Alessandro Vivacqua, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Royal Oak, MINPI 1639333198
Payments from drug & device makers
Across 127 payments — averaging $98.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- Abbott$3K
- Edwards Lifesciences$2K
- W. L. Gore & Associates, Inc.$1K
- Atricure, Inc.$416
- Zimmer Biomet$406
- plus $859 from 12 others
What the payments were for
- Speaking & faculty fees$1,62414%
- Travel & lodging$1,15810%
- Food & beverage$8,76376%
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 |
|---|---|---|
| Medtronic(2 entities) | 39 | $4,889 |
| Abbott | 35 | $2,994 |
| Edwards Lifesciences | 13 | $1,863 |
| W. L. Gore & Associates, Inc. | 3 | $1,117 |
| Atricure, Inc. | 7 | $416 |
| Zimmer Biomet | 4 | $406 |
| Lemaitre Vascular, Inc. | 2 | $141 |
| Abiomed | 2 | $138 |
| Johnson & Johnson | 6 | $136 |
| LSI Solutions Inc | 2 | $109 |
| Getinge USA Sales, LLC | 4 | $79 |
| Hemosonics LLC | 3 | $76 |
| Artivion, Inc. | 1 | $52 |
| Baxter Healthcare | 2 | $41 |
| Haemonetics Corporation | 1 | $28 |
| Terumo Cardiovascular Systems Corporation | 1 | $21 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $20 |
| Pinnacle, 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.
- Avalus$1,624
- Epic$1,040
- MITRIS RESILIA Mitral Valve$975
- ENDURANT IIS$935
- Trifecta GT Tissue Heart Valve$868
- COREVALVE EVOLUT R$560
- CoreValve Evolut$538
- Endurant$381
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$316
- STERNALOCK 360 SYSTEM$272
- Epic Stented Tissue Valve$168
- Edwards SAPIEN 3 Transcatheter Heart Valve$161
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$151
- STERNALOCK BLU SYSTEM$148
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$145
- HawkOne$133
- RESTOREFLOW$125
- Myo/Wire$124
- SYNERGY ABLATION SYSTEM$123
- ATRICLIP LAA EXCLUSION SYSTEM$123
How this compares
$12,544 in reported general payments places this provider in the 65th percentile of 182 thoracic surgery (cardiothoracic vascular surgery) providers in Michigan.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Michigan →
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 |
|---|---|---|
| Mupirocin | 23 | $166 |
| Allopurinol | 44 | $32 |
| Metoprolol Tartrate | 17 | $26 |
| Prednisone | 11 | $20 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Royal Oak
- Francis ShannonRoyal Oak$25K
- Rakesh SuriRoyal Oak$16K
- Steven BollingAnn Arbor$42.4M
- Matthew RomanoAnn Arbor$2.2M
- Gorav AilawadiAnn Arbor$1.4M
- Himanshu PatelAnn Arbor$1.1M
- John HeiserGrand Rapids$980K
- George DeebAnn Arbor$926K
- Shinichi FukuharaAnn Arbor$881K
- Raed AlnajjarDetroit$781K
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.