Augusto Elias, MD
Neuroradiology · Wyoming, MINPI 1700906997
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $36,868 of the $52,553 with a category attached, or 70.2%. Medtronic accounts for 85.2% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $15,020 and has fallen 83.7% since, to $2,447 in 2025. Among neuroradiology clinicians in MI 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 137 payments — averaging $383.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$45K
- Penumbra, Inc.$5K
- Imperative Care, Inc$1K
- Microvention, Inc.$1K
- Route 92 Medical, Inc.$425
- Viz.ai, Inc.$119
- plus $235 from 8 others
Across 30 payments — averaging $1485.83 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.
- Penumbra, Inc.$45K
What the payments were for
- Speaking & faculty fees$36,86870%
- Travel & lodging$11,21521%
- Food & beverage$4,4719%
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) | 82 | $44,798 |
| Penumbra, Inc. | 20 | $4,598 |
| Imperative Care, Inc | 12 | $1,376 |
| Microvention, Inc. | 9 | $1,001 |
| Route 92 Medical, Inc. | 1 | $425 |
| Viz.ai, Inc. | 1 | $119 |
| Stryker | 4 | $62 |
| Terumo Medical Corporation | 2 | $59 |
| Baylis Medical Technologies Inc. | 1 | $27 |
| Abbott | 1 | $19 |
| Philips North America LLC | 1 | $18 |
| Delphinus Medical Technologies, Inc. | 1 | $17 |
| Qapel Medical Inc | 1 | $17 |
| Asahi Intecc USA, 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.
- Pipeline$27,317
- ONYX 18$11,832
- SOLITAIRE X$3,434
- Penumbra Coil 400$2,400
- Penumbra System$1,646
- ZOOM 88-T LARGE DISTAL PLATFORM$1,112
- WEB$781
- REACTTM$159
- MAZOR X SYSTEM$148
- Headway Duo Microcatheter$131
- HydroSoft 3D Coil$131
- LVIS$131
- Sofia$131
- Real Immersive System$122
- Viz.AI LVO$119
How this compares
$52,553 in reported general payments places this provider in the 95th percentile of 23 neuroradiology providers in Michigan.
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 neuroradiology in Wyoming
- Steven SeidmanFarmington Hills$41K
- Richard SilbergleitRoyal Oak$15K
- Donald LabargeGrand Rapids$9K
- Julius GriauzdeNovi$7K
- Michael AdixKalamazoo$4K
- Ashok SrinivasanAnn Arbor$4K
- Horia MarinDetroit$2K
- Eric Biondo SavinFarmington Hills$1K
- Macksood AftabSaginaw$328
- Chanae DixonRoyal Oak$278
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.