James Snider, MD
Radiation Oncology · Delray Beach, FLNPI 1295092351
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.0%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Siemens Medical Solutions USA, Inc. accounts for 74.2% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $27,553 and has fallen 99.6% since, to $103 in 2023. Among radiation oncology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 23 payments — averaging $2077.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Siemens Medical Solutions USA, Inc.$35K
- Varian Medical Systems, Inc.$12K
- Lilly USA, LLC$34
- AstraZeneca$23
- Boston Scientific$21
What the payments were for
- Consulting fees$9,60020%
- Speaking & faculty fees$22,00046%
- Travel & lodging$15,84533%
- Food & beverage$3471%
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 |
|---|---|---|
| Siemens Medical Solutions USA, Inc. | 15 | $35,438 |
| Varian Medical Systems, Inc. | 5 | $12,275 |
| Lilly USA, LLC | 1 | $34 |
| AstraZeneca | 1 | $23 |
| Boston Scientific | 1 | $21 |
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.
- ProBeam Proton Therapy System$12,000
- SOMATOM Confidence$9,600
- Proton System$8,185
- ProBeam$4,000
How this compares
$47,791 in reported general payments places this provider in the 95th percentile of 465 radiation oncology providers in Florida.
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 |
|---|---|---|
| Tamsulosin Hcl | 40 | $486 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Delray Beach
- Shravan KandulaOrlando$444K
- Martin KeischMiami Shores$319K
- Marcio FagundesMiami$274K
- Evan ThomasWinter Park$209K
- Rupesh KotechaMiami$208K
- John SylvesterLakewood Ranch$205K
- Ravi ShridharOrlando$192K
- Alan BrownFort Myers$165K
- Akash NandaOrlando$165K
- Michael ChuongMiami$152K
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.