Terry Smith
Internal Medicine · Ann Arbor, MINPI 1306857313
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,709,491 of the $2,258,466 with a category attached, or 75.7%. Amgen accounts for 98.4% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2023 at $797,563 and has fallen 82.2% since, to $141,640 in 2025. Among internal medicine 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 550 payments — averaging $4106.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$2.2M
- H. Lundbeck A S$20K
- Argenx US, Inc.$15K
Across 32 payments — averaging $629.21 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.
- F. Hoffmann-la Roche AG$17K
- Amgen$4K
What the payments were for
- Consulting fees$1,709,49176%
- Speaking & faculty fees$391,15317%
- Travel & lodging$145,7846%
- Food & beverage$12,0281%
- Education$100%
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 |
|---|---|---|
| Amgen(2 entities) | 528 | $2,222,548 |
| H. Lundbeck A S | 7 | $20,453 |
| Argenx US, Inc. | 15 | $15,465 |
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$2,015,048
- VYVGART HYTRULO$10,861
- UPLIZNA$9,775
- KRYSTEXXA$5,950
- VYVGART$4,313
How this compares
$2,258,466 in reported general payments places this provider in the 95th percentile of 4,567 internal medicine providers in Michigan.
Other internal medicine in Ann Arbor
- Ulka VaishampayanAnn Arbor$996K
- A FendrickAnn Arbor$347K
- Gazala KhanAnn Arbor$86K
- Michael ValituttoKalamazoo$1.8M
- Tina AbrahamPontiac$834K
- Steven KatzmanLivonia$715K
- Adam FormanSouthfield$453K
- Saroj NeupaneDetroit$373K
- James BazziDearborn Heights$368K
- Mohamad HatahetWaterford$352K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.