Paul Ariagno
Neurology · Pigeon, MINPI 1891742144
Payments from drug & device makers
Across 83 payments — averaging $16.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$322
- Pfizer$139
- Biogen$130
- Novartis$115
- Neurocrine Biosciences, Inc.$99
- UCB, Inc.$66
- plus $486 from 14 others
What the payments were for
- Speaking & faculty fees$232%
- Food & beverage$1,27594%
- Education$594%
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) | 29 | $322 |
| Pfizer | 8 | $139 |
| Biogen | 10 | $130 |
| Novartis | 6 | $115 |
| Neurocrine Biosciences, Inc. | 4 | $99 |
| UCB, Inc. | 3 | $66 |
| Genentech USA, Inc. | 3 | $62 |
| EMD Serono, Inc. | 2 | $57 |
| Otsuka America Pharmaceutical, Inc. | 2 | $50 |
| Acadia Pharmaceuticals Inc | 2 | $47 |
| Tanabe Pharma America, Inc. | 2 | $46 |
| Teva Pharmaceuticals USA, Inc. | 3 | $40 |
| AstraZeneca | 2 | $39 |
| MDD US Operations, LLC | 1 | $31 |
| Inspire Medical Systems, Inc. | 1 | $27 |
| Acorda Therapeutics, Inc | 1 | $23 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Lundbeck LLC | 1 | $17 |
| Lilly USA, LLC | 1 | $15 |
| Bristol Myers Squibb | 1 | $14 |
How this compares
$1,357 in reported general payments places this provider in the 45th percentile of 652 neurology providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Carbidopa-LevodopaCarbidopa/Levodopa | 66 | $1,258 |
| Gabapentin | 31 | $339 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 19 | $210 |
| Baclofen | 13 | $198 |
| Propranolol Hcl | 12 | $196 |
| Duloxetine Hcl | 20 | $194 |
| Levetiracetam | 11 | $160 |
| Divalproex Sodium | 12 | $150 |
| Donepezil Hcl | 14 | $102 |
| Lamotrigine | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other neurology in Pigeon
- Aaron EllenbogenFarmington Hills$14.5M
- Martin BelkinFarmington Hills$5.8M
- Evanthia BernitsasDetroit$4.8M
- Yang Mao DraayerFarmington Hills$4.2M
- Mirela CerghetDetroit$3.8M
- Peter le WittWest Bloomfield$3.2M
- Judith HeidebrinkAnn Arbor$2.2M
- Denise LeungAnn Arbor$2M
- Rany AburashedOwosso$1.9M
- Jeanie CoteOwosso$1.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.