James Orourke, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Paducah, KYNPI 1144226598
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Intuitive Surgical at 36.3% of the total. Reporting peaked in 2023 at $4,713 and has fallen 88.4% since, to $546 in 2025.
Across 106 payments — averaging $84.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Atricure, Inc.$3K
- Abiomed$947
- Edwards Lifesciences$448
- Medela LLC$436
- Medtronic$370
- plus $868 from 17 others
What the payments were for
- Travel & lodging$2,50828%
- Food & beverage$3,96044%
- Education$2,50028%
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 | 6 | $3,257 |
| Atricure, Inc. | 18 | $2,642 |
| Abiomed | 11 | $947 |
| Edwards Lifesciences | 12 | $448 |
| Medela LLC | 1 | $436 |
| Medtronic(2 entities) | 17 | $370 |
| Boehringer Ingelheim | 8 | $181 |
| Abbott | 3 | $175 |
| Johnson & Johnson(2 entities) | 5 | $91 |
| Amgen | 5 | $80 |
| LSI Solutions Inc | 3 | $64 |
| Sanofi-aventis U.S. LLC | 3 | $61 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $37 |
| Amarin Pharma, Inc. | 2 | $29 |
| Getinge USA Sales, LLC | 1 | $24 |
| Corcym Inc | 1 | $19 |
| Actelion Pharmaceuticals US, Inc. | 1 | $19 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $17 |
| Merck | 1 | $14 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
| Bayer | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $11 |
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.
- DAVINCI XI$2,500
- SYNERGY ABLATION SYSTEM$1,962
- Da Vinci Surgical System$674
- Impella$484
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$458
- ATRICLIP LAA EXCLUSION SYSTEM$402
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$132
- AMPLATZER Vascular Plug and Accs$132
- CoreValve Evolut$104
- INSPIRIS RESILIA aortic valve$102
How this compares
$8,969 in reported general payments places this provider in the 65th percentile of 98 thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky →
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 Paducah
- Nicholas LopezPaducah$6K
- Steven PetersonLouisville$283K
- Mario Castillo-SangEdgewood$163K
- Edward CantuLexington$74K
- Mansi Shah-JadejaLexington$45K
- Anthony MozerOwensboro$43K
- Mark SlaughterLouisville$39K
- Michael KastenEdgewood$32K
- Alberto de HoyosLexington$32K
- Juan Penaranda-CanalEdgewood$30K
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.