James Lucas, MD
Cardiovascular Disease · Kamuela, HINPI 1750473740
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.1% of the total across 105 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 18.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $839 and has fallen 91.0% since, to $76 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in HI, where the typical reported total is $1,979.
Across 105 payments — averaging $20.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$383
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$228
- Amarin Pharma, Inc.$212
- Pfizer$191
- Biotronik Inc.$168
- E.r. Squibb & Sons, L.L.C.$148
- plus $799 from 13 others
What the payments were for
- Food & beverage$2,09098%
- Education$392%
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 |
|---|---|---|
| AstraZeneca | 21 | $383 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 11 | $228 |
| Amarin Pharma, Inc. | 13 | $212 |
| Pfizer | 10 | $191 |
| Biotronik Inc. | 4 | $168 |
| E.r. Squibb & Sons, L.L.C. | 8 | $148 |
| Novartis | 6 | $129 |
| United Therapeutics Corporation | 6 | $124 |
| Merck | 5 | $103 |
| Boehringer Ingelheim | 5 | $100 |
| Boston Scientific | 3 | $75 |
| Sanofi-aventis U.S. LLC | 3 | $60 |
| Gilead | 2 | $50 |
| Bayer | 2 | $43 |
| Amgen | 2 | $33 |
| Abiomed | 1 | $29 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Medtronic | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 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.
- LifeVest$109
How this compares
$2,129 in reported general payments places this provider in the 50th percentile of 73 cardiovascular disease providers in Hawaii.
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 |
|---|---|---|
| EliquisApixaban | 265 | $264,700 |
| EntrestoSacubitril/Valsartan | 119 | $91,166 |
| XareltoRivaroxaban | 15 | $20,706 |
| JardianceEmpagliflozin | 15 | $15,057 |
| BrilintaTicagrelor | 12 | $11,366 |
| Ranolazine ErRanolazine | 31 | $4,274 |
| Nebivolol Hcl | 69 | $4,231 |
| Rosuvastatin Calcium | 98 | $3,341 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 18 | $3,264 |
| Ezetimibe | 59 | $2,677 |
| Atorvastatin Calcium | 74 | $2,348 |
| Metoprolol Succinate | 111 | $2,159 |
| ClopidogrelClopidogrel Bisulfate | 38 | $1,331 |
| Flecainide Acetate | 20 | $1,296 |
| Losartan Potassium | 33 | $673 |
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 |
|---|---|---|
| PfizerEliquis | $191 | $264,700265 claims |
| NovartisEntresto | $129 | $91,166119 claims |
| Boehringer IngelheimJardiance | $100 | $15,05715 claims |
| AstraZenecaBrilinta | $383 | $11,36612 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 50th percentile of 73 cardiovascular disease providers in Hawaii.
Other cardiovascular disease in Kamuela
- Neal ShikumaKamuela$9K
- Dipanjan BanerjeeHonolulu$331K
- Ryan SmithKaneohe$125K
- Ramy BadawiKailua$78K
- Joana MagnoHonolulu$23K
- Hingson ChunHonolulu$23K
- Sonny WongKailua$18K
- William DangHonolulu$16K
- Erin DreessensTripler Amc$14K
- Edward ShenHonolulu$12K
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.