Dionisio Mariano, MD
Clinical Cardiac Electrophysiology · Appleton, WINPI 1649220229
Payments from drug & device makers
What this record shows
Medtronic accounts for 89.9% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $3,066, more than ten times the $97 reported in 2019. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in WI, where the typical reported total is $7,576.
Across 37 payments — averaging $107.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Biosense Webster, Inc.$126
- Cleerly, Inc.$75
- Alnylam Pharmaceuticals Inc.$50
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$34
- AstraZeneca$30
- plus $86 from 4 others
What the payments were for
- Travel & lodging$1,93949%
- Food & beverage$2,05151%
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 |
|---|---|---|
| Medtronic | 24 | $3,588 |
| Biosense Webster, Inc. | 2 | $126 |
| Cleerly, Inc. | 1 | $75 |
| Alnylam Pharmaceuticals Inc. | 2 | $50 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $34 |
| AstraZeneca | 2 | $30 |
| Boston Scientific | 1 | $29 |
| Novartis | 1 | $24 |
| Johnson & Johnson | 1 | $18 |
| Pfizer | 1 | $15 |
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.
- Micra$508
How this compares
$3,990 in reported general payments places this provider in the 35th percentile of 78 clinical cardiac electrophysiology providers in Wisconsin.
See all clinical cardiac electrophysiology providers in Wisconsin →
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 | 325 | $388,067 |
| XareltoRivaroxaban | 101 | $119,663 |
| Dofetilide | 98 | $17,288 |
| Flecainide Acetate | 195 | $8,805 |
| Metoprolol Succinate | 308 | $7,025 |
| Mexiletine Hcl | 17 | $2,555 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 69 | $2,225 |
| Amiodarone Hcl | 136 | $1,979 |
| SotalolSotalol Hcl | 73 | $1,829 |
| Metoprolol Tartrate | 159 | $1,747 |
| Diltiazem 24hr ErDiltiazem Hcl | 46 | $1,552 |
| Digoxin | 44 | $849 |
| Furosemide | 21 | $113 |
| Losartan Potassium | 13 | $99 |
| Amlodipine Besylate | 11 | $20 |
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 | $388,067325 claims |
| Johnson & JohnsonXarelto | $18 | $119,663101 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 35th percentile of 78 clinical cardiac electrophysiology providers in Wisconsin.
Other clinical cardiac electrophysiology in Appleton
- Daniel NelsonAppleton$50K
- Li ZhouAppleton$7K
- Babar ParvezAppleton$4K
- Imran NiaziMilwaukee$1M
- Miguel LealMadison$202K
- Jodi ZilinskiMilwaukee$173K
- Sanjay DeshpandeBeloit$133K
- Divya KorpuEau Claire$94K
- Marcie BergerMilwaukee$67K
- Mohammad MortadaMilwaukee$65K
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.