Robert Aquino, DO
Internal Medicine · Roseville, MINPI 1780671461
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 231 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,108 and has fallen 77.6% since, to $248 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 231 payments — averaging $17.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$936
- Lilly USA, LLC$837
- Novo Nordisk$602
- Sanofi-aventis U.S. LLC$231
- Novartis$160
- Axsome Therapeutics, Inc.$149
- plus $1K from 23 others
What the payments were for
- Food & beverage$4,147100%
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 |
|---|---|---|
| Amgen | 27 | $936 |
| Lilly USA, LLC | 53 | $837 |
| Novo Nordisk | 53 | $602 |
| Sanofi-aventis U.S. LLC | 14 | $231 |
| Novartis | 9 | $160 |
| Axsome Therapeutics, Inc. | 3 | $149 |
| Pfizer | 7 | $143 |
| Boehringer Ingelheim | 6 | $135 |
| GSK | 8 | $119 |
| Exact Sciences | 5 | $89 |
| Bayer | 5 | $86 |
| Dexcom, Inc. | 4 | $79 |
| AbbVie | 4 | $64 |
| Merck | 4 | $61 |
| AstraZeneca | 4 | $58 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $43 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $40 |
| Bausch Health US, LLC | 2 | $39 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $36 |
| Ultragenyx Pharmaceutical Inc. | 2 | $34 |
| Abbott | 2 | $31 |
| Organon | 2 | $31 |
| Teva Pharmaceuticals USA, Inc. | 2 | $30 |
| Agios Pharmaceuticals, Inc. | 1 | $28 |
| Abiomed | 1 | $20 |
| Boston Scientific | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $17 |
| Biohaven Pharmaceuticals, Inc. | 1 | $15 |
| Johnson & Johnson | 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.
How this compares
$4,147 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 |
|---|---|---|
| Diclofenac Sodium | 44 | $60,457 |
| TrulicityDulaglutide | 37 | $55,753 |
| EliquisApixaban | 60 | $51,806 |
| Diclofenac Potassium | 12 | $51,191 |
| OzempicSemaglutide | 48 | $45,066 |
| JardianceEmpagliflozin | 24 | $25,466 |
| RybelsusSemaglutide | 21 | $22,311 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 29 | $21,876 |
| FarxigaDapagliflozin Propanediol | 30 | $21,211 |
| EntrestoSacubitril/Valsartan | 21 | $16,982 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 54 | $16,161 |
| XareltoRivaroxaban | 21 | $14,962 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 59 | $12,469 |
| TradjentaLinagliptin | 16 | $12,190 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 16 | $11,862 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis, Abrysvo | $143 | $67,966114 claims |
| Novo NordiskOzempic, Rybelsus | $602 | $67,37769 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $837 | $67,33648 claims |
| GSKTrelegy Ellipta, Shingrix, Breo Ellipta | $119 | $43,258111 claims |
| Boehringer IngelheimJardiance, Tradjenta | $135 | $37,65640 claims |
| AstraZenecaFarxiga | $58 | $21,21130 claims |
| NovartisEntresto | $160 | $16,98221 claims |
| Johnson & JohnsonXarelto | $14 | $14,96221 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $231 | $11,86216 claims |
| MerckJanuvia | $61 | $11,35019 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Roseville
- 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
- Mohamad HatahetWaterford$352K
- A FendrickAnn Arbor$347K
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.