Rana Balboul
Internal Medicine · Detroit, MINPI 1265852479
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 27 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. GSK accounts for 75.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $511 and has fallen 67.8% since, to $165 in 2024.
Across 27 payments — averaging $45.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$934
- AstraZeneca$139
- Genentech, Inc.$40
- Amgen$33
- Boehringer Ingelheim$30
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$25
- plus $38 from 3 others
Across 212 payments — averaging $11,324 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.
- Modernatx, Inc.$2.3M
- Orasure Technologies Inc.$61K
What the payments were for
- Food & beverage$1,238100%
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 |
|---|---|---|
| GSK | 15 | $934 |
| AstraZeneca | 2 | $139 |
| Genentech, Inc. | 1 | $40 |
| Amgen | 2 | $33 |
| Boehringer Ingelheim | 2 | $30 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $25 |
| Boston Scientific | 1 | $14 |
| Johnson & Johnson | 1 | $14 |
| Merck | 1 | $11 |
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.
- TRELEGY ELLIPTA$500
- FASENRA$125
- AREXVY$120
How this compares
$1,238 in reported general payments places this provider in the 75th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Detroit
- Saroj NeupaneDetroit$373K
- David StocktonDetroit$306K
- Mervin WolffDetroit$182K
- Philip KuriakoseDetroit$143K
- Ivan HansonDetroit$137K
- Omeralfaroug AdamDetroit$124K
- Jalal MaghfourDetroit$81K
- Ravish ParekhDetroit$68K
- Dipenkumar ModiDetroit$64K
- Garen WolffDetroit$62K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.