Nafea Zayouna, MD
Gastroenterology · Warren, MINPI 1285968446
Payments from drug & device makers
Across 149 payments — averaging $26.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Johnson & Johnson$800
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$446
- Cook Medical LLC$354
- Bristol Myers Squibb$285
- Takeda Pharmaceuticals U.S.A., Inc.$233
- plus $752 from 16 others
What the payments were for
- Food & beverage$3,71395%
- Education$1905%
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 | 44 | $1,032 |
| Johnson & Johnson | 25 | $800 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $446 |
| Cook Medical LLC | 4 | $354 |
| Bristol Myers Squibb | 27 | $285 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $233 |
| Regeneron Healthcare Solutions, Inc. | 2 | $140 |
| Janssen Scientific Affairs, LLC | 1 | $113 |
| E.r. Squibb & Sons, L.L.C. | 1 | $113 |
| Intercept Pharmaceuticals, Inc. | 3 | $72 |
| UCB, Inc. | 3 | $67 |
| Gilead | 4 | $63 |
| Ipsen Biopharmaceuticals, Inc | 1 | $32 |
| Concordia Pharmaceuticals Inc. | 1 | $24 |
| Sanofi | 1 | $24 |
| Redhill Biopharma Inc. | 1 | $23 |
| Braintree Laboratories, Inc. | 1 | $15 |
| Medtronic | 1 | $14 |
| Inari Medical, Inc. | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
| Ardelyx, Inc. | 1 | $13 |
| Vivus LLC | 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.
How this compares
$3,903 in reported general payments places this provider in the 60th percentile of 497 gastroenterology 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 |
|---|---|---|
| StelaraUstekinumab | 17 | $420,143 |
| LinzessLinaclotide | 61 | $61,461 |
| IbsrelaTenapanor Hcl | 19 | $41,186 |
| Pantoprazole Sodium | 192 | $3,645 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 98 | $1,638 |
| Omeprazole | 53 | $1,079 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 36 | $617 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 28 | $519 |
| Ondansetron Hcl | 37 | $500 |
| Levothyroxine Sodium | 38 | $417 |
| Hydrocortisone | 18 | $351 |
| Dicyclomine Hcl | 15 | $293 |
| Lisinopril | 12 | $107 |
| Metoprolol Tartrate | 12 | $101 |
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 |
|---|---|---|
| Johnson & JohnsonStelara | $800 | $420,14317 claims |
| AbbVieLinzess | $1,032 | $61,46161 claims |
| Ardelyx, Inc.Ibsrela | $13 | $41,18619 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 497 gastroenterology providers in Michigan.
Other gastroenterology in Warren
- Allan CoatesWyoming$5.9M
- Ronald FogelChesterfield$5.1M
- Stuart GordonDetroit$4.3M
- Jeffery BerinsteinAnn Arbor$3.3M
- Najm SoofiYpsilanti$2.6M
- Peter HigginsAnn Arbor$2.4M
- Partha NandiTroy$1.4M
- Frederick AskariAnn Arbor$1.4M
- Reena SalgiaDetroit$1.3M
- Kimberly BrownDetroit$1.1M
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.