Tamer Ghanem, MD
Otolaryngology · Flint, MINPI 1023185394
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (47.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Axogen at 57.2% of the total. Among otolaryngology 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 135 payments — averaging $258.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$20K
- Intuitive Surgical$7K
- Synthes GmbH$3K
- Inspire Medical Systems, Inc.$2K
- Olympus America Inc.$906
- Aerin Medical Inc.$362
- plus $2K from 17 others
Across 7 payments — averaging $7679.79 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Axogen$54K
What the payments were for
- Consulting fees$16,55447%
- Speaking & faculty fees$2,6007%
- Travel & lodging$5,51916%
- Food & beverage$5,77617%
- Education$4,50013%
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 |
|---|---|---|
| Axogen | 30 | $19,998 |
| Intuitive Surgical | 16 | $6,643 |
| Synthes GmbH | 3 | $3,493 |
| Inspire Medical Systems, Inc. | 39 | $1,587 |
| Olympus America Inc. | 3 | $906 |
| Aerin Medical Inc. | 5 | $362 |
| GSK | 6 | $346 |
| Baxter Healthcare | 3 | $309 |
| Medtronic | 4 | $307 |
| Johnson & Johnson(2 entities) | 6 | $286 |
| Stryker | 4 | $179 |
| ETS Wound Care LLC | 1 | $149 |
| Smith+Nephew | 3 | $63 |
| Teleflex LLC | 1 | $54 |
| Merz North America, Inc. | 1 | $42 |
| Merck | 2 | $39 |
| Acera Surgical, Inc. | 2 | $35 |
| Coopersurgical, Inc. | 1 | $33 |
| Integra Lifesciences Corporation | 1 | $32 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $29 |
| Ensodata, Inc. | 1 | $22 |
| Ascendis Pharma Endocrinology Inc | 1 | $19 |
| Vertex | 1 | $19 |
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.
- AVANCE NERVE GRAFT$13,674
- AxoGuard Nerve Connector$13,558
- AxoGuard Nerve Protector$13,558
- AXOGUARD$10,821
- AXOGUARD HA+ NERVE PROTECTOR$6,811
- AxoGuard Nerve Cap$6,811
- Da Vinci Surgical System$6,342
- NA$434
- Inspire$333
- PROPEL$165
- MIRRAGEN ADVANCED WOUND MATRIX$149
- TRUMATCH$146
- VSP SYSTEM, VSP CRANIAL$145
- NUCALA$121
- VIVAER STYLUS$104
- RHINAER STYLUS$104
How this compares
$34,950 in reported general payments places this provider in the 95th percentile of 257 otolaryngology 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $466 |
| Oxycodone Hcl | 50 | $129 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Flint
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
- Paul HoffAnn Arbor$44K
- Susan GaretzAnn Arbor$40K
- John CraigDetroit$39K
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.