Adam Zybulewski, MD
Vascular & Interventional Radiology · Miami Beach, FLNPI 1023436235
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,268 of the $13,047 with a category attached, or 86.4%. 27 manufacturers reported payments, led by Boston Scientific at 29.9% of the total. 2025 is the largest year on record at $3,957, 2.3 times the $1,738 reported in 2019.
Across 189 payments — averaging $69.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$4K
- Inari Medical, Inc.$3K
- Endologix LLC$1K
- Sirtex Medical Inc$767
- Stryker$601
- Shockwave Medical, Inc$599
- plus $3K from 21 others
Across 43 payments — averaging $655.72 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Inari Medical, Inc.$28K
What the payments were for
- Travel & lodging$1,78014%
- Food & beverage$11,26886%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Boston Scientific | 49 | $3,896 |
| Inari Medical, Inc. | 20 | $3,291 |
| Endologix LLC | 15 | $1,294 |
| Sirtex Medical Inc | 16 | $767 |
| Stryker | 6 | $601 |
| Shockwave Medical, Inc | 10 | $599 |
| Imperative Care, Inc | 11 | $435 |
| Penumbra, Inc. | 4 | $348 |
| Argon Medical Devices, Inc. | 5 | $334 |
| Bolton Medical Inc | 6 | $287 |
| Cook Medical LLC | 12 | $223 |
| Johnson & Johnson(2 entities) | 7 | $145 |
| Bard Peripheral Vascular, Inc. | 6 | $144 |
| Biocompatibles, Inc. | 1 | $110 |
| Silk Road Medical, Inc. | 4 | $95 |
| Philips North America LLC | 1 | $81 |
| Angiodynamics, Inc. | 3 | $76 |
| Abbott | 3 | $74 |
| Surmodics, Inc. | 2 | $53 |
| Baylis Medical Technologies Inc. | 1 | $49 |
| Humacyte Global, Inc. | 1 | $23 |
| Cardinal Health 200 LLC | 1 | $22 |
| Flowphysix Inc | 1 | $22 |
| AbbVie | 1 | $21 |
| Inspiremd Ltd | 1 | $21 |
| Mozarc Medical US LLC | 1 | $21 |
| Varian Medical Systems, Inc. | 1 | $16 |
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.
- FLOWTRIEVER CATHETER, S$3,629
- TheraSphere Y90 Glass Microspheres 10 GBq$2,917
- CT THROMBECTOMY SYSTEM KIT$2,829
- SIR-Spheres Microspheres$511
- Vascular Lithotripsy$464
- Indigo$367
- Clot Management$266
- Ovation$237
- ALTO$220
- EMBOLD Fibered$164
- TREO ABDOMINAL STENT-GRAFT SYSTEM$150
- ARTIX MT$150
- AFX$126
- FlowTriever$120
- ClotTriever$120
- THERASPHERE-BIO$110
- Alto Abdominal Stent Graft System$102
How this compares
$13,047 in reported general payments places this provider in the 70th percentile of 329 vascular & interventional radiology providers in Florida.
See all vascular & interventional radiology providers in Florida →
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 11 | $61 |
| Levofloxacin | 16 | $51 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Miami Beach
- Timothy YatesMiami Beach$392K
- John ChaloupkaMiami Beach$209K
- Vasu SainiMiami Beach$70K
- Michael RogoffMiami Beach$26K
- Ripal GandhiMiami$2.5M
- Michael CohnHollywood$1.3M
- Bret WiechmannGainesville$1.3M
- George OliveiraMiami$666K
- Fakhir ElmasriLakeland$563K
- Shaun PatelCoral Gables$458K
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.