Hamid Afshar-Kharaghan
Clinical Cardiac Electrophysiology · Houston, TXNPI 1740474246
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (35.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Abbott at 57.4% of the total. Reporting peaked in 2023 at $30,259 and has fallen 74.8% since, to $7,636 in 2025.
Across 653 payments — averaging $171.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$64K
- Boston Scientific$16K
- Impulse Dynamics (USA) Inc.$13K
- Biotronik Inc.$6K
- Medtronic$6K
- Philips North America LLC$2K
- plus $4K from 7 others
Across 2 payments — averaging $2829.00 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.
- Impulse Dynamics (USA) Inc.$6K
What the payments were for
- Consulting fees$25,05322%
- Speaking & faculty fees$23,35021%
- Travel & lodging$23,64721%
- Food & beverage$39,87936%
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 |
|---|---|---|
| Abbott | 355 | $64,284 |
| Boston Scientific | 103 | $16,365 |
| Impulse Dynamics (USA) Inc. | 28 | $12,978 |
| Biotronik Inc. | 31 | $6,473 |
| Medtronic(2 entities) | 97 | $5,962 |
| Philips North America LLC | 9 | $1,539 |
| ZOLL Respicardia, Inc. | 4 | $1,171 |
| Cvrx, Inc. | 6 | $1,146 |
| Cardiofocus, Inc. | 8 | $960 |
| Biosense Webster, Inc. | 9 | $769 |
| Acutus Medical, Inc. | 1 | $179 |
| IBSA Pharma Inc. | 1 | $88 |
| GE HealthCare | 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.
- OPTIMIZER$24,393
- AVEIR$16,496
- Allure CRT Pacemaker$5,352
- GENERAL - THERAPIES$5,139
- Acculink carotid stent system$5,018
- Confirm Rx$4,842
- GALLANT$4,679
- ACCENT$4,268
- CardioMEMS HF System$2,850
- EMBLEM MRI S-ICD$2,650
- TENDRIL$1,334
- remede System$1,171
- Barostim Neo System$1,146
- ENSITE PRECISION$1,125
- ALLURE$1,000
- Fortify Assura$942
- Accent Pacemaker$892
- (9520) IGT Devices Undivided$787
- Fortify Assura, Ellipse ICD$784
- (9124) LM Undivided$619
How this compares
$111,929 in reported general payments places this provider in the 85th percentile of 233 clinical cardiac electrophysiology providers in Texas.
See all clinical cardiac electrophysiology providers in Texas →
Other clinical cardiac electrophysiology in Houston
- Miguel ValderrabanoHouston$461K
- Mehdi RazaviHouston$358K
- Ilyas ColombowalaHouston$204K
- Ramesh HariharanHouston$165K
- Nadim NasirHouston$162K
- John SegerHouston$147K
- Alexander DrtilHouston$126K
- David BurklandHouston$101K
- Jie ChengHouston$82K
- Paul SchurmannHouston$80K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.