RxDoctor Payments Data

Alaa Afifi, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Santa Ana, CANPI 1609802552

Payments from drug & device makers

$663in general payments, 2019–2025

Across 5 payments — averaging $132.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$489
  • Edwards Lifesciences$174

What the payments were for

  • Food & beverage$663100%

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

24
25

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.

CompanyPaymentsTotal
Medtronic4$489
Edwards Lifesciences1$174

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

$663 in reported general payments places this provider in the 20th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.

See all thoracic surgery (cardiothoracic vascular surgery) providers in California

Medicare billing

Part B allowed, 2024
$512,412
Medicare patients
131
Services billed
2,404

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

DrugClaimsCost to plans & patients
Albuterol Sulfate HfaAlbuterol Sulfate27$949
Bumetanide36$863
ClopidogrelClopidogrel Bisulfate45$708
Metoprolol Succinate38$428
Atorvastatin Calcium25$358
Amiodarone Hcl15$352
Pantoprazole Sodium39$325
Hydralazine Hcl12$186
Acetaminophen-CodeineAcetaminophen With Codeine15$174
Metoprolol Tartrate16$173
Tamsulosin Hcl16$128
Furosemide20$40

Paid to pharmacies, not to this prescriber.

Other thoracic surgery (cardiothoracic vascular surgery) in Santa Ana

See the full list for California

Where these figures come from

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