Alfred Valles
Cardiovascular Disease · Fresno, CANPI 1306919535
Payments from drug & device makers
Across 190 payments — averaging $68.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$4K
- Medtronic$3K
- Abbott$3K
- Abiomed$2K
- Amgen$647
- Philips North America LLC$500
- plus $963 from 12 others
What the payments were for
- Speaking & faculty fees$5004%
- Travel & lodging$5,10239%
- Food & beverage$7,18956%
- Education$1381%
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 |
|---|---|---|
| Edwards Lifesciences | 36 | $3,835 |
| Medtronic(2 entities) | 23 | $2,717 |
| Abbott | 26 | $2,668 |
| Abiomed | 22 | $1,599 |
| Amgen | 36 | $647 |
| Philips North America LLC | 1 | $500 |
| Boston Scientific | 7 | $245 |
| AstraZeneca | 4 | $140 |
| Novartis | 7 | $104 |
| Teleflex LLC | 2 | $86 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $84 |
| Pfizer | 5 | $81 |
| Johnson & Johnson | 5 | $60 |
| Cardiovascular Systems Inc. | 2 | $56 |
| Actelion Pharmaceuticals US, Inc. | 4 | $54 |
| Regeneron Healthcare Solutions, Inc. | 1 | $22 |
| Lundbeck LLC | 1 | $16 |
| Amarin Pharma, Inc. | 1 | $16 |
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.
- Edwards SAPIEN 3 Transcatheter Heart Valve$2,575
- CoreValve Evolut$1,399
- Xience V coronary stent system$1,335
- Impella$918
- 3F$578
- Spectranetics Undiv$500
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$271
- MitraClip$152
- Micra$143
- HeartMate 3 Left Ventricular Dev$140
- MitraClip System$129
- EnSite X$125
- Watchman$115
- Omnilink Elite vascular stent system$115
How this compares
$12,929 in reported general payments places this provider in the 75th percentile of 2,184 cardiovascular disease providers in California.
Other cardiovascular disease in Fresno
- Ted LoveHillsborough$102.8M
- Matthew BudoffTorrance$11.3M
- Lori DanielsSan Diego$10.2M
- Paul KurthSanta Barbara$6.1M
- Michael BlumSan Francisco$5.5M
- Tony ChouSan Francisco$5.2M
- Jason RogersSacramento$5.1M
- Yu-Ping WangStanford$3.8M
- Yogesh PaliwalPomona$3.3M
- Farhad RafiiWest Hills$3.2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.