James McCarley, MD
Vascular & Interventional Radiology · Hot Springs, ARNPI 1295858975
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,531 of the $4,033 with a category attached, or 87.6%. 9 manufacturers reported payments, led by Boston Scientific at 25.4% of the total. 2025 is the largest year on record at $1,366, 2.0 times the $675 reported in 2019.
Across 104 payments — averaging $38.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Shockwave Medical, Inc$947
- Stryker$814
- Inari Medical, Inc.$434
- Medtronic$253
- Penumbra, Inc.$250
- plus $312 from 3 others
What the payments were for
- Travel & lodging$45011%
- Food & beverage$3,53188%
- Education$521%
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 |
|---|---|---|
| Boston Scientific | 38 | $1,023 |
| Shockwave Medical, Inc | 26 | $947 |
| Stryker | 13 | $814 |
| Inari Medical, Inc. | 13 | $434 |
| Medtronic(2 entities) | 3 | $253 |
| Penumbra, Inc. | 3 | $250 |
| Angiodynamics, Inc. | 2 | $174 |
| Abbott | 1 | $84 |
| Sirtex Medical Inc | 5 | $55 |
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
$4,033 in reported general payments places this provider in the 65th percentile of 41 vascular & interventional radiology providers in Arkansas.
See all vascular & interventional radiology providers in Arkansas →
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 57 | $605 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Hot Springs
- Michael HickmanHot Springs$2K
- Gary AllenLittle Rock$50K
- Edgar St AmourLittle Rock$28K
- David HeisterLittle Rock$24K
- David HaysLittle Rock$22K
- Blake JacksLittle Rock$13K
- Whitney GoodwinLittle Rock$10K
- Mark MossFayetteville$6K
- Mark WendelJonesboro$6K
- Amy BezoldLittle Rock$6K
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.