RxDoctor Payments Data

Susan Pasnick, MD

Critical Care Medicine · Grand Rapids, MINPI 1669671772

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.4% of the total across 84 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 13 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $647, more than ten times the $17 reported in 2019.

$1,567in general payments, 2019–2025

Across 84 payments — averaging $18.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Regeneron Healthcare Solutions, Inc.$318
  • AstraZeneca$299
  • Verona Pharma, Inc.$197
  • GSK$192
  • Mylan Specialty L.p.$186
  • Sanofi$77
  • plus $298 from 7 others

What the payments were for

  • Food & beverage$1,47894%
  • Education$886%

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

19
22
23
24
25

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.

How this compares

$1,567 in reported general payments places this provider in the 75th percentile of 177 critical care medicine providers in Michigan.

See all critical care medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$57,189
Medicare patients
294
Services billed
623

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

DrugClaimsCost to plans & patients
Trelegy ElliptaFluticasone/Umeclidin/Vilanter198$210,649
Breztri AerosphereBudesonide/Glycopyr/Formoterol62$48,773
Spiriva RespimatTiotropium Bromide35$27,594
DuleraMometasone/Formoterol42$23,830
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate51$19,868
Breo ElliptaFluticasone/Vilanterol20$18,700
SymbicortBudesonide/Formoterol Fumarate43$14,593
Stiolto RespimatTiotropium Br/Olodaterol Hcl18$13,724
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr18$11,748
Fluticasone-SalmeterolFluticasone Propion/Salmeterol48$9,044
Spiriva HandihalerTiotropium Bromide12$9,032
Qvar RedihalerBeclomethasone Dipropionate17$8,075
Albuterol Sulfate HfaAlbuterol Sulfate187$7,960
Ventolin HfaAlbuterol Sulfate50$4,451
BreynaBudesonide/Formoterol Fumarate17$4,180

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.

CompanyPaid to this providerPart D cost of their drugs
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$192$241,097236 claims
AstraZenecaBreztri Aerosphere, Symbicort$299$63,367105 claims
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat$45$41,31753 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 75th percentile of 177 critical care medicine providers in Michigan.

Other critical care medicine in Grand Rapids

See the full list for Michigan

Where these figures come from

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