Jacob Fleming, MD
Diagnostic Radiology · Atlanta, GANPI 1083692289
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,130 of the $1,451 with a category attached, or 77.9%. It is spread thinly across 8 manufacturers, the largest accounting for just 22.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $962 and has fallen 71.3% since, to $276 in 2025. Among diagnostic radiology clinicians in GA 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 16 payments — averaging $90.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$321
- Medtronic$253
- Stratus Medical, LLC$217
- Amgen$173
- Boston Scientific$167
- GE HealthCare$146
- plus $174 from 2 others
What the payments were for
- Travel & lodging$32122%
- Food & beverage$1,13078%
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 |
|---|---|---|
| Stryker | 1 | $321 |
| Medtronic | 5 | $253 |
| Stratus Medical, LLC | 1 | $217 |
| Amgen | 2 | $173 |
| Boston Scientific | 1 | $167 |
| GE HealthCare | 2 | $146 |
| Nevro Corp. | 2 | $133 |
| Siemens Medical Solutions USA, Inc. | 2 | $41 |
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
$1,451 in reported general payments places this provider in the 90th percentile of 840 diagnostic radiology providers in Georgia.
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 diagnostic radiology in Atlanta
- Patricia BalthazarAtlanta$144K
- Felix GonzalezAtlanta$128K
- Diego MartinAtlanta$68K
- Susan MulliganAtlanta$16K
- Christine MurphyAtlanta$16K
- Sophia PetermanAtlanta$12K
- Courtney MorenoAtlanta$11K
- Frank MihlonAtlanta$10K
- Brian SydowAtlanta$7K
- Amit SaindaneAtlanta$5K
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.