James Klena, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Rockingham, VANPI 1285740662
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (45.0%), food and beverage and education — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $3,160 and has fallen 81.8% since, to $575 in 2025.
Across 109 payments — averaging $89.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Atricure, Inc.$2K
- Abiomed$900
- Medtronic$404
- Johnson & Johnson$255
- Solventum Corporation$63
- plus $90 from 4 others
What the payments were for
- Travel & lodging$4,38245%
- Food & beverage$3,57637%
- Education$1,78818%
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 | 70 | $6,015 |
| Atricure, Inc. | 15 | $2,017 |
| Abiomed | 8 | $900 |
| Medtronic(2 entities) | 7 | $404 |
| Johnson & Johnson | 2 | $255 |
| Solventum Corporation | 3 | $63 |
| Davol Inc. | 1 | $37 |
| Zimmer Biomet | 1 | $26 |
| Terumo Cardiovascular Systems Corporation | 1 | $15 |
| Baxter Healthcare | 1 | $13 |
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.
- Da Vinci Surgical System$4,689
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,058
- ATRICLIP LAA EXCLUSION SYSTEM$876
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$732
- Impella$650
- SYNERGY ABLATION SYSTEM$470
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$288
- ECHELON ENDOPATH$260
- Harmonic$255
- Signia$139
- VISTASEAL$130
- Echelon Flex$125
- SURGICEL NU-KNIT$125
- Enseal X1$125
- CoreValve Evolut$104
How this compares
$9,745 in reported general payments places this provider in the 70th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Virginia →
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 Rockingham
- Yuriy ZhukovRockingham$8K
- Clinton KempNorfolk$367K
- Sandeep KhandharFairfax$261K
- Mark CooperHampton$219K
- Linda MartinCharlottesville$76K
- Kenneth SaumLynchburg$56K
- Michael WeyantFalls Church$47K
- Mark JosephRoanoke$44K
- Justin MilliganVirginia Beach$42K
- Christopher BarreiroNorfolk$41K
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.