Instinct
Payments companies reported to CMS as associated with Instinct. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Instinct, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Instinct
These are the largest totals companies reported as associated with Instinct. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Glen Lehman | Indianapolis, IN | Gastroenterology (Internal Medicine) | $3,300.00 |
| Jennifer Kolb | Torrance, CA | Gastroenterology (Internal Medicine) | $2,325.00 |
| Seema Gandhi | Chicago, IL | Gastroenterology (Internal Medicine) | $161.24 |
| Hemant Mutneja | Chicago, IL | Gastroenterology (Internal Medicine) | $156.40 |
| Andrew Go | Columbus, OH | Gastroenterology (Internal Medicine) | $156.40 |
| Anas Almoghrabi | Evanston, IL | Internal Medicine | $156.40 |
| Jonathan Dowd | Chicago, IL | Internal Medicine | $156.40 |
| Melchor Demetria | Chicago, IL | Gastroenterology (Internal Medicine) | $156.40 |
| Vikram Kotwal | Decatur, IL | Gastroenterology (Internal Medicine) | $156.40 |
| Satya Mishra | Hazel Crest, IL | Gastroenterology (Internal Medicine) | $156.40 |
Prescribed Instinct?
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.