Robert Gumbita
Internal Medicine · Lansing, MINPI 1922593177
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $43,780 of the $63,079 with a category attached, or 69.4%. 38 manufacturers reported payments, led by CSL Plasma Inc. at 59.6% of the total. Reporting peaked in 2023 at $21,627 and has fallen 53.0% since, to $10,163 in 2025. Among internal medicine clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 348 payments — averaging $181.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CSL Plasma Inc.$38K
- Abbott$11K
- CSL Behring$6K
- Boston Scientific$2K
- Shockwave Medical, Inc$690
- AstraZeneca$684
- plus $6K from 32 others
What the payments were for
- Consulting fees$43,78069%
- Grants$10,51417%
- Food & beverage$8,71914%
- Education$670%
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 |
|---|---|---|
| CSL Plasma Inc. | 51 | $37,565 |
| Abbott | 13 | $10,840 |
| CSL Behring | 7 | $6,215 |
| Boston Scientific | 31 | $1,539 |
| Shockwave Medical, Inc | 8 | $690 |
| AstraZeneca | 23 | $684 |
| Johnson & Johnson | 28 | $592 |
| Boehringer Ingelheim | 23 | $501 |
| E.r. Squibb & Sons, L.L.C. | 22 | $500 |
| Amgen | 27 | $500 |
| Pfizer | 19 | $442 |
| Medtronic | 12 | $435 |
| Actelion Pharmaceuticals US, Inc. | 14 | $428 |
| Philips North America LLC | 3 | $289 |
| Penumbra, Inc. | 2 | $233 |
| Novartis | 13 | $233 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 8 | $167 |
| Edwards Lifesciences | 3 | $158 |
| Abiomed | 5 | $149 |
| Inari Medical, Inc. | 2 | $140 |
| Alnylam Pharmaceuticals Inc. | 4 | $124 |
| Bayer | 7 | $110 |
| Lexicon Pharmaceuticals, Inc. | 3 | $75 |
| Chiesi USA, Inc. | 1 | $70 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $68 |
| Inspire Medical Systems, Inc. | 1 | $59 |
| Teleflex LLC | 2 | $38 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $35 |
| Novo Nordisk | 2 | $30 |
| United Therapeutics Corporation | 1 | $26 |
| Bridgebio Pharma, Inc. | 1 | $25 |
| Scpharmaceuticals Inc. | 1 | $21 |
| Merck | 1 | $20 |
| Astellas Pharma US Inc | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $18 |
| Medicomp Inc | 1 | $18 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Phadia US Inc. | 1 | $12 |
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.
- TACTICATH$1,000
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$233
- BRILINTA$215
- FARXIGA$215
- AVVIGO Guidance System$150
- Indigo System$141
- STINGRAY$133
- Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripher$125
- FLOWTRIEVER CATHETER, S$122
- CT THROMBECTOMY SYSTEM KIT$122
- XIENCE SKYPOINT$116
- CAMZYOS$114
- (6571) Eagle Eye$108
- (6574) Coronary Other$107
- XARELTO$105
- VYNDAQEL$103
How this compares
$63,079 in reported general payments places this provider in the 95th percentile of 4,567 internal medicine providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Rosuvastatin Calcium | 38 | $825 |
| Metoprolol Succinate | 22 | $375 |
| Carvedilol | 25 | $329 |
| ClopidogrelClopidogrel Bisulfate | 24 | $209 |
| Amlodipine Besylate | 14 | $95 |
| Losartan Potassium | 11 | $92 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Lansing
- Miki YokokawaLansing$84K
- Khader HerzallahLansing$54K
- Christopher AlvaradoLansing$35K
- 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
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.