Brian Schiro, MD
Vascular & Interventional Radiology · Miami, FLNPI 1588867188
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $114,225 of the $160,393 with a category attached, or 71.2%. Penumbra, Inc. accounts for 63.9% of it on its own, with 52 other manufacturers making up the rest. 2025 is the largest year on record at $43,169, 2.7 times the $15,812 reported in 2019. Among vascular & interventional radiology clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 441 payments — averaging $363.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$102K
- Philips North America LLC$15K
- Cook Incorporated$13K
- Sirtex Medical Inc$10K
- Medtronic$7K
- W. L. Gore & Associates, Inc.$1K
- plus $12K from 47 others
Across 46 payments — averaging $2922.05 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.$134K
What the payments were for
- Consulting fees$5,3703%
- Speaking & faculty fees$114,22571%
- Travel & lodging$20,30013%
- Food & beverage$20,49813%
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.
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.
- Indigo System$79,236
- RUBY Coil$15,083
- SIR-Spheres Microspheres$9,696
- Tornado$6,681
- Indigo$6,202
- OSTEOCOOL RF ABLATION SYSTEM$5,231
- (6582) Visions 035$4,865
- (8666) 5500 Series Ultrasound System$4,321
- Zilver PTX$2,877
- (8672) 5500 CV Ultrasound System$2,611
- (9688) EPIQ Elite G$1,120
- OSTEOCOOL RF ABLATION$1,100
- (9520) IGT Devices Undivided$900
- (BJ7) EPIQ Elite W$598
- Penumbra System$550
- WEB Aneurysm Embolization System$470
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$349
- GORE EXCLUDER AAA Endoprosthesis$330
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$309
- GENERAL VASCULAR INTERVENTION$291
How this compares
$160,393 in reported general payments places this provider in the 90th percentile of 329 vascular & interventional radiology providers in Florida.
See all vascular & interventional radiology 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 vascular & interventional radiology in Miami
- Ripal GandhiMiami$2.5M
- George OliveiraMiami$666K
- Govindarajan NarayananMiami$343K
- Robert BeasleyMiami$330K
- Paul RotoloMiami$171K
- James BenenatiMiami$104K
- Douglas ColdwellMiami$49K
- Keith PereiraMiami$32K
- Brian BaigorriMiami$31K
- Adarsh VermaMiami$25K
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.