Terrence Metz
Diagnostic Radiology · Royal Oak, MINPI 1003046574
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Bard Access Systems, Inc. at 39.9% of the total. Reporting peaked in 2022 at $12,627 and has fallen 90.2% since, to $1,240 in 2025. Among diagnostic radiology 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 35 payments — averaging $752.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bard Access Systems, Inc.$11K
- BD$9K
- Bard Peripheral Vascular, Inc.$7K
- Avanos Medical$146
- Penumbra, Inc.$118
What the payments were for
- Consulting fees$15,60059%
- Speaking & faculty fees$1,8507%
- Travel & lodging$7,42528%
- Food & beverage$1,4606%
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 |
|---|---|---|
| Bard Access Systems, Inc. | 13 | $10,517 |
| BD | 15 | $8,861 |
| Bard Peripheral Vascular, Inc. | 5 | $6,693 |
| Avanos Medical | 1 | $146 |
| Penumbra, Inc. | 1 | $118 |
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.
- PICC & MIDLINE$1,403
- POWERPICC$341
- Penumbra System$236
- GENERATOR$146
- SHERLOCK$127
- Site-Rite$121
- Provena Midline$109
How this compares
$26,335 in reported general payments places this provider in the 95th percentile of 1,184 diagnostic radiology 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.
Other diagnostic radiology in Royal Oak
- Joseph CiacciRoyal Oak$33K
- Ann SwinfordRoyal Oak$21K
- Evita SinghRoyal Oak$15K
- Sayf Al-KatibRoyal Oak$14K
- Vidya PaiRoyal Oak$13K
- Murray RebnerRoyal Oak$11K
- Kristian LoveridgeRoyal Oak$6K
- Richard ChesbroughBingham Farms$14.4M
- Shane WellsAnn Arbor$414K
- Peter LittrupDetroit$328K
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.