Daniel Gramins, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Diego, CANPI 1164495750
Payments from drug & device makers
Across 162 payments — averaging $85.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$5K
- Edwards Lifesciences$3K
- Medtronic$1K
- Abiomed$821
- W. L. Gore & Associates, Inc.$648
- Atricure, Inc.$451
- plus $2K from 17 others
What the payments were for
- Speaking & faculty fees$3,67526%
- Travel & lodging$1,82413%
- Food & beverage$8,37360%
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 |
|---|---|---|
| Baxter Healthcare | 25 | $5,343 |
| Edwards Lifesciences | 63 | $3,392 |
| Medtronic(2 entities) | 9 | $1,308 |
| Abiomed | 14 | $821 |
| W. L. Gore & Associates, Inc. | 8 | $648 |
| Atricure, Inc. | 8 | $451 |
| Sioux Surgical Inc | 4 | $324 |
| Angiodynamics, Inc. | 4 | $280 |
| Zimmer Biomet | 4 | $259 |
| Artivion, Inc. | 3 | $242 |
| Abbott | 2 | $188 |
| Getinge USA Sales, LLC | 2 | $101 |
| Livanova USA, Inc. | 1 | $94 |
| Lemaitre Vascular, Inc. | 2 | $87 |
| Corcym Inc | 1 | $62 |
| Kls-martin L.p. | 2 | $47 |
| Johnson & Johnson | 2 | $45 |
| Chiesi USA, Inc. | 2 | $43 |
| LSI Solutions Inc | 1 | $42 |
| Intuitive Surgical | 2 | $36 |
| Solventum Corporation | 1 | $22 |
| Pulmonx Corporation | 1 | $20 |
| Boston Scientific | 1 | $20 |
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.
- FLOSEAL$4,101
- ACTIFUSE$3,775
- TISSEEL$3,775
- RECOTHROM$3,775
- PREVELEAK$3,775
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$931
- COREVALVE EVOLUT R$245
- KONECT RESILIA$145
- AngioVac$129
- Epic$124
- PhotoFix$114
- BioGlue$114
- On-X$114
- GORE TAG Thoracic Branch Endoprosthesis$114
- AdvantageRib$114
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$111
- GORE PROPATEN Vascular Graft$103
- MITRIS RESILIA Mitral Valve$102
How this compares
$13,872 in reported general payments places this provider in the 65th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic vascular surgery) providers in California →
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 San Diego
- Gert PretoriusSan Diego$734K
- James HempSan Diego$244K
- Mark OnaitisSan Diego$207K
- Robert AdamsonSan Diego$149K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Gregory FontanaThousand Oaks$1.4M
- Gansevoort DunningtonSaint Helena$963K
- Armin KiankhooySaint Helena$941K
- Ara KlijianMurrieta$916K
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.