Ismael Salas de Armas, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Houston, TXNPI 1245478585
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $79,900 of the $120,527 with a category attached, or 66.3%. Abiomed accounts for 87.7% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2024 at $53,975 and has fallen 57.1% since, to $23,140 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 231 payments — averaging $521.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$106K
- Abbott$5K
- Atricure, Inc.$2K
- Transmedics, Inc.$2K
- Medtronic$2K
- Edwards Lifesciences$2K
- plus $2K from 12 others
What the payments were for
- Consulting fees$6,0005%
- Speaking & faculty fees$79,90066%
- Travel & lodging$17,75915%
- Food & beverage$16,84714%
- Education$210%
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 |
|---|---|---|
| Abiomed | 90 | $105,662 |
| Abbott | 59 | $5,302 |
| Atricure, Inc. | 14 | $2,249 |
| Transmedics, Inc. | 1 | $2,201 |
| Medtronic(2 entities) | 27 | $1,898 |
| Edwards Lifesciences | 18 | $1,563 |
| Baxter Healthcare | 3 | $330 |
| Helios Cardio Inc | 1 | $248 |
| BD | 1 | $166 |
| Medinc Of Texas | 2 | $150 |
| Zimmer Biomet | 2 | $149 |
| Boston Scientific | 5 | $148 |
| Integra Lifesciences Corporation | 1 | $125 |
| Davol Inc. | 1 | $110 |
| Kls-martin L.p. | 1 | $80 |
| Livanova USA, Inc. | 1 | $66 |
| Johnson & Johnson | 3 | $64 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 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.
- Impella$84,503
- ORGAN CARE SYSTEM$2,201
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$1,904
- HeartWare HVAD$1,205
- SYNERGY ABLATION SYSTEM$909
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$860
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$656
- HeartMate Touch$533
- INSPIRIS RESILIA aortic valve$508
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$477
- Avalus$477
- MITRIS RESILIA Mitral Valve$471
- ATRICLIP LAA EXCLUSION SYSTEM$469
- PERCLOSE PROGLIDE$422
- CARDIOMEMS$401
- INTEGRA$375
- AVEIR$284
- CARDIAMEND$248
- FLOSEAL$245
- EDWARDS INTUITY Elite valve system$223
How this compares
$120,527 in reported general payments places this provider in the 95th percentile of 424 thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Texas →
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 thoracic surgery (cardiothoracic vascular surgery) in Houston
- Michael ReardonHouston$713K
- Danny RamzyHouston$527K
- Randall WolfHouston$283K
- Min KimHouston$185K
- Marc MoonHouston$142K
- Shawn GrothHouston$110K
- Mahesh RamchandaniHouston$110K
- Gabriel LoorHouston$106K
- Mara AntonoffHouston$104K
- Moritz Wyler von BallmoosHouston$91K
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.