MELANIE MARIE KARWOWSKI

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant DETROIT, MI NPI 1225445752

General Payments — all program years on this page

$3,530.44

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 75
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,060.65 across 38 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $1,524.5437
Travel and Lodging $536.111

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $429.1915
2022 $231.235
2023 $809.3717
2024 $2,060.6538

Records — PY2024 (38)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1092525865 Boston Scientific Corporation $8.10 12/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525867 Boston Scientific Corporation $11.49 11/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525869 Boston Scientific Corporation $13.13 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525871 Boston Scientific Corporation $15.62 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525873 Boston Scientific Corporation $18.25 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525875 Boston Scientific Corporation $21.91 11/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525877 Boston Scientific Corporation $25.39 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525879 Boston Scientific Corporation $25.54 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525881 Boston Scientific Corporation $26.10 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525883 Boston Scientific Corporation $27.39 10/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525885 Boston Scientific Corporation $27.80 01/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525887 Boston Scientific Corporation $29.52 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525889 Boston Scientific Corporation $29.95 05/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525891 Boston Scientific Corporation $29.97 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525893 Boston Scientific Corporation $31.27 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525895 Boston Scientific Corporation $42.69 08/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525897 Boston Scientific Corporation $158.60 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525899 Boston Scientific Corporation $163.30 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092525901 Boston Scientific Corporation $164.42 05/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104578596 AstraZeneca Pharmaceuticals LP $94.18 05/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104858218 Biogen, Inc. $25.57 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116920248 Medtronic, Inc. $19.57 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127638135 Becton, Dickinson and Company $113.40 04/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127638139 Becton, Dickinson and Company $38.82 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127638163 Becton, Dickinson and Company $25.44 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1128482751 Bard Peripheral Vascular, Inc. $536.11 01/09/2024 Travel and Lodging Undisputed 01/23/2026 View at CMS
1128482779 Bard Peripheral Vascular, Inc. $45.81 12/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1128560378 TriSalus Life Sciences, Inc. $14.50 12/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140185436 Inari Medical, Inc. $25.66 01/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140185438 Inari Medical, Inc. $41.49 10/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140185440 Inari Medical, Inc. $37.17 11/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141014073 Mozarc Medical US LLC $39.29 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1142070725 Teleflex LLC $20.75 07/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1142074979 Teleflex LLC $18.31 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1142096209 Teleflex LLC $16.61 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151772657 Terumo Medical Corporation $24.68 05/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151772659 Terumo Medical Corporation $28.68 06/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151772661 Terumo Medical Corporation $24.17 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.