Riley Guest
Physician Assistant · Detroit, MINPI 1033885256
Payments from drug & device makers
Across 66 payments — averaging $47.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Sumitomo Pharma America, Inc.$386
- Bayer$266
- Urogen Pharma, Inc.$191
- AbbVie$188
- Endo USA, Inc.$139
- plus $749 from 16 others
What the payments were for
- Travel & lodging$77925%
- Food & beverage$2,31974%
- Education$361%
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 |
|---|---|---|
| Medtronic | 13 | $1,215 |
| Sumitomo Pharma America, Inc. | 7 | $386 |
| Bayer | 3 | $266 |
| Urogen Pharma, Inc. | 5 | $191 |
| AbbVie | 8 | $188 |
| Endo USA, Inc. | 6 | $139 |
| Procept Biorobotics Corporation | 1 | $116 |
| Progenics Pharmaceuticals, Inc. | 2 | $97 |
| Johnson & Johnson | 3 | $77 |
| Antares Pharma, Inc. | 4 | $75 |
| Boston Scientific | 1 | $71 |
| Pfizer | 3 | $66 |
| Laborie Medical Technologies Corp. | 1 | $46 |
| Dendreon Pharmaceuticals LLC | 1 | $45 |
| Sun Pharmaceutical Industries Inc. | 1 | $26 |
| Vertex | 1 | $26 |
| Bluewind Medical | 1 | $21 |
| Endo Pharmaceuticals Inc. | 1 | $19 |
| AstraZeneca | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $17 |
| Merck | 1 | $16 |
| Teleflex LLC | 1 | $14 |
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.
- INTERSTIM$825
- GEMTESA$286
- Nubeqa$138
- JELMYTO$123
- AQUABEAM SYSTEM$116
How this compares
$3,134 in reported general payments places this provider in the 90th percentile of 5,453 physician assistant 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 |
|---|---|---|
| Testosterone | 13 | $3,250 |
| Solifenacin Succinate | 36 | $1,851 |
| Testosterone Cypionate | 26 | $1,419 |
| Methenamine Hippurate | 33 | $1,182 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 12 | $960 |
| Clozapine | 22 | $838 |
| Estradiol | 14 | $764 |
| Tamsulosin Hcl | 78 | $660 |
| Bethanechol Chloride | 13 | $604 |
| Cephalexin | 12 | $278 |
| Ciprofloxacin Hcl | 51 | $274 |
| Finasteride | 24 | $269 |
| Oxybutynin Chloride ErOxybutynin Chloride | 25 | $244 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 22 | $202 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $86 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Detroit
- Ayana GatesDetroit$22K
- Sarang PatelRoyal Oak$660K
- Beth SweneyAda$617K
- Zainab JishiCanton$596K
- Taylor HennrickAdrian$430K
- Erin van DykeGrand Rapids$346K
- Ashley AldridgeAnn Arbor$298K
- Derek SusallaRochester Hills$242K
- Gabrielle DamoreRoyal Oak$200K
- Melissa MickelsonKalamazoo$168K
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.