Payment overview · 2025
General Payments
$2,045.07
53 reported records · 18 companies
Healthcare provider profile · identity verified
Ziad Affas
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease · SOUTHFIELD, MI · NPI 1205413200
Verified facts
What the public records show
CMS Open Payments records show Ziad Affas received $2,045.07 in general payments during 2025 across 53 reported records.
Kestra Medical Technology Services, Inc. accounted for 16.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Kestra Medical Technology Services, Inc. | Unresolved — no canonical attribution shown | $340.13 | 16.6% | 10 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $259.53 | 12.7% | 4 | 2025 |
| Chiesi USA, Inc. | Unresolved — no canonical attribution shown | $246.92 | 12.1% | 8 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $242.36 | 11.8% | 4 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $222.66 | 10.9% | 5 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $164.82 | 8.1% | 7 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $125.00 | 6.1% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $121.85 | 6.0% | 1 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $76.25 | 3.7% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $59.24 | 2.9% | 3 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$37.31 | 1.8% | 1 | 2025 |
| Teleflex LLC | Unresolved — no canonical attribution shown | $34.40 | 1.7% | 2 | 2025 |
| Reflow Medical Inc | Unresolved — no canonical attribution shown | $23.71 | 1.2% | 1 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $20.60 | 1.0% | 1 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $20.26 | 1.0% | 1 | 2025 |
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $18.46 | 0.9% | 1 | 2025 |
| Inari Medical, Inc. | Unresolved — no canonical attribution shown | $17.09 | 0.8% | 1 | 2025 |
| InspireMD Ltd | Unresolved — no canonical attribution shown | $14.48 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,045.07 | 53 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Assure WCD Normalized: assure wcd |
Device | Kestra Medical Technology Services, Inc. | $340.13 | 10 | 2025 |
Source payment records
|
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $259.53 | 4 | 2025 |
Source payment records
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| KENGREAL Normalized: kengreal |
Drug | Chiesi USA, Inc. | $158.84 | 6 | 2025 |
Source payment records
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| AVVIGO Guidance System Normalized: avvigo guidance system |
Device | Boston Scientific Corporation | $145.95 | 1 | 2025 |
Source payment records
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| CLEVIPREX Normalized: cleviprex |
Drug | Chiesi USA, Inc. | $145.42 | 7 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $125.00 | 1 | 2025 |
Source payment records
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| IV Other Normalized: iv other |
Device | Philips North America LLC | $121.85 | 1 | 2025 |
Source payment records
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| VYNDAQEL Normalized: vyndaqel |
Drug | PFIZER INC. | $95.05 | 4 | 2025 |
Source payment records
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| Denali Vena Cava Filter Normalized: denali vena cava filter |
Device | Bard Peripheral Vascular, Inc. | $76.25 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $69.77 | 3 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $69.77 | 3 | 2025 |
Source payment records
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| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP | $59.24 | 3 | 2025 |
Source payment records
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| FARAPULSE Normalized: farapulse |
Device | Boston Scientific Corporation | $58.08 | 2 | 2025 |
Source payment records
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| ROTAPRO Normalized: rotapro |
Device | Boston Scientific Corporation | $38.33 | 1 | 2025 |
Source payment records
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| CT THROMBECTOMY SYSTEM KIT Normalized: ct thrombectomy system kit |
Device | Inari Medical, Inc., Stryker Corporation | $37.69 | 2 | 2025 |
Source payment records
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| FLOWTRIEVER CATHETER, S Normalized: flowtriever catheter s |
Device | Inari Medical, Inc., Stryker Corporation | $37.69 | 2 | 2025 |
Source payment records
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| SYMPLICITY G3 Normalized: symplicity g3 |
Device | Medtronic, Inc. | $37.31 | 1 | 2025 |
Source payment records
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| ONPATTRO Normalized: onpattro |
Drug | Alnylam Pharmaceuticals Inc. | $20.26 | 1 | 2025 |
Source payment records
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| GUIDELINER Normalized: guideliner |
Device | Teleflex LLC | $19.70 | 1 | 2025 |
Source payment records
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| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $18.46 | 1 | 2025 |
Source payment records
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| CGuard Prime Carotid Stent System Normalized: cguard prime carotid stent system |
Device | InspireMD Ltd | $14.48 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $2,045.07 · 53 records | Kestra Medical Technology Services, Inc. | AVVIGO Guidance System, Assure WCD, Attruby, CGuard Prime Carotid Stent System, CLEVIPREX, CT THROMBECTOMY SYSTEM KIT, Denali Vena Cava Filter, ELIQUIS, FARAPULSE, FLOWTRIEVER CATHETER, S, GUIDELINER, IV Other, KENGREAL, Kerendia, ONPATTRO, PAXLOVID, REPATHA, ROTAPRO, SYMPLICITY G3, VYNDAQEL, WAINUA | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error