Ernest Afflu, MD
Cardiovascular Disease · Brooklyn, NYNPI 1447294764
Payments from drug & device makers
Across 486 payments — averaging $27.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Medtronic$2K
- Novartis$1K
- Lilly USA, LLC$1K
- Abbott$1K
- Merck$952
- plus $6K from 27 others
What the payments were for
- Travel & lodging$2,08815%
- Food & beverage$11,29784%
- Education$1331%
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 |
|---|---|---|
| Boston Scientific | 21 | $1,968 |
| Medtronic(3 entities) | 20 | $1,546 |
| Novartis | 67 | $1,197 |
| Lilly USA, LLC | 47 | $1,043 |
| Abbott | 32 | $1,036 |
| Merck | 42 | $952 |
| Johnson & Johnson(2 entities) | 45 | $927 |
| Amgen | 29 | $622 |
| Boehringer Ingelheim | 27 | $552 |
| Novo Nordisk | 23 | $474 |
| E.r. Squibb & Sons, L.L.C. | 20 | $389 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 13 | $378 |
| Biotronik Inc. | 9 | $341 |
| Pfizer | 15 | $270 |
| AstraZeneca | 14 | $255 |
| Amarin Pharma, Inc. | 11 | $254 |
| Viiv Healthcare Company | 9 | $219 |
| Scpharmaceuticals Inc. | 3 | $172 |
| Sanofi-aventis U.S. LLC | 9 | $157 |
| Alnylam Pharmaceuticals Inc. | 7 | $154 |
| Abiomed | 3 | $111 |
| Regeneron Healthcare Solutions, Inc. | 4 | $95 |
| Lexicon Pharmaceuticals, Inc. | 4 | $89 |
| Kestra Medical Technology Services, Inc. | 1 | $81 |
| GSK | 2 | $45 |
| Gilead | 2 | $43 |
| Acarix USA Inc. | 1 | $29 |
| Cardiva Medical, Inc. | 1 | $26 |
| Qiagen, LLC | 1 | $21 |
| Bayer | 1 | $20 |
| Bardy Diagnostics, Inc. | 1 | $20 |
| Arbor Pharmaceuticals, Inc. | 1 | $17 |
| Shield Therapeutics 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.
How this compares
$13,519 in reported general payments places this provider in the 80th percentile of 2,302 cardiovascular disease providers in New York.
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 | 251 | $273,183 |
| XareltoRivaroxaban | 211 | $208,128 |
| VerquvoVericiguat | 120 | $130,035 |
| EliquisApixaban | 133 | $113,379 |
| JardianceEmpagliflozin | 53 | $79,469 |
| MounjaroTirzepatide | 64 | $68,263 |
| OzempicSemaglutide | 28 | $39,965 |
| FarxigaDapagliflozin Propanediol | 29 | $35,673 |
| JanuviaSitagliptin Phosphate | 26 | $25,845 |
| Repatha SureclickEvolocumab | 12 | $16,953 |
| JanumetSitagliptin Phos/Metformin Hcl | 13 | $10,792 |
| Spiriva RespimatTiotropium Bromide | 11 | $5,457 |
| Atorvastatin Calcium | 297 | $3,729 |
| Carvedilol | 448 | $3,598 |
| Amlodipine Besylate | 479 | $3,263 |
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 | $1,197 | $273,183251 claims |
| Johnson & JohnsonXarelto | $927 | $208,128211 claims |
| MerckVerquvo, Januvia, Janumet | $952 | $166,672159 claims |
| PfizerEliquis | $270 | $113,379133 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $552 | $84,92564 claims |
| Lilly USA, LLCMounjaro | $1,043 | $68,26364 claims |
| Novo NordiskOzempic | $474 | $39,96528 claims |
| AstraZenecaFarxiga | $255 | $35,67329 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 80th percentile of 2,302 cardiovascular disease providers in New York.
Other cardiovascular disease in Brooklyn
- Ronald WhartonBrooklyn$1.1M
- Ozgen DoganBrooklyn$404K
- Warren WexelmanBrooklyn$396K
- James MinNew York$41.1M
- Robert RosensonNew York$6.9M
- Roxana MehranNew York$6.4M
- Roger HajjarNew York$5.2M
- Philippe GenereuxNew York$4.4M
- Vijay IyerAmherst$4.3M
- Gregg StoneNew York$3.7M
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.