Nischit Baral
Internal Medicine · Flint, MINPI 1285250316
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,555 of the $7,249 with a category attached, or 76.6%. 26 manufacturers reported payments, led by Abbott at 33.3% of the total. Reporting peaked in 2024 at $3,585 and has fallen 51.0% since, to $1,758 in 2025. Among internal medicine 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 112 payments — averaging $64.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$2K
- Boston Scientific$1K
- Abiomed$412
- Actelion Pharmaceuticals US, Inc.$362
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$342
- Heartflow, Inc.$272
- plus $2K from 20 others
What the payments were for
- Travel & lodging$1,00514%
- Food & beverage$5,55577%
- Education$69010%
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 |
|---|---|---|
| Abbott | 30 | $2,415 |
| Boston Scientific | 9 | $1,228 |
| Abiomed | 7 | $412 |
| Actelion Pharmaceuticals US, Inc. | 4 | $362 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 8 | $342 |
| Heartflow, Inc. | 2 | $272 |
| Amgen | 8 | $265 |
| Boehringer Ingelheim | 2 | $246 |
| Medtronic | 8 | $220 |
| Bayer | 4 | $195 |
| AstraZeneca | 3 | $163 |
| Chiesi USA, Inc. | 2 | $156 |
| ZOLL Circulation Inc | 1 | $148 |
| Novartis | 6 | $137 |
| Edwards Lifesciences | 1 | $134 |
| Lexicon Pharmaceuticals, Inc. | 1 | $109 |
| Kyowa Kirin, Inc. | 3 | $97 |
| Biotronik Inc. | 2 | $74 |
| Biosense Webster, Inc. | 2 | $64 |
| Johnson & Johnson | 3 | $57 |
| BD | 1 | $39 |
| Terumo Medical Corporation | 1 | $33 |
| Cleerly, Inc. | 1 | $25 |
| Altathera Pharmaceuticals LLC | 1 | $24 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
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.
- GALLANT$1,017
- WATCHMAN FLX$525
- ENSITE$516
- UPTRAVI$291
- OPSUMIT$291
- FFRct$272
- JARDIANCE$246
- Impella$238
- TherOx DS2 Console$148
- Catheter$148
- Downstream Cartridge$148
- MitraClip$147
- STINGRAY$147
- LOKELMA$127
- Repatha$123
- Kerendia$115
- AVVIGO Guidance System$113
- Inpefa$109
How this compares
$7,249 in reported general payments places this provider in the 90th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Flint
- Sajjad GulFlint$39K
- Henry MendozaFlint$29K
- Terry SmithAnn Arbor$2.3M
- Michael ValituttoKalamazoo$1.8M
- Ulka VaishampayanAnn Arbor$996K
- Tina AbrahamPontiac$834K
- Steven KatzmanLivonia$715K
- Adam FormanSouthfield$453K
- Saroj NeupaneDetroit$373K
- James BazziDearborn Heights$368K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.