Larisa Dyer, DO

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Lakeland Hospital, St Joseph Hospital · St Joseph, MI · listed as Lakeland Hospital at Niles and St Joseph, Inc
• Corewell Health Watervliet Hospital Hospital · Watervliet, MI

Colleagues at Epmg Southwest Michigan PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 45 clinicians in the practice; 12 are shown here.

• Dr. Vincent Michael Blum, MD Emergency Medicine Physician · Baton Rouge, LA
• Emily Anne Cobb, MD Student in an Organized Health Care Education/Training Program · Saint Joseph, MI
• Almasa Duheric, DO Emergency Medicine Physician · Saint Joseph, MI
• Dr. Graham Wallace Federico, DO Student in an Organized Health Care Education/Training Program · Saint Joseph, MI
• Jason Christopher Hamel, MD Student in an Organized Health Care Education/Training Program · Kalamazoo, MI
• Ashley Lynn Kowalkowski, DO Student in an Organized Health Care Education/Training Program · Indianapolis, IN
• Jereme Long, DO Emergency Medicine Physician · Ft Hood, TX
• Michelino Mancini, DO Emergency Medicine Physician · St Joseph, MI
• Maddi Massa Student in an Organized Health Care Education/Training Program · Saint Joseph, MI
• Karla Goulart Newbold, MD Addiction Medicine (Family Medicine) Physician · Mishawaka, IN
• Dr. Robert Bruce Nolan, DO Emergency Medical Services (Emergency Medicine) Physician · Tacoma, WA
• Dr. Christopher Trigger, MD Emergency Medicine Physician · Saint Joseph, MI

Other providers in Saint Joseph

• Paul Francis Delle, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1295425072

  Student / training record Saint Joseph, MI

• Shivam Ujjval Desai, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1497558837

  Student / training record Saint Joseph, MI

• Dr. Monica H Dholakia, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1720729536

  Student / training record Saint Joseph, MI

• Tram Anh Duong, DO

  Individual Student in an Organized Health Care Education/Training Program · NPI 1417310343

  Student / training record Saint Joseph, MI

• Thomas Eggleston, DO

  Individual Student in an Organized Health Care Education/Training Program · NPI 1306789540

  Student / training record Saint Joseph, MI

• Ahmed Elshareif

  Individual Student in an Organized Health Care Education/Training Program · NPI 1134758949

  Student / training record Saint Joseph, MI

• April Michele Korneli Emmons, DO

  Individual Student in an Organized Health Care Education/Training Program · NPI 1063949246

  Student / training record Saint Joseph, MI

• Dr. Graham Wallace Federico, DO

  Individual Student in an Organized Health Care Education/Training Program · NPI 1548900517

  Student / training record Saint Joseph, MI