Derek Khorsand, MD
Vascular & Interventional Radiology · Coeur D Alene, IDNPI 1598176448
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,412 of the $10,291 with a category attached, or 62.3%. 15 manufacturers reported payments, led by Inari Medical, Inc. at 35.9% of the total. Reporting peaked in 2024 at $6,245 and has fallen 87.2% since, to $798 in 2025.
Across 110 payments — averaging $93.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$4K
- Penumbra, Inc.$3K
- Sirtex Medical Inc$2K
- Medtronic$823
- Boston Scientific$523
- Bard Peripheral Vascular, Inc.$113
- plus $370 from 9 others
What the payments were for
- Travel & lodging$3,87938%
- Food & beverage$6,41262%
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 |
|---|---|---|
| Inari Medical, Inc. | 29 | $3,694 |
| Penumbra, Inc. | 12 | $2,575 |
| Sirtex Medical Inc | 31 | $2,194 |
| Medtronic(2 entities) | 15 | $823 |
| Boston Scientific | 9 | $523 |
| Bard Peripheral Vascular, Inc. | 2 | $113 |
| Zavation Medical Products, LLC | 1 | $91 |
| Stryker | 2 | $57 |
| BD | 2 | $54 |
| Argon Medical Devices, Inc. | 2 | $42 |
| Angiodynamics, Inc. | 1 | $39 |
| Imperative Care, Inc | 1 | $38 |
| Johnson & Johnson | 1 | $18 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $17 |
| Chiesi USA, Inc. | 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.
- FLOWTRIEVER CATHETER, S$2,973
- CT THROMBECTOMY SYSTEM KIT$2,726
- RUBY Coil$2,234
- SIR-Spheres Microspheres$867
- EKOSONIC$133
- Abre$116
- LAVA LES (Liquid Embolic System)$107
- OSTEOCOOL RF ABLATION$102
How this compares
Too few vascular & interventional radiology providers in Idahoto place this figure against a meaningful peer group, so we don't.
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 Coeur D Alene
- David ShelleyBlackfoot$37K
- Daniel GibsonBoise$35K
- John HoLewiston$10K
- Whitney Shofner MichalskyBoise$9K
- David CondieBlackfoot$6K
- John WhitingPocatello$5K
- Sean CarrBoise$5K
- Jared BaileyPocatello$3K
- Andrew PetersonBoise$1K
- Paul SonntagBoise$1K
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.