Gustavo Elias, MD
Vascular & Interventional Radiology · Fredericksburg, VANPI 1992063234
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,109 of the $8,174 with a category attached, or 62.5%. Penumbra, Inc. accounts for 61.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2024 at $2,782 and has fallen 50.6% since, to $1,373 in 2025.
Across 86 payments — averaging $95.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Inari Medical, Inc.$821
- Cook Medical LLC$599
- Medtronic$453
- Terumo Medical Corporation$417
- Stryker$323
- plus $574 from 10 others
Across 9 payments — averaging $1418.30 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.
- Chiesi USA, Inc.$13K
What the payments were for
- Travel & lodging$3,06638%
- Food & beverage$5,10962%
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 |
|---|---|---|
| Penumbra, Inc. | 31 | $4,988 |
| Inari Medical, Inc. | 7 | $821 |
| Cook Medical LLC | 7 | $599 |
| Medtronic(3 entities) | 16 | $453 |
| Terumo Medical Corporation | 4 | $417 |
| Stryker | 3 | $323 |
| Boston Scientific | 7 | $218 |
| Johnson & Johnson | 2 | $98 |
| Silk Road Medical, Inc. | 1 | $88 |
| Angiodynamics, Inc. | 2 | $54 |
| Canon Medical Systems USA, Inc. | 1 | $30 |
| Trisalus Life Sciences, Inc. | 1 | $20 |
| Lemaitre Vascular, Inc. | 1 | $18 |
| Argon Medical Devices, Inc. | 1 | $18 |
| Bard Peripheral Vascular, Inc. | 1 | $15 |
| Teleflex LLC | 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.
- Indigo System$4,278
- FLOWTRIEVER CATHETER, S$788
- CT THROMBECTOMY SYSTEM KIT$788
- Zilver PTX$173
- RUBY Coil$153
- Azur CX Detachable$148
- ANGIO-SEAL$148
- HydroPearl$148
- Abre$131
- Zilver Vena$121
- FlowTriever$111
How this compares
$8,174 in reported general payments places this provider in the 75th percentile of 136 vascular & interventional radiology providers in Virginia.
See all vascular & interventional radiology providers in Virginia →
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 Fredericksburg
- Samer HijazFredericksburg$5K
- Richard DohertyFredericksburg$4K
- Jeffrey HullRichmond$10.8M
- Ziv HaskalCharlottesville$724K
- Keith SterlingSpringfield$357K
- John GaughenCharlottesville$253K
- Jawad HussainRichmond$248K
- Sandeep BaglaFalls Church$146K
- Aaron DucoffeFairfax$108K
- Ryan McTaggartRoanoke$103K
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.