Adam Alli, MD
Vascular & Interventional Radiology · Houston, TXNPI 1215153531
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.9%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Sirtex Medical Inc accounts for 61.4% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2019 at $17,856 and has fallen 84.4% since, to $2,784 in 2025.
Across 223 payments — averaging $194.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sirtex Medical Inc$27K
- Terumo Medical Corporation$5K
- Penumbra, Inc.$3K
- Balt USA, LLC$2K
- Boston Scientific$1K
- Delcath Systems$794
- plus $5K from 21 others
What the payments were for
- Consulting fees$4,95011%
- Speaking & faculty fees$25,50059%
- Travel & lodging$6972%
- Food & beverage$12,15028%
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 |
|---|---|---|
| Sirtex Medical Inc | 29 | $26,597 |
| Terumo Medical Corporation | 4 | $5,107 |
| Penumbra, Inc. | 45 | $2,869 |
| Balt USA, LLC | 33 | $1,745 |
| Boston Scientific | 16 | $1,042 |
| Delcath Systems | 6 | $794 |
| Philips North America LLC | 5 | $784 |
| Trisalus Life Sciences, Inc. | 22 | $733 |
| Endologix LLC | 8 | $716 |
| Stryker | 12 | $651 |
| Inari Medical, Inc. | 8 | $521 |
| W. L. Gore & Associates, Inc. | 3 | $382 |
| Abbott | 8 | $225 |
| Covidien LP | 2 | $182 |
| Angiodynamics, Inc. | 2 | $165 |
| Johnson & Johnson | 2 | $126 |
| EKOS Corporation | 1 | $116 |
| Biogen | 1 | $115 |
| Medtronic | 5 | $104 |
| Shape Memory Medical Inc. | 1 | $101 |
| Shockwave Medical, Inc | 3 | $63 |
| Bard Peripheral Vascular, Inc. | 2 | $50 |
| Siemens Medical Solutions USA, Inc. | 1 | $35 |
| Histosonics, Inc. | 1 | $32 |
| Cook Medical LLC | 1 | $19 |
| Centerline Biomedical Inc. | 1 | $16 |
| Cardiovascular Systems Inc. | 1 | $6 |
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.
- SIR-Spheres Microspheres$26,213
- HydroPearl$5,061
- Azur CX Detachable$5,061
- Indigo System$756
- Hepzato Kit$748
- Prestige Coil System$696
- Indigo$576
- (6479) CT 7500$498
- FLOWTRIEVER CATHETER, S$471
- CT THROMBECTOMY SYSTEM KIT$471
- TRINAV INFUSION SYSTEM$413
- Optima Coil System$351
- RUBY Coil$269
- Penumbra System$246
- Ruby$182
- C3 Delivery System$174
- Penumbra Ruby Coil$172
- General - Interventional Oncology$171
- Emprint$155
- VIATORR TIPS Endoprosthesis w/$152
How this compares
$43,297 in reported general payments places this provider in the 85th percentile of 299 vascular & interventional radiology providers in Texas.
See all vascular & interventional radiology providers in Texas →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Lidocaine-PrilocaineLidocaine/Prilocaine | 19 | $472 |
| Ondansetron Hcl | 28 | $146 |
| Oxycodone Hcl | 25 | $100 |
| Methylprednisolone | 13 | $81 |
| Lorazepam | 21 | $15 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Houston
- Orlando DiazHouston$611K
- Rahul ShethHouston$410K
- Miguel MonteroHouston$386K
- Joshua KubanHouston$301K
- Peiman HabibollahiHouston$254K
- Ahmed Abdel AalHouston$147K
- Varshana GurusamyHouston$141K
- Armeen MahvashHouston$122K
- Andrew DoeHouston$106K
- Donald GarbettHouston$77K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.