Vigen Darian, MD
Otolaryngology · West Bloomfield, MINPI 1598828113
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 41 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 20 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,018, 3.3 times the $307 reported in 2019.
Across 41 payments — averaging $119.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$860
- Axogen$556
- Musculoskeletal Transplant Foundation Inc.$488
- Aerin Medical Inc.$362
- Avita Medical Americas, LLC$280
- AbbVie$263
- plus $2K from 14 others
What the payments were for
- Food & beverage$4,888100%
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.
| Company | Payments | Total |
|---|---|---|
| Integra Lifesciences Corporation | 7 | $860 |
| Axogen | 4 | $556 |
| Musculoskeletal Transplant Foundation Inc. | 4 | $488 |
| Aerin Medical Inc. | 5 | $362 |
| Avita Medical Americas, LLC | 2 | $280 |
| AbbVie(2 entities) | 2 | $263 |
| Baxter Healthcare | 2 | $251 |
| Mentor Worldwide LLC | 2 | $230 |
| Johnson & Johnson(2 entities) | 2 | $179 |
| Acera Surgical, Inc. | 1 | $160 |
| Kerecis Limited | 1 | $153 |
| Smith+Nephew | 1 | $149 |
| Polynovo North America LLC | 1 | $141 |
| TELA Bio, Inc. | 1 | $136 |
| Stryker | 1 | $125 |
| Heron Therapeutics, Inc. | 1 | $123 |
| Sientra, Inc. | 1 | $121 |
| Polarityte, Inc. | 1 | $121 |
| Checkpoint Surgical, Inc | 1 | $111 |
| TEI Biosciences Inc | 1 | $78 |
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.
- INTEGRA$1,131
- Kerecis SurgiClose$612
- INTEGRA DERMAL REGENERATION TEMPLATE$424
- AVANCE NERVE GRAFT$401
- PRIMATRIX$283
- RECELL$280
- AxoGuard Nerve Connector$259
- AxoGuard Nerve Protector$259
- ARTISS$251
- ARTOURA Breast Tissue Expander$230
- Restrata Wound Matrix$160
- Kerecis GraftGuide$153
- GRAFIX PL$149
- Stravix$149
- NATRELLE SALINE-FILLED BREAST IMPLANTS$147
- BILAYER WOUND MATRIX (BWM)$143
- INTEGRA WOUND MATRIX (IWM)$143
- AMNIOEXCEL$143
- IDRT$143
- FLOWABLE$143
How this compares
$4,888 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $23 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in West Bloomfield
- Robert StachlerWest Bloomfield$174K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- 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.