- Education$2854%
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 |
|---|---|---|
| AbbVie(2 entities) | 193 | $2,054 |
| AstraZeneca | 46 | $1,022 |
| Astellas Pharma US Inc | 13 | $426 |
| Pfizer | 30 | $392 |
| Amgen | 24 | $363 |
| GSK | 21 | $313 |
| Abbott | 11 | $205 |
| Lilly USA, LLC | 10 | $184 |
| Supernus Pharmaceuticals, Inc. | 15 | $182 |
| Dexcom, Inc. | 9 | $155 |
| Nestle Healthcare Nutrition Inc. | 8 | $129 |
| Boehringer Ingelheim | 7 | $110 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $101 |
| E.r. Squibb & Sons, L.L.C. | 5 | $84 |
| Otsuka America Pharmaceutical, Inc. | 5 | $83 |
| Novartis | 5 | $77 |
| Novo Nordisk | 4 | $75 |
| Biohaven Pharmaceuticals, Inc. | 4 | $55 |
| Aimmune Therapeutics, Inc. | 3 | $51 |
| Sunovion Pharmaceuticals Inc. | 4 | $48 |
| Merck | 3 | $47 |
| Xeris Pharmaceuticals, Inc. | 3 | $46 |
| Johnson & Johnson | 3 | $45 |
| Axsome Therapeutics, Inc. | 2 | $34 |
| Avanir Pharmaceuticals, Inc. | 2 | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $26 |
| Jazz Pharmaceuticals Inc. | 2 | $24 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Evoke Pharma, Inc. | 1 | $12 |
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
$6,423 in reported general payments places this provider in the 90th percentile of 3,983 family medicine providers in Ohio.
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 |
|---|---|---|
| OzempicSemaglutide | 61 | $58,728 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 55 | $39,204 |
| EliquisApixaban | 50 | $35,825 |
| FarxigaDapagliflozin Propanediol | 47 | $30,084 |
| XareltoRivaroxaban | 27 | $23,941 |
| TrulicityDulaglutide | 20 | $22,668 |
| SymbicortBudesonide/Formoterol Fumarate | 75 | $18,739 |
| JardianceEmpagliflozin | 14 | $11,665 |
| Spiriva HandihalerTiotropium Bromide | 20 | $10,046 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 16 | $9,863 |
| Breo ElliptaFluticasone/Vilanterol | 19 | $9,368 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 98 | $8,978 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 267 | $5,984 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 30 | $5,412 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 573 | $4,806 |
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 |
|---|---|---|
| Novo NordiskOzempic | $75 | $58,72861 claims |
| AstraZenecaFarxiga, Symbicort, Breztri Aerosphere | $1,022 | $58,686138 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $313 | $48,57274 claims |
| PfizerEliquis | $392 | $35,82550 claims |
| Johnson & JohnsonXarelto | $45 | $23,94127 claims |
| Lilly USA, LLCTrulicity | $184 | $22,66820 claims |
| Boehringer IngelheimJardiance | $110 | $11,66514 claims |
| Aimmune Therapeutics, Inc.Zenpep | $51 | $1,43111 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 90th percentile of 3,983 family medicine providers in Ohio.
Other family medicine in Springfield
- Shannon TrotterSpringfield$392K
- Michael ButcherCincinnati$18.3M
- William RandallKettering$7.5M
- Paul NugentCincinnati$4.9M
- Steve ChoiDayton$4.8M
- Martin SchearDayton$2.2M
- Rajesh DavitCincinnati$2M
- Kwabena OtengSpringdale$2M
- Blaise GattoMoraine$1.8M
- Cathy GreiweColumbus$1.4M
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.