Saira Afzal
Internal Medicine · Cleveland, OHNPI 1235791336
Payments from drug & device makers
Across 158 payments — averaging $27.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$675
- AstraZeneca$552
- EMD Serono, Inc.$520
- Johnson & Johnson$425
- Argenx US, Inc.$350
- UCB, Inc.$280
- plus $2K from 20 others
What the payments were for
- Food & beverage$4,357100%
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 |
|---|---|---|
| AbbVie(2 entities) | 23 | $675 |
| AstraZeneca | 22 | $552 |
| EMD Serono, Inc. | 10 | $520 |
| Johnson & Johnson | 26 | $425 |
| Argenx US, Inc. | 6 | $350 |
| UCB, Inc. | 8 | $280 |
| Eisai Inc. | 4 | $171 |
| Merck | 8 | $165 |
| Boehringer Ingelheim | 10 | $157 |
| Genentech USA, Inc. | 1 | $140 |
| TG Therapeutics, Inc. | 5 | $135 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $120 |
| Merz Pharmaceuticals, LLC | 1 | $107 |
| Insmed, Inc. | 5 | $79 |
| Medtronic | 2 | $79 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $69 |
| Amgen | 1 | $69 |
| Neurocrine Biosciences, Inc. | 3 | $50 |
| Neurelis, Inc. | 3 | $48 |
| Novo Nordisk | 2 | $45 |
| Tetraphase Pharmaceuticals, Inc. | 2 | $27 |
| Lundbeck LLC | 1 | $25 |
| Vanda Pharmaceuticals Inc. | 1 | $20 |
| Acorda Therapeutics, Inc | 1 | $19 |
| Acadia Pharmaceuticals Inc | 1 | $18 |
| Pfizer | 1 | $13 |
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.
- BOTOX$125
- VYVGART HYTRULO$125
- VYVGART$120
- XEOMIN$107
- Leqembi$107
How this compares
$4,357 in reported general payments places this provider in the 85th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in Cleveland
- Vadim KoshkinCleveland$6.1M
- Emily LittlejohnCleveland$885K
- Marina MagreyCleveland$856K
- Pushkar KanadeCleveland$753K
- Cyrus HarrisCleveland$726K
- Ila TamaskarCleveland$721K
- Amar KrishnaswamyCleveland$552K
- Albree Tower-RaderCleveland$522K
- Adriano TonelliCleveland$464K
- Mahboob RahmanCleveland$409K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.