David Paniagua, MD
Interventional Cardiology · Miami Beach, FLNPI 1457466369
Payments from drug & device makers
Across 340 payments — averaging $67.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$5K
- Boston Scientific$4K
- Abiomed$3K
- Penumbra, Inc.$2K
- Shockwave Medical, Inc$2K
- Edwards Lifesciences$985
- plus $6K from 29 others
What the payments were for
- Consulting fees$5002%
- Grants$1,0004%
- Travel & lodging$3,35815%
- Food & beverage$18,06079%
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 |
|---|---|---|
| Abbott | 65 | $5,228 |
| Boston Scientific | 33 | $3,699 |
| Abiomed | 34 | $3,072 |
| Penumbra, Inc. | 6 | $2,278 |
| Shockwave Medical, Inc | 45 | $1,965 |
| Edwards Lifesciences | 9 | $985 |
| W. L. Gore & Associates, Inc. | 6 | $947 |
| Impulse Dynamics (USA) Inc. | 3 | $759 |
| Novartis | 62 | $727 |
| Medtronic(2 entities) | 11 | $575 |
| Cardiva Medical, Inc. | 6 | $365 |
| Siemens Medical Solutions USA, Inc. | 5 | $334 |
| Heartflow, Inc. | 2 | $297 |
| Cardiovascular Systems Inc. | 4 | $256 |
| ZOLL Circulation Inc | 3 | $176 |
| Amgen | 5 | $173 |
| E.r. Squibb & Sons, L.L.C. | 8 | $152 |
| Johnson & Johnson | 3 | $133 |
| Lexicon Pharmaceuticals, Inc. | 1 | $117 |
| Bridgebio Pharma, Inc. | 3 | $100 |
| Osprey Medical Inc | 3 | $95 |
| Pfizer | 3 | $70 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $65 |
| Actelion Pharmaceuticals US, Inc. | 2 | $54 |
| Myriad Genetic Laboratories, Inc. | 2 | $47 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $39 |
| Kestra Medical Technology Services, Inc. | 2 | $34 |
| Exact Sciences | 2 | $31 |
| Innovation Technologies Inc | 1 | $29 |
| Cleerly, Inc. | 1 | $27 |
| Melinta Therapeutics, LLC | 1 | $26 |
| Irhythm Technologies, Inc. | 1 | $18 |
| Amarin Pharma, Inc. | 1 | $17 |
| AstraZeneca | 1 | $14 |
| GE HealthCare | 1 | $14 |
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$2,142
- Impella$1,981
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$1,637
- GENERAL ATHERECTOMY$1,000
- GORE CARDIOFORM Septal Occluder$848
- AVEIR$736
- Mitra Clip system$608
- ROTABLATOR$587
- OPTIMIZER SMART SYSTEM$500
- GALLANT$417
- WATCHMAN FLX$402
- Quadra Assura CRT Defibrillator$340
- OPTIMIZER$330
- QUADRA ASSURA$319
- FFRct$297
- AVVIGO Guidance System$296
- Allure Quadra RF CRT Pacemaker$263
- Xience Sierra Coronary Stent$236
- NAVITOR$186
- Fortify Assura, Ellipse ICD$183
How this compares
$22,918 in reported general payments places this provider in the 65th percentile of 623 interventional cardiology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EntrestoSacubitril/Valsartan | 55 | $47,847 |
| EliquisApixaban | 40 | $47,485 |
| XareltoRivaroxaban | 28 | $24,357 |
| Metoprolol Succinate | 64 | $661 |
| Atorvastatin Calcium | 51 | $387 |
| ClopidogrelClopidogrel Bisulfate | 35 | $341 |
| Carvedilol | 30 | $265 |
| Losartan Potassium | 57 | $245 |
| Pantoprazole Sodium | 17 | $159 |
| Famotidine | 12 | $157 |
| Hydrochlorothiazide | 15 | $109 |
| Spironolactone | 13 | $98 |
| Lisinopril | 27 | $93 |
| Furosemide | 30 | $76 |
| Bisoprolol Fumarate | 12 | $50 |
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 |
|---|---|---|
| NovartisEntresto | $727 | $47,84755 claims |
| PfizerEliquis | $70 | $47,48540 claims |
| Johnson & JohnsonXarelto | $133 | $24,35728 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 65th percentile of 623 interventional cardiology providers in Florida.
Other interventional cardiology in Miami Beach
- Nirat BeoharMiami Beach$271K
- Dominick AngiolilloJacksonville$4M
- Douglas SpriggsClearwater$3.2M
- Rakesh PrashadOcala$3.1M
- Aldo Martinez FleitesMiami Lakes$2.2M
- Rohit AminPensacola$2M
- Roberto CubedduNaples$2M
- Arthur LeeGainesville$2M
- Ruby SatpathyJacksonville$1.8M
- Santhosh MathewsBradenton$1.7M
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.