Aldo Rafael-Yarihuaman, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Dallas, TXNPI 1043462609
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Abbott accounts for 80.5% of it on its own, with 26 other manufacturers making up the rest. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 470 payments — averaging $302.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$115K
- Edwards Lifesciences$16K
- Medtronic$7K
- Atricure, Inc.$1K
- Getinge USA Sales, LLC$960
- Abiomed$649
- plus $2K from 21 others
What the payments were for
- Consulting fees$79,22556%
- Speaking & faculty fees$2,5502%
- Travel & lodging$42,30330%
- Food & beverage$18,26113%
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 |
|---|---|---|
| Abbott | 210 | $114,590 |
| Edwards Lifesciences | 71 | $16,093 |
| Medtronic(2 entities) | 89 | $7,348 |
| Atricure, Inc. | 10 | $1,055 |
| Getinge USA Sales, LLC | 20 | $960 |
| Abiomed | 11 | $649 |
| Baxter Healthcare | 12 | $519 |
| Kls-martin L.p. | 13 | $246 |
| Pylant Medical | 2 | $130 |
| Boston Scientific | 1 | $102 |
| Johnson & Johnson | 4 | $92 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $73 |
| LSI Solutions Inc | 1 | $73 |
| Chiesi USA, Inc. | 4 | $70 |
| Davol Inc. | 2 | $51 |
| E.r. Squibb & Sons, L.L.C. | 2 | $51 |
| Potrero Medical, Inc. | 1 | $44 |
| Kestra Medical Technology Services, Inc. | 3 | $44 |
| Smith+Nephew | 1 | $24 |
| AstraZeneca | 1 | $21 |
| Novartis | 1 | $20 |
| BD | 1 | $19 |
| Mimedx Group, Inc. | 1 | $16 |
| Amgen | 1 | $15 |
| KCI USA, Inc. | 1 | $14 |
| Molnlycke Health Care US, LLC | 1 | $13 |
| Biocomposites Inc | 1 | $10 |
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.
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$99,136
- HeartMate 3 Left Ventricular Dev$4,654
- Octopus$2,353
- MitraClip$2,029
- 2ND GEN CENTRIMAG PRIMARY CONSOLE$1,734
- MITRIS RESILIA Mitral Valve$1,507
- HeartMate 3 Left Ventricular Assist Device$1,464
- CoreValve Evolut$1,191
- CARPENTIER-EDWARDS PHYSIO ANNULOPLASTY RING WITH HOLDER - MITRAL$1,091
- HeartWare HVAD$959
- CentriMag$911
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$610
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$610
- CARDIOMEMS$479
- Impella$393
- INSPIRIS RESILIA aortic valve$321
- Resolute$300
- THRUPORT SYSTEMS INTRACLUDE INTRA-AORTIC OCCLUSION DEVICE$266
- PerClot$210
- SYNERGY ABLATION SYSTEM$161
How this compares
$142,339 in reported general payments places this provider in the 95th percentile of 424 thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $265 |
| Oxycodone Hcl | 22 | $121 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Dallas
- Robert HebelerDallas$723K
- Michael WaitDallas$187K
- Juan MachannafordDallas$164K
- Todd DeweyDallas$128K
- Gary SchwartzDallas$77K
- Jaye WestonDallas$70K
- Brandon HillDallas$53K
- Ryan DaviesDallas$51K
- Dan MeyerDallas$47K
- Eitan Podgaetz GliksbergDallas$45K
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.