Nirav Shah, MD
Anesthesiology · Ann Arbor, MINPI 1063533974
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,042 of the $1,626 with a category attached, or 64.1%. Boston Scientific accounts for 90.8% of it on its own, with 2 other manufacturers making up the rest. Among anesthesiology clinicians in MI 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 17 payments — averaging $95.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Grifols USA, LLC$115
- Edwards Lifesciences$35
Across 2 payments — averaging $112,500 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Edwards Lifesciences$225K
What the payments were for
- Travel & lodging$1,04264%
- Food & beverage$58436%
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 |
|---|---|---|
| Boston Scientific | 10 | $1,476 |
| Grifols USA, LLC | 6 | $115 |
| Edwards Lifesciences | 1 | $35 |
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.
- SUPERION$1,280
How this compares
$1,626 in reported general payments places this provider in the 90th percentile of 1,299 anesthesiology 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.
Other anesthesiology in Ann Arbor
- Neal DuggalAnn Arbor$206K
- David HovordAnn Arbor$48K
- Lauren RicheyAnn Arbor$11K
- Bernard JiangAnn Arbor$9K
- Michael McCaughanAnn Arbor$4K
- Wei LauAnn Arbor$4K
- Stephan FrangakisAnn Arbor$3K
- Ayesha ZaheerAnn Arbor$3K
- John PappasRoyal Oak$112K
- Jay GlobersonSouthfield$79K
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.