Ashley Fratello, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Davenport, IANPI 1619390465
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 25 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Medtronic at 27.0% of the total. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in IA, where the typical reported total is $2,703.
Across 25 payments — averaging $42.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$290
- Davol Inc.$164
- Cvrx, Inc.$114
- Prism Medical$112
- Haemonetics Corporation$93
- Johnson & Johnson$67
- plus $233 from 8 others
What the payments were for
- Food & beverage$1,074100%
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(2 entities) | 6 | $290 |
| Davol Inc. | 3 | $164 |
| Cvrx, Inc. | 1 | $114 |
| Prism Medical | 3 | $112 |
| Haemonetics Corporation | 1 | $93 |
| Johnson & Johnson | 2 | $67 |
| Galderma Laboratories, L.p. | 1 | $64 |
| Zimmer Biomet | 2 | $59 |
| Octapharma USA, Inc. | 1 | $25 |
| AstraZeneca | 1 | $25 |
| Edwards Lifesciences | 1 | $18 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $15 |
| Kls-martin L.p. | 1 | $14 |
| Boston Scientific | 1 | $13 |
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.
How this compares
$1,074 in reported general payments places this provider in the 35th percentile of 48 thoracic surgery (cardiothoracic vascular surgery) providers in Iowa.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Iowa →
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 thoracic surgery (cardiothoracic vascular surgery) in Davenport
- Robert GallegosDes Moines$156K
- Ali Al AmeriDes Moines$53K
- Garry WeideCedar Rapids$39K
- Mohammad BashirIowa City$28K
- Tayyaba MalikDes Moines$21K
- Anthony PanosIowa City$21K
- Ganga PrabhakarDes Moines$16K
- Hashim HanifDes Moines$15K
- John KeechIowa City$14K
- Adnan Al AyoubiIowa City$14K
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.