Adrian Finol-Hernandez, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Lady Lake, FLNPI 1205860962
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,217 of the $4,732 with a category attached, or 68.0%. 7 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 59.7% of the total. Reporting peaked in 2020 at $1,583 and has fallen 61.8% since, to $605 in 2025. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in FL, where the typical reported total is $6,925.
Across 59 payments — averaging $80.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$3K
- Silk Road Medical, Inc.$782
- Intuitive Surgical$675
- Boston Scientific$275
- Inspiremd Ltd$126
- Pulmonx Corporation$28
- plus $18 from 1 others
What the payments were for
- Speaking & faculty fees$1,50032%
- Food & beverage$3,21768%
- Gifts$150%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 40 | $2,827 |
| Silk Road Medical, Inc. | 11 | $782 |
| Intuitive Surgical | 2 | $675 |
| Boston Scientific | 3 | $275 |
| Inspiremd Ltd | 1 | $126 |
| Pulmonx Corporation | 1 | $28 |
| Innovation Technologies Inc | 1 | $18 |
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.
How this compares
$4,732 in reported general payments places this provider in the 40th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) 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 | 37 | $443 |
| Cilostazol | 18 | $433 |
| Mupirocin | 33 | $228 |
| Oxycodone Hcl | 15 | $62 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Lady Lake
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
- Andrew ShermanTampa$517K
- Rogerio CarrilloHialeah$515K
- Daniel O'HairFort Myers$429K
- Luis HerreraOrlando$409K
- Joseph LamelasMiami$379K
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.