Fermin Garcia, MD
Clinical Cardiac Electrophysiology · Philadelphia, PANPI 1780672477
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $487,458 of the $684,405 with a category attached, or 71.2%. 18 manufacturers reported payments, led by Medical Device Business Services, Inc. at 51.6% of the total. Reporting peaked in 2019 at $219,009 and has fallen 67.6% since, to $71,058 in 2025. Among clinical cardiac electrophysiology clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 703 payments — averaging $973.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$353K
- Abbott$171K
- Biosense Webster, Inc.$66K
- Boston Scientific$39K
- Biotronik Inc.$25K
- Medtronic$19K
- plus $13K from 12 others
Across 25 payments — averaging $1155.93 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boston Scientific$29K
What the payments were for
- Consulting fees$487,45871%
- Speaking & faculty fees$91,72213%
- Travel & lodging$83,39612%
- Food & beverage$21,8293%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 77 | $352,875 |
| Abbott | 281 | $170,982 |
| Biosense Webster, Inc. | 114 | $65,601 |
| Boston Scientific | 94 | $38,560 |
| Biotronik Inc. | 50 | $24,530 |
| Medtronic(2 entities) | 49 | $18,660 |
| Baylis Medical Company Inc | 5 | $11,551 |
| Impulse Dynamics (USA) Inc. | 14 | $595 |
| Biosig Technologies, Inc. | 1 | $500 |
| Johnson & Johnson(3 entities) | 9 | $262 |
| Stryker | 1 | $74 |
| Atricure, Inc. | 1 | $60 |
| Philips North America LLC | 2 | $38 |
| Cvrx, Inc. | 1 | $28 |
| AstraZeneca | 1 | $26 |
| Kestra Medical Technology Services, Inc. | 1 | $24 |
| Cardiva Medical, Inc. | 1 | $21 |
| Siemens Medical Solutions USA, Inc. | 1 | $19 |
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.
- Carto 3$308,784
- Carto 3 System$107,840
- Ensite Cardiac Mapping System$89,300
- VersaCross Access Solution$24,358
- Advisor Catheter$15,124
- ENSITE PRECISION$11,173
- ENSITE$10,988
- Farapulse$10,239
- TACTICATH ABLATION CATHETER, SENSOR ENABLED$9,818
- ViewMate Intracardiac Echo$9,640
- GENERAL - THERAPIES$8,485
- EnSite Precision Cardiac Mapping System$5,501
- EPstar Fixed Electrophysiology Catheter$5,200
- TactiCath Quartz CFA Catheter$4,765
- Cardiovascular- Research only$3,484
- Confirm Rx$3,131
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$2,588
- ENGAGE$1,006
- Arctic Front$967
- PURE EP SYSTEM$500
How this compares
$684,405 in reported general payments places this provider in the 95th percentile of 201 clinical cardiac electrophysiology providers in Pennsylvania.
See all clinical cardiac electrophysiology providers in Pennsylvania →
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 clinical cardiac electrophysiology in Philadelphia
- Ralph VerdinoPhiladelphia$682K
- Pasquale SantangeliPhiladelphia$581K
- Francis MarchlinskiPhiladelphia$469K
- Joshua CooperPhiladelphia$405K
- Timothy MarkmanPhiladelphia$402K
- David CallansPhiladelphia$350K
- Robert SchallerPhiladelphia$333K
- Matthew HymanPhiladelphia$294K
- David FrankelPhiladelphia$218K
- Rajat DeoPhiladelphia$148K
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.