Sander Paul, MD
Endocrinology, Diabetes & Metabolism · Berkley, MINPI 1447331764
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 737 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 53 manufacturers, the largest accounting for just 12.4% — the pattern of someone who eats at a lot of different presentations.
Across 737 payments — averaging $17.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- Lilly USA, LLC$2K
- Amgen$1K
- Dexcom, Inc.$1K
- Boehringer Ingelheim$710
- Bayer$576
- plus $6K from 47 others
Across 5 payments — averaging $50,075 each. An ownership or investment interest held by the physician or an immediate family member.
- Visby Medical, Inc.$250K
What the payments were for
- Food & beverage$12,547100%
- Education$280%
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.
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.
- TEPEZZA$246
- DEXCOM G6 TRANSMITTER$147
- MINIMED 780G$130
- INPEN SMART INSULIN DELIVERY SYSTEM$128
- EVENITY$125
- Veozah$110
How this compares
$12,576 in reported general payments places this provider in the 80th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 126 | $219,871 |
| JardianceEmpagliflozin | 109 | $143,007 |
| JanuviaSitagliptin Phosphate | 57 | $78,741 |
| TrulicityDulaglutide | 47 | $68,329 |
| MounjaroTirzepatide | 46 | $61,805 |
| FarxigaDapagliflozin Propanediol | 38 | $48,827 |
| Novolog FlexpenInsulin Aspart | 66 | $37,945 |
| RybelsusSemaglutide | 16 | $34,304 |
| Tresiba Flextouch U-200Insulin Degludec | 13 | $32,410 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 120 | $25,173 |
| Humalog Kwikpen U-100Insulin Lispro | 49 | $21,044 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $18,916 |
| TradjentaLinagliptin | 14 | $17,823 |
| SynthroidLevothyroxine Sodium | 126 | $15,039 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $14,299 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $1,560 | $254,175142 claims |
| Boehringer IngelheimJardiance, Tradjenta | $710 | $160,830123 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $1,542 | $132,949104 claims |
| MerckJanuvia | $79 | $78,74157 claims |
| AstraZenecaFarxiga | $264 | $48,82738 claims |
| AbbVieSynthroid | $324 | $15,039126 claims |
| Sanofi-aventis U.S. LLCLantus | $415 | $6,19219 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $169 | $3,882301 claims |
| PfizerLevoxyl | $33 | $1,23935 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 80th percentile of 219 endocrinology, diabetes & metabolism providers in Michigan.
Other endocrinology, diabetes & metabolism in Berkley
- Robert IgweBerkley$102K
- Alla SakharovaBerkley$14K
- Lowell SchmeltzFarmington Hills$1.3M
- George GrunbergerBloomfield Hills$931K
- Gary EdelsonFarmington Hills$503K
- Michael BrennanSaint Clair Shores$433K
- Jamal HammoudFlint$386K
- Abdulsalam Al KassabRochester Hills$351K
- Richard AuchusAnn Arbor$250K
- Eric LangerSterling Heights$213K
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.