Vipin Khetarpal, MD
Cardiovascular Disease · Saginaw, MINPI 1427089200
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.1% of the total across 143 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 15.1% — the pattern of someone who eats at a lot of different presentations.
Across 143 payments — averaging $32.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$695
- Abiomed$660
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$626
- Boston Scientific$519
- Edwards Lifesciences$504
- Shockwave Medical, Inc$413
- plus $1K from 14 others
Across 253 payments — averaging $893.14 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.
- Esperion Therapeutics, Inc.$133K
- AstraZeneca$56K
- Astrazeneca UK Limited$31K
- Novartis$6K
What the payments were for
- Travel & lodging$43810%
- Food & beverage$4,14090%
- Education$140%
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 |
|---|---|---|
| Abbott | 27 | $695 |
| Abiomed | 11 | $660 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 32 | $626 |
| Boston Scientific | 11 | $519 |
| Edwards Lifesciences | 2 | $504 |
| Shockwave Medical, Inc | 7 | $413 |
| Johnson & Johnson | 11 | $392 |
| Novartis | 19 | $336 |
| E.r. Squibb & Sons, L.L.C. | 4 | $68 |
| Pfizer | 3 | $64 |
| Kestra Medical Technology Services, Inc. | 3 | $56 |
| Amgen | 2 | $39 |
| Sanofi-aventis U.S. LLC | 2 | $36 |
| Biotronik Inc. | 1 | $36 |
| Cardiovascular Systems Inc. | 2 | $33 |
| Merck | 1 | $28 |
| AstraZeneca | 2 | $25 |
| Terumo Medical Corporation | 1 | $23 |
| Biosense Webster, Inc. | 1 | $22 |
| Cordis US CORP. | 1 | $18 |
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.
- Edwards SAPIEN 3 Transcatheter Heart Valve$438
- XARELTO$250
- Impella$225
- OPTIS$147
How this compares
$4,592 in reported general payments places this provider in the 60th percentile of 760 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 793 | $909,242 |
| EntrestoSacubitril/Valsartan | 268 | $342,844 |
| JardianceEmpagliflozin | 170 | $203,500 |
| XareltoRivaroxaban | 160 | $159,526 |
| MultaqDronedarone Hcl | 75 | $118,872 |
| Repatha SureclickEvolocumab | 45 | $47,450 |
| Atorvastatin Calcium | 824 | $12,627 |
| Metoprolol Succinate | 562 | $9,973 |
| ClopidogrelClopidogrel Bisulfate | 392 | $8,797 |
| Flecainide Acetate | 133 | $7,793 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 230 | $7,646 |
| Potassium Chloride | 311 | $6,661 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 343 | $6,236 |
| Praluent PenAlirocumab | 11 | $5,372 |
| Metoprolol Tartrate | 596 | $5,211 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $64 | $909,242793 claims |
| NovartisEntresto | $336 | $342,844268 claims |
| Johnson & JohnsonXarelto | $392 | $159,526160 claims |
| Sanofi-aventis U.S. LLCMultaq | $36 | $118,87275 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 60th percentile of 760 cardiovascular disease providers in Michigan.
Other cardiovascular disease in Saginaw
- Marschall RungeAnn Arbor$1.8M
- Jihad MustaphaGrand Rapids$1.6M
- Vallerie McLaughlinAnn Arbor$947K
- Pedro Villablanca SpinettoDetroit$620K
- Stanley ChetcutiAnn Arbor$573K
- David HainesRoyal Oak$492K
- Steven AlmanyTroy$471K
- David StroblLansing$445K
- Herman KadoSouthfield$442K
- Douglas HorstmanshofRoyal Oak$407K
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.