David Ladden, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Madisonville, KYNPI 1093764284
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 20.3%. 2025 is the largest year on record at $7,496, 2.2 times the $3,461 reported in 2019.
Across 220 payments — averaging $106.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$5K
- Atricure, Inc.$3K
- Abbott$3K
- W. L. Gore & Associates, Inc.$2K
- Abiomed$2K
- Cvrx, Inc.$2K
- plus $7K from 19 others
What the payments were for
- Travel & lodging$11,36749%
- Food & beverage$11,94151%
- Education$170%
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 |
|---|---|---|
| Silk Road Medical, Inc. | 33 | $4,738 |
| Atricure, Inc. | 22 | $2,675 |
| Abbott | 16 | $2,628 |
| W. L. Gore & Associates, Inc. | 18 | $2,489 |
| Abiomed | 17 | $2,051 |
| Cvrx, Inc. | 13 | $2,008 |
| Medtronic | 15 | $1,636 |
| E.r. Squibb & Sons, L.L.C. | 30 | $1,286 |
| Edwards Lifesciences | 14 | $991 |
| Shockwave Medical, Inc | 5 | $885 |
| Siemens Medical Solutions USA, Inc. | 5 | $485 |
| Cardiovascular Systems Inc. | 3 | $227 |
| Biotronik Inc. | 3 | $198 |
| Bard Peripheral Vascular, Inc. | 4 | $170 |
| Hemosonics LLC | 1 | $150 |
| Coloplast | 1 | $109 |
| Genentech USA, Inc. | 1 | $101 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $95 |
| Boston Scientific | 2 | $89 |
| Johnson & Johnson | 6 | $87 |
| Cook Medical LLC | 2 | $73 |
| Inspiremd Ltd | 1 | $63 |
| Amgen | 3 | $55 |
| Tactile Systems Technology Inc | 1 | $26 |
| Amarin Pharma, Inc. | 1 | $12 |
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.
- ENROUTE Transcarotid Neuroprotection System$5,378
- ENROUTE Transcarotid Stent$3,990
- PERCLOSE PROGLIDE$1,888
- Barostim Neo System$1,623
- Impella$1,434
- GORE TAG Thoracic Endoprosthesis$1,417
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,389
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,204
- ATRICLIP LAA EXCLUSION SYSTEM$1,110
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$965
- ENHANCE Transcarotid Peripheral Access Kit$790
- ENROUTE .014 Guidewire$790
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$790
- AURORA EV-ICD MRI SURESCAN$754
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$501
- CAMZYOS$470
- SYNERGY ABLATION SYSTEM$443
- Artis Q$441
- EVERA MRI XT DR SURESCAN$386
- INSPIRIS RESILIA aortic valve$277
How this compares
$23,326 in reported general payments places this provider in the 85th percentile of 98 thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky →
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 |
|---|---|---|
| Tramadol Hcl | 30 | $94 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Madisonville
- T StanfieldMadisonville$10K
- Steven PetersonLouisville$283K
- Mario Castillo-SangEdgewood$163K
- Edward CantuLexington$74K
- Mansi Shah-JadejaLexington$45K
- Anthony MozerOwensboro$43K
- Mark SlaughterLouisville$39K
- Michael KastenEdgewood$32K
- Alberto de HoyosLexington$32K
- Juan Penaranda-CanalEdgewood$30K
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.