Ravi Kankotia, MD
Internal Medicine · Ann Arbor, MINPI 1275996613
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.3%), education and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Olympus Corporation Of The Americas at 32.1% of the total. 2025 is the largest year on record at $3,920, more than ten times the $12 reported in 2021. 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 54 payments — averaging $120.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Corporation Of The Americas$2K
- Boston Scientific$2K
- Medtronic$767
- Conmed Corporation$601
- Cook Medical LLC$555
- Fujifilm Healthcare Americas Corporation$366
- plus $493 from 6 others
Across 1 payment — averaging $6500.00 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.
- Gyrus ACMI, Inc.$7K
What the payments were for
- Travel & lodging$1,26719%
- Food & beverage$3,01646%
- Education$2,22534%
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 |
|---|---|---|
| Olympus Corporation Of The Americas | 3 | $2,090 |
| Boston Scientific | 21 | $1,635 |
| Medtronic | 7 | $767 |
| Conmed Corporation | 7 | $601 |
| Cook Medical LLC | 6 | $555 |
| Fujifilm Healthcare Americas Corporation | 1 | $366 |
| Steris Corporation | 1 | $169 |
| Lucid Diagnostics Inc. | 1 | $128 |
| Olympus America Inc. | 3 | $85 |
| Amgen | 2 | $42 |
| Lumendi LLC | 1 | $40 |
| ERBE USA Inc | 1 | $30 |
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.
- Single Use Aspiration Needle NA-U200H$2,090
- ACQUIRE$567
- FUJIFILM$366
- ECHOTIP INSIGHT$255
- CONMED BILIARY$239
- TRUFREEZE$169
- Resolution 360 ULTRA Clip$159
- CONMED GENERATORS$133
- Hemospray$117
- AXIOS$117
- CONMED EUS$110
- EndoFlip$108
How this compares
$6,508 in reported general payments places this provider in the 90th percentile of 4,567 internal medicine 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 |
|---|---|---|
| Omeprazole | 11 | $99 |
| Levofloxacin | 20 | $41 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Ann Arbor
- Terry SmithAnn Arbor$2.3M
- Ulka VaishampayanAnn Arbor$996K
- A FendrickAnn Arbor$347K
- Gazala KhanAnn Arbor$86K
- Michael ValituttoKalamazoo$1.8M
- 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).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.