Carlos Ince, MD
Cardiovascular Disease · Baltimore, MDNPI 1356344667
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $28,335 of the $39,359 with a category attached, or 72.0%. 42 manufacturers reported payments, led by Pfizer at 38.4% of the total. Reporting peaked in 2019 at $12,703 and has fallen 80.2% since, to $2,513 in 2025. Among cardiovascular disease clinicians in MD 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 472 payments — averaging $83.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$15K
- AstraZeneca$9K
- Johnson & Johnson$7K
- Novartis$1K
- Abbott$820
- Medtronic$786
- plus $5K from 36 others
Across 266 payments — averaging $11,015 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.
- Novartis$996K
- Eli Lilly$834K
- Amgen$556K
- Regeneron$171K
- AstraZeneca$169K
- Esperion Therapeutics, Inc.$48K
- plus $157K from 5 others
What the payments were for
- Consulting fees$3701%
- Speaking & faculty fees$28,33572%
- Travel & lodging$8132%
- Food & beverage$9,69425%
- Education$1460%
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.
- FARXIGA$8,879
- ELIQUIS$7,765
- VYNDAQEL$6,610
- XARELTO$6,007
- ONYX FRONTIER$254
- AVEIR$186
- JOT DX$182
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$177
- SYMPLICITY G3$150
- WATCHMAN Access System$142
- FUROSCIX$108
- QUARTET$100
How this compares
$39,359 in reported general payments places this provider in the 90th percentile of 507 cardiovascular disease providers in Maryland.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 271 | $277,635 |
| XareltoRivaroxaban | 87 | $116,119 |
| EntrestoSacubitril/Valsartan | 62 | $97,645 |
| JardianceEmpagliflozin | 33 | $31,323 |
| FarxigaDapagliflozin Propanediol | 27 | $27,079 |
| Praluent PenAlirocumab | 25 | $19,072 |
| Repatha SureclickEvolocumab | 17 | $14,947 |
| NexletolBempedoic Acid | 13 | $11,119 |
| Metoprolol Succinate | 482 | $8,350 |
| Rosuvastatin Calcium | 298 | $7,205 |
| Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide | 165 | $7,168 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 15 | $4,259 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 74 | $3,227 |
| Ranolazine ErRanolazine | 30 | $3,136 |
| Valsartan | 103 | $3,104 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $15,120 | $277,635271 claims |
| Johnson & JohnsonXarelto | $6,533 | $116,11987 claims |
| NovartisEntresto | $1,500 | $97,64562 claims |
| Boehringer IngelheimJardiance | $691 | $31,32333 claims |
| AstraZenecaFarxiga | $9,223 | $27,07927 claims |
| Esperion Therapeutics, Inc.Nexletol | $246 | $11,11913 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 507 cardiovascular disease providers in Maryland.
Other cardiovascular disease in Baltimore
- Navin KapurBaltimore$1.5M
- Michael BlahaBaltimore$609K
- Sanjay RajagopalanBaltimore$521K
- Erin MichosBaltimore$257K
- Seth MartinBaltimore$166K
- Erika FellerBaltimore$121K
- Charles CummingsBaltimore$114K
- John RickardBaltimore$109K
- Christopher DefilippiBaltimore$101K
- David KassBaltimore$90K
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.