Hazem Afifi, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Las Vegas, NVNPI 1740455229
Payments from drug & device makers
What this record shows
This record is dominated by education: $25,000 of the $41,098 with a category attached, or 60.8%. Intuitive Surgical accounts for 68.8% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2023 at $16,388 and has fallen 88.6% since, to $1,869 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 286 payments — averaging $143.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$28K
- Medtronic$8K
- Atricure, Inc.$1K
- Abiomed$875
- Edwards Lifesciences$612
- Artivion, Inc.$294
- plus $2K from 25 others
What the payments were for
- Travel & lodging$5,69114%
- Food & beverage$10,40825%
- Education$25,00061%
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 |
|---|---|---|
| Intuitive Surgical | 56 | $28,291 |
| Medtronic(2 entities) | 133 | $7,537 |
| Atricure, Inc. | 12 | $1,131 |
| Abiomed | 12 | $875 |
| Edwards Lifesciences | 13 | $612 |
| Artivion, Inc. | 3 | $294 |
| LSI Solutions Inc | 2 | $291 |
| Smith+Nephew | 6 | $251 |
| Getinge USA Sales, LLC | 8 | $192 |
| Endologix LLC | 1 | $166 |
| Baxter Healthcare | 1 | $150 |
| Clearflow Inc. | 1 | $138 |
| Balt USA, LLC | 2 | $137 |
| Penumbra, Inc. | 1 | $136 |
| Johnson & Johnson(2 entities) | 6 | $119 |
| BD | 1 | $103 |
| Abbott | 4 | $97 |
| Cook Medical LLC | 4 | $95 |
| Goode Surgical Inc | 2 | $72 |
| Merck | 2 | $63 |
| Terumo Medical Corporation | 2 | $56 |
| AstraZeneca | 3 | $54 |
| Lemaitre Vascular, Inc. | 2 | $37 |
| Chiesi USA, Inc. | 2 | $36 |
| Braemar Manufacturing, LLC | 1 | $31 |
| Dilon Technologies, Inc. | 1 | $28 |
| Bard Access Systems, Inc. | 1 | $27 |
| Kls-martin L.p. | 1 | $25 |
| W. L. Gore & Associates, Inc. | 1 | $23 |
| TELA Bio, Inc. | 1 | $17 |
| Boston Scientific | 1 | $17 |
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.
- DAVINCI XI$25,000
- Da Vinci Surgical System$2,179
- CoreValve Evolut$1,779
- Simulus$1,714
- SYNERGY ABLATION SYSTEM$674
- Impella$660
- ENDURANT IIS$396
- Valiant Captivia$292
- COR KNOT$291
- Valiant Navion$277
- 3F$241
- COREVALVE EVOLUT R$173
- ENDOCROSS Device$166
- Torus Stent Graft System$166
- PerClot$150
- ATRICLIP LAA EXCLUSION SYSTEM$146
- Pleuraflow System with FlowGlide$138
- RUBY Coil$136
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$135
- VASCULAR$135
How this compares
$41,098 in reported general payments places this provider in the 90th percentile of 41 thoracic surgery (cardiothoracic vascular surgery) providers in Nevada.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Nevada →
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 |
|---|---|---|
| Naloxone Hcl | 21 | $1,411 |
| Tramadol Hcl | 113 | $205 |
| ClopidogrelClopidogrel Bisulfate | 14 | $177 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Las Vegas
- Peter CaravellaLas Vegas$671K
- Chan ParkLas Vegas$85K
- Ashraf OsmanLas Vegas$54K
- Nauman JahangirLas Vegas$38K
- Quynh FeikesLas Vegas$24K
- Timothy HamiltonLas Vegas$21K
- Rick BernsteinLas Vegas$16K
- Giovanni CiuffoLas Vegas$15K
- Serrie LicoLas Vegas$14K
- Harbinder SinghLas Vegas$11K
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.