Afsheen Sherwani, MD
Vascular & Interventional Radiology · Saint Louis, MONPI 1174887921
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,966 of the $5,723 with a category attached, or 69.3%. 12 manufacturers reported payments, led by Penumbra, Inc. at 42.0% of the total. Reporting peaked in 2024 at $2,380 and has fallen 83.6% since, to $390 in 2025.
Across 65 payments — averaging $88.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$2K
- Medtronic$2K
- Terumo Medical Corporation$552
- Inari Medical, Inc.$301
- Trisalus Life Sciences, Inc.$195
- Stryker$176
- plus $572 from 6 others
What the payments were for
- Travel & lodging$1,75731%
- Food & beverage$3,96669%
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 |
|---|---|---|
| Penumbra, Inc. | 13 | $2,404 |
| Medtronic(2 entities) | 23 | $1,523 |
| Terumo Medical Corporation | 8 | $552 |
| Inari Medical, Inc. | 5 | $301 |
| Trisalus Life Sciences, Inc. | 3 | $195 |
| Stryker | 1 | $176 |
| Boston Scientific | 3 | $155 |
| Merit Medical Systems Inc | 2 | $147 |
| Bard Peripheral Vascular, Inc. | 2 | $111 |
| Argon Medical Devices, Inc. | 3 | $88 |
| Angiodynamics, Inc. | 1 | $53 |
| Sirtex Medical Inc | 1 | $17 |
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
$5,723 in reported general payments places this provider in the 55th percentile of 81 vascular & interventional radiology providers in Missouri.
See all vascular & interventional radiology providers in Missouri →
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.
Other vascular & interventional radiology in Saint Louis
- Thomas VeselySaint Louis$852K
- Labib HaddadSaint Louis$643K
- Guillermo Gonzalez-AraizaSaint Louis$384K
- Pavan KavaliSaint Louis$90K
- Michael DarcySaint Louis$87K
- Steven SaukSaint Louis$68K
- Kurtis MauerSaint Louis$59K
- Suchit PatelSaint Louis$54K
- John KarageorgiouSaint Louis$44K
- Andrew WarrenSaint Louis$33K
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.