Alexander Misono, MD
Vascular & Interventional Radiology · Newport Beach, CANPI 1992068357
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Inari Medical, Inc. at 57.4% of the total. 2025 is the largest year on record at $389,798, more than ten times the $5,605 reported in 2019. Among vascular & interventional radiology clinicians in CA 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 1,035 payments — averaging $1224.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$728K
- Stryker$212K
- Merit Medical Systems Inc$75K
- Trisalus Life Sciences, Inc.$63K
- Microvention, Inc.$62K
- Argon Medical Devices, Inc.$31K
- plus $97K from 27 others
Across 20 payments — averaging $5987.13 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Microvention, Inc.$72K
- Stryker$28K
- Inari Medical, Inc.$19K
What the payments were for
- Consulting fees$551,37944%
- Speaking & faculty fees$495,40039%
- Travel & lodging$181,81014%
- Food & beverage$38,2603%
- Education$2060%
- Entertainment$270%
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 |
|---|---|---|
| Inari Medical, Inc. | 474 | $727,500 |
| Stryker | 126 | $211,665 |
| Merit Medical Systems Inc | 43 | $75,233 |
| Trisalus Life Sciences, Inc. | 80 | $62,954 |
| Microvention, Inc. | 25 | $61,678 |
| Argon Medical Devices, Inc. | 19 | $31,169 |
| Sirtex Medical Inc | 40 | $20,940 |
| GE HealthCare | 6 | $13,146 |
| Medtronic(2 entities) | 74 | $12,892 |
| Penumbra, Inc. | 32 | $11,797 |
| Single Pass Inc | 1 | $10,350 |
| Siemens Medical Solutions USA, Inc. | 11 | $9,379 |
| Philips North America LLC | 10 | $6,895 |
| Aidoc Medical Ltd | 4 | $4,388 |
| Histosonics, Inc. | 2 | $2,008 |
| Mediview XR, Inc. | 6 | $1,232 |
| Boston Scientific | 17 | $861 |
| Biocompatibles, Inc. | 7 | $856 |
| Angiodynamics, Inc. | 6 | $391 |
| Vasorum USA Inc. | 1 | $280 |
| Bard Peripheral Vascular, Inc. | 11 | $236 |
| Johnson & Johnson(3 entities) | 8 | $177 |
| Inquis Medical, Inc. | 3 | $160 |
| Abbott | 1 | $144 |
| Medical Device Business Services, Inc. | 1 | $121 |
| Imperative Care, Inc | 4 | $112 |
| Cook Medical LLC | 6 | $110 |
| Cardiva Medical, Inc. | 3 | $79 |
| Mozarc Medical US LLC | 4 | $78 |
| Biosense Webster, Inc. | 3 | $73 |
| Terumo Medical Corporation | 2 | $72 |
| W. L. Gore & Associates, Inc. | 4 | $69 |
| Baylis Medical Technologies Inc. | 1 | $36 |
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.
- CT THROMBECTOMY SYSTEM KIT$991,166
- FLOWTRIEVER CATHETER, S$843,236
- TRINAV INFUSION SYSTEM$61,978
- Clot Management$31,169
- SwiftNINJA Sterble Cor Micro$26,228
- SIR-Spheres Microspheres$13,685
- ALLIA$13,044
- Kronos$10,350
- ARTIS icono biplane$7,936
- HawkOne$7,834
- Indigo System$7,650
- LAVA LES (Liquid Embolic System)$6,340
- (9547) IGT Systems Undivided$6,026
- Indigo$4,732
- Briefcase$4,388
- WEB Aneurysm Embolization System$2,938
- ENDURANT IIS$1,350
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$1,070
- FlowTriever$1,061
- CLOTTRIEVER BOLD CATHETER$949
How this compares
$1,267,082 in reported general payments places this provider in the 95th percentile of 504 vascular & interventional radiology providers in California.
See all vascular & interventional radiology providers in California →
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 |
|---|---|---|
| Naloxone Hcl | 11 | $735 |
| Methylprednisolone | 14 | $94 |
| Ciprofloxacin Hcl | 16 | $82 |
| Ondansetron Hcl | 13 | $68 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Newport Beach
- Trushar PatelNewport Beach$124K
- Christopher BakerNewport Beach$116K
- Mahmood RazaviOrange$2.4M
- Keith TerasakiLos Angeles$1.7M
- Bart DolmatchMountain View$1.7M
- Edward LeeLos Angeles$1.4M
- Kevin BurnsOrange$1.1M
- Siddharth PadiaLos Angeles$960K
- Satoshi TateshimaLos Angeles$764K
- Blaise BaxterSan Francisco$757K
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.