Ziad Affas
Cardiovascular Disease · Southfield, MINPI 1205413200
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 73 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 24 manufacturers, the largest accounting for just 12.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,045, more than ten times the $126 reported in 2023. That places this record below the midpoint for cardiovascular disease clinicians in MI, where the typical reported total is $2,775.
Across 73 payments — averaging $42.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$379
- Kestra Medical Technology Services, Inc.$365
- Chiesi USA, Inc.$263
- Boston Scientific$242
- Abiomed$223
- Pfizer$215
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,06198%
- Education$522%
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 |
|---|---|---|
| Amgen | 5 | $379 |
| Kestra Medical Technology Services, Inc. | 11 | $365 |
| Chiesi USA, Inc. | 9 | $263 |
| Boston Scientific | 4 | $242 |
| Abiomed | 5 | $223 |
| Pfizer | 9 | $215 |
| Inari Medical, Inc. | 2 | $180 |
| Abbott | 3 | $175 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $126 |
| Bayer | 1 | $125 |
| Johnson & Johnson | 1 | $125 |
| Philips North America LLC | 1 | $122 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $115 |
| Medtronic | 2 | $100 |
| Bard Peripheral Vascular, Inc. | 1 | $76 |
| AstraZeneca | 4 | $74 |
| Teleflex LLC | 3 | $53 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $37 |
| Reflow Medical Inc | 1 | $24 |
| Stryker | 1 | $21 |
| Heartflow, Inc. | 1 | $21 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Bridgebio Pharma, Inc. | 1 | $18 |
| Inspiremd Ltd | 1 | $14 |
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.
- Repatha$355
- FLOWTRIEVER CATHETER, S$163
- CT THROMBECTOMY SYSTEM KIT$163
- AVVIGO Guidance System$146
- ARCALYST$126
- Kerendia$125
- XARELTO$125
- Assure WCD$125
- IV Other$122
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$111
- KENGREAL$102
How this compares
$3,113 in reported general payments places this provider in the 50th percentile of 760 cardiovascular disease providers in Michigan.
Other cardiovascular disease in Southfield
- Herman KadoSouthfield$442K
- 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
- Douglas HorstmanshofRoyal Oak$407K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.