Alexandru Costea, MD
Clinical Cardiac Electrophysiology · Cincinnati, OHNPI 1972551190
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (40.5%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Biotronik Inc. at 51.4% of the total. Among clinical cardiac electrophysiology clinicians in OH 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 351 payments — averaging $534.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biotronik Inc.$96K
- Biosense Webster, Inc.$68K
- Abiomed$10K
- Atricure, Inc.$7K
- Baylis Medical Company Inc$2K
- Boston Scientific$2K
- plus $4K from 12 others
Across 541 payments — averaging $632.38 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.
- Medtronic$158K
- Biosense Webster, Inc.$99K
- Biotronik Inc.$73K
- Boston Scientific$11K
- Abbott$395
What the payments were for
- Consulting fees$46,90025%
- Speaking & faculty fees$43,50023%
- Grants$9,5005%
- Travel & lodging$75,98341%
- Food & beverage$11,6546%
- Education$750%
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 |
|---|---|---|
| Biotronik Inc. | 148 | $96,484 |
| Biosense Webster, Inc. | 84 | $67,584 |
| Abiomed | 10 | $9,973 |
| Atricure, Inc. | 25 | $6,534 |
| Baylis Medical Company Inc | 1 | $1,900 |
| Boston Scientific | 20 | $1,638 |
| Medical Device Business Services, Inc. | 6 | $1,330 |
| Philips North America LLC | 8 | $957 |
| Medtronic(2 entities) | 18 | $503 |
| Cardiva Medical, Inc. | 9 | $277 |
| Abbott | 5 | $183 |
| Johnson & Johnson | 7 | $82 |
| Kestra Medical Technology Services, Inc. | 2 | $42 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $37 |
| Novartis | 2 | $30 |
| E.r. Squibb & Sons, L.L.C. | 2 | $26 |
| Actelion Pharmaceuticals US, Inc. | 1 | $22 |
| Amgen | 1 | $11 |
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.
- Carto 3$45,295
- BioMonitor$18,000
- Solia$18,000
- Acticor$14,642
- Carto 3 System$14,239
- Acticor 7 VR-T DX$12,298
- Edora 8 DR-T$12,159
- Rivacor 7 DR-T$12,159
- Edora$11,942
- Rivacor$11,942
- Impella$9,767
- Sentus$6,101
- Plexa$6,101
- SYNERGY ABLATION SYSTEM$4,650
- Carto Smarttouch$3,850
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,509
- Thermocool SF$993
- GENERAL - THERAPIES$916
- (9520) IGT Devices Undivided$478
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$178
How this compares
$187,612 in reported general payments places this provider in the 95th percentile of 159 clinical cardiac electrophysiology providers in Ohio.
See all clinical cardiac electrophysiology providers in Ohio →
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 |
|---|---|---|
| EliquisApixaban | 260 | $237,384 |
| XareltoRivaroxaban | 59 | $45,501 |
| Enoxaparin Sodium | 30 | $3,218 |
| Amiodarone Hcl | 87 | $3,153 |
| Metoprolol Succinate | 147 | $1,390 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 13 | $342 |
| Diltiazem 24hr ErDiltiazem Hcl | 18 | $331 |
| ClopidogrelClopidogrel Bisulfate | 35 | $322 |
| Colchicine | 11 | $316 |
| Warfarin Sodium | 38 | $306 |
| Metoprolol Tartrate | 47 | $213 |
| Carvedilol | 12 | $194 |
| Pantoprazole Sodium | 29 | $101 |
| Atorvastatin Calcium | 20 | $96 |
| Amlodipine Besylate | 12 | $86 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonXarelto | $82 | $45,50159 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 159 clinical cardiac electrophysiology providers in Ohio.
Other clinical cardiac electrophysiology in Cincinnati
- Gaurang GandhiCincinnati$179K
- Dilesh PatelCincinnati$81K
- Marshall WinnerCincinnati$56K
- Emile DaoudCincinnati$46K
- Daniel PelchovitzCincinnati$43K
- Hemal ShahCincinnati$40K
- Wai TamCincinnati$40K
- Moses WananuCincinnati$38K
- Edward SchlossCincinnati$34K
- Andrew NollCincinnati$29K
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.