Fima Macheret, MD
Clinical Cardiac Electrophysiology · Mount Vernon, WANPI 1639468663
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Biosense Webster, Inc. accounts for 68.8% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $8,774, more than ten times the $128 reported in 2022.
Across 66 payments — averaging $182.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biosense Webster, Inc.$8K
- Abbott$2K
- Medical Device Business Services, Inc.$619
- Boston Scientific$402
- Medtronic$172
- Biotronik Inc.$99
- plus $56 from 2 others
What the payments were for
- Consulting fees$5,22543%
- Travel & lodging$4,06534%
- Food & beverage$2,49621%
- Education$2412%
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 |
|---|---|---|
| Biosense Webster, Inc. | 26 | $8,275 |
| Abbott | 26 | $2,404 |
| Medical Device Business Services, Inc. | 3 | $619 |
| Boston Scientific | 4 | $402 |
| Medtronic | 3 | $172 |
| Biotronik Inc. | 2 | $99 |
| Kestra Medical Technology Services, Inc. | 1 | $43 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $13 |
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$8,335
- AVEIR$1,556
- ENSITE$197
- RESONATE EL ICD VR$135
- ENSITE PRECISION$116
How this compares
$12,028 in reported general payments places this provider in the 60th percentile of 68 clinical cardiac electrophysiology providers in Washington.
See all clinical cardiac electrophysiology providers in Washington →
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 | 12 | $12,386 |
| Amiodarone Hcl | 12 | $207 |
| Metoprolol Succinate | 17 | $108 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Mount Vernon
- Affan HaleemMount Vernon$18K
- Ramy HannaMount Vernon$10K
- Gust BardySeattle$130.7M
- Babak NazerSeattle$124K
- Maheer GandhavadiBellevue$118K
- Toshimasa OkabeSeattle$114K
- Darryl WellsSeattle$112K
- Arun R Mahankali SridharSeattle$94K
- Jeanne PooleSeattle$81K
- Amier AhmadSunnyside$58K
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.