Robin Elkus, MD
Pulmonary Disease · Pontiac, MINPI 1780630905
Payments from drug & device makers
Across 117 payments — averaging $22.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$793
- Philips North America LLC$375
- Harmony Biosciences LLC$307
- Avadel CNS Pharmaceuticals, LLC$220
- Sunovion Pharmaceuticals Inc.$166
- GSK$128
- plus $614 from 11 others
What the payments were for
- Consulting fees$2008%
- Food & beverage$2,15383%
- Education$25110%
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 |
|---|---|---|
| AstraZeneca | 9 | $793 |
| Philips North America LLC | 30 | $375 |
| Harmony Biosciences LLC | 10 | $307 |
| Avadel CNS Pharmaceuticals, LLC | 3 | $220 |
| Sunovion Pharmaceuticals Inc. | 26 | $166 |
| GSK | 7 | $128 |
| Grifols USA, LLC | 7 | $120 |
| Boehringer Ingelheim | 5 | $99 |
| Axsome Therapeutics, Inc. | 4 | $84 |
| Genentech USA, Inc. | 2 | $58 |
| United Therapeutics Corporation | 3 | $54 |
| Mylan Specialty L.p. | 3 | $46 |
| Insmed, Inc. | 2 | $46 |
| Inogen, Inc. | 2 | $38 |
| Verona Pharma, Inc. | 2 | $31 |
| Sanofi | 1 | $24 |
| Viatris Specialty 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.
How this compares
$2,603 in reported general payments places this provider in the 55th percentile of 463 pulmonary disease 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 378 | $481,359 |
| OfevNintedanib Esylate | 32 | $414,998 |
| Pirfenidone | 57 | $195,966 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 70 | $70,833 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 66 | $62,500 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 69 | $61,166 |
| Breo ElliptaFluticasone/Vilanterol | 87 | $55,059 |
| Spiriva RespimatTiotropium Bromide | 49 | $32,544 |
| SymbicortBudesonide/Formoterol Fumarate | 68 | $30,461 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 59 | $27,321 |
| Tiotropium Bromide | 31 | $27,295 |
| DuleraMometasone/Formoterol | 32 | $25,787 |
| Incruse ElliptaUmeclidinium Bromide | 36 | $20,674 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 399 | $18,876 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 53 | $16,577 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta, Arnuity Ellipta | $128 | $629,637590 claims |
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat, Combivent Respimat | $99 | $521,185167 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere | $793 | $114,077151 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 55th percentile of 463 pulmonary disease providers in Michigan.
Other pulmonary disease in Pontiac
- Njira LugogoAnn Arbor$12.9M
- Timothy BlackwellAnn Arbor$2.5M
- Kevin FlahertyAnn Arbor$2.3M
- Meilan HanAnn Arbor$1.8M
- Gary FergusonLivonia$1.5M
- Justin OldhamAnn Arbor$1.4M
- Robert PaineAnn Arbor$1.3M
- Irina ShanidzeFarmington Hills$1.2M
- Oscar Parodi Ortiz de VillateWarren$1.1M
- Yvonne HuangAnn Arbor$1.1M
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.