Alexander Sapp, MD
Vascular Surgery · Paducah, KYNPI 1467831305
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.4% of the total across 163 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 30 manufacturers reported payments, led by Medtronic at 35.0% of the total. That places this record below the midpoint for vascular surgery clinicians in KY, where the typical reported total is $9,151.
Across 163 payments — averaging $35.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- W. L. Gore & Associates, Inc.$1K
- Boston Scientific$639
- Silk Road Medical, Inc.$533
- Inari Medical, Inc.$302
- Shockwave Medical, Inc$195
- plus $921 from 24 others
What the payments were for
- Food & beverage$5,55896%
- Education$2084%
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 | 52 | $2,018 |
| W. L. Gore & Associates, Inc. | 25 | $1,157 |
| Boston Scientific | 24 | $639 |
| Silk Road Medical, Inc. | 11 | $533 |
| Inari Medical, Inc. | 7 | $302 |
| Shockwave Medical, Inc | 8 | $195 |
| Getinge USA Sales, LLC | 2 | $125 |
| Avanos Medical | 3 | $77 |
| Penumbra, Inc. | 1 | $72 |
| Stryker | 3 | $72 |
| Imperative Care, Inc | 2 | $67 |
| Baxter Healthcare | 2 | $62 |
| Cardiovascular Systems Inc. | 4 | $50 |
| Abbott | 2 | $39 |
| Cardiva Medical, Inc. | 1 | $34 |
| AstraZeneca | 1 | $31 |
| Vertex | 1 | $30 |
| Solventum Corporation | 1 | $27 |
| Bolton Medical Inc | 1 | $26 |
| Lemaitre Vascular, Inc. | 1 | $25 |
| Cook Medical LLC | 2 | $23 |
| Reflow Medical Inc | 1 | $23 |
| Cordis US CORP. | 1 | $22 |
| Bard Peripheral Vascular, Inc. | 1 | $20 |
| Globus Medical | 1 | $19 |
| Tactile Systems Technology Inc | 1 | $18 |
| Shire North American Group Inc | 1 | $17 |
| Chiesi USA, Inc. | 1 | $17 |
| Surmodics, Inc. | 1 | $14 |
| Pfizer | 1 | $14 |
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.
- ENDURANT IIS$287
- ENROUTE Transcarotid Stent$258
- ENROUTE Transcarotid Neuroprotection System$258
- FLOWTRIEVER CATHETER, S$223
- Abre$154
- Endurant$130
- HawkOne$129
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$120
- IN.PACT Admiral$119
- GORE EXCLUDER Iliac Branch Endoprosthesis$116
- GORE EXCLUDER AAA Endoprosthesis$109
- GENERAL ANGIOGRAPHY$106
- Fusion Bioline Supported Vascular Grafts$105
How this compares
$5,765 in reported general payments places this provider in the 35th percentile of 72 vascular surgery providers in Kentucky.
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 surgery in Paducah
- Griffin BickingPaducah$16K
- Scott SandersPaducah$15K
- Victoria IvanukoffPaducah$8K
- Amit DwivediLouisville$406K
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- Abindra SigdelLouisville$84K
- Samuel TyagiLexington$70K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
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.