Andrew Shirlen, PA
Physician Assistant · Naples, FLNPI 1366459224
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.5%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Getinge USA Sales, LLC at 51.1% of the total. 2025 is the largest year on record at $16,271, 2.5 times the $6,566 reported in 2021. Among physician assistant clinicians in FL 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 277 payments — averaging $157.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Getinge USA Sales, LLC$22K
- Arthrex$7K
- Baxter Healthcare$6K
- Johnson & Johnson$3K
- Tricoast Surgical Solutions LLC$1K
- Atricure, Inc.$1K
- plus $3K from 6 others
What the payments were for
- Consulting fees$24,17955%
- Speaking & faculty fees$6,73515%
- Travel & lodging$2,9417%
- Food & beverage$9,61822%
- Education$980%
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 |
|---|---|---|
| Getinge USA Sales, LLC | 141 | $22,248 |
| Arthrex | 14 | $6,599 |
| Baxter Healthcare | 21 | $6,260 |
| Johnson & Johnson | 5 | $2,853 |
| Tricoast Surgical Solutions LLC | 14 | $1,272 |
| Atricure, Inc. | 13 | $1,249 |
| Medtronic | 7 | $713 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 18 | $618 |
| Medical Device Business Services, Inc. | 7 | $552 |
| Abbott | 11 | $474 |
| Edwards Lifesciences | 21 | $454 |
| Abiomed | 5 | $278 |
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.
- Vasoview Hemopro 2$18,499
- TISSEEL$5,797
- ATRICLIP LAA EXCLUSION SYSTEM$531
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$500
- SYNERGY ABLATION SYSTEM$485
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$439
- Avalus$424
- FLOSEAL$277
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$179
- Penditure$137
- COSEAL$134
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$129
- LifeVest$115
- EnSite X$108
- HeartMate 3 Left Ventricular Assist Device$102
How this compares
$43,571 in reported general payments places this provider in the 95th percentile of 8,062 physician assistant providers in Florida.
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 physician assistant in Naples
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
- Jason BergerClearwater$344K
- Ashley MillerGainesville$328K
- Nicole HillOrlando$319K
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.