Hoda Butrous, MD
Advanced Heart Failure and Transplant Cardiology · Miami, FLNPI 1093005514
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,135 of the $4,165 with a category attached, or 75.3%. 17 manufacturers reported payments, led by Abbott at 26.4% of the total. Reporting peaked in 2019 at $2,447 and has fallen 69.6% since, to $744 in 2025. That places this record below the midpoint for advanced heart failure and transplant cardiology clinicians in FL, where the typical reported total is $7,029.
Across 118 payments — averaging $35.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Medtronic$1K
- Actelion Pharmaceuticals US, Inc.$443
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$333
- Pfizer$291
- United Therapeutics Corporation$181
- plus $778 from 11 others
Across 13 payments — averaging $5377.97 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.
- Abbott$67K
- Medtronic$2K
What the payments were for
- Travel & lodging$1,02225%
- Food & beverage$3,13575%
- Education$80%
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 |
|---|---|---|
| Abbott | 17 | $1,101 |
| Medtronic | 6 | $1,038 |
| Actelion Pharmaceuticals US, Inc. | 15 | $443 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 15 | $333 |
| Pfizer | 6 | $291 |
| United Therapeutics Corporation | 14 | $181 |
| Novartis | 12 | $180 |
| Alnylam Pharmaceuticals Inc. | 7 | $109 |
| Nuwellis, Inc. | 4 | $107 |
| AstraZeneca | 6 | $91 |
| Amgen | 4 | $77 |
| E.r. Squibb & Sons, L.L.C. | 3 | $55 |
| Bayer | 3 | $44 |
| Sandoz | 2 | $35 |
| Boston Scientific | 1 | $34 |
| Johnson & Johnson | 2 | $27 |
| Vifor Pharma, Inc. | 1 | $20 |
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.
How this compares
$4,165 in reported general payments places this provider in the 35th percentile of 48 advanced heart failure and transplant cardiology providers in Florida.
See all advanced heart failure and transplant cardiology providers in Florida →
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 67 | $71,890 |
| FarxigaDapagliflozin Propanediol | 27 | $30,507 |
| Sildenafil Citrate | 28 | $18,370 |
| EliquisApixaban | 23 | $17,017 |
| Tacrolimus | 23 | $6,342 |
| Sirolimus | 11 | $4,925 |
| Bumetanide | 42 | $1,421 |
| Rosuvastatin Calcium | 28 | $481 |
| Warfarin Sodium | 42 | $435 |
| Isosorbide Dinitrate | 11 | $383 |
| Amiodarone Hcl | 20 | $323 |
| Carvedilol | 52 | $238 |
| Hydralazine Hcl | 28 | $214 |
| Spironolactone | 22 | $152 |
| Metoprolol Succinate | 17 | $129 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| NovartisEntresto | $180 | $71,89067 claims |
| AstraZenecaFarxiga | $91 | $30,50727 claims |
| PfizerEliquis | $291 | $17,01723 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 35th percentile of 48 advanced heart failure and transplant cardiology providers in Florida.
Other advanced heart failure and transplant cardiology in Miami
- Omar Wever-PinzonMiami$80K
- Mrudula MunagalaMiami$67K
- Sandra ChaparroMiami$15K
- Saleh El DassoukiMiami$11K
- Kelly McCantsWinter Park$445K
- Naveen BellamOrlando$414K
- Phillip HabibDelray Beach$305K
- Waqas GhummanAtlantis$276K
- David SnipeliskyWeston$250K
- Elsy NavasNaples$234K
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.