Janet Smith, MD
Cardiovascular Disease · Louisville, KYNPI 1114954625
Payments from drug & device makers
What this record shows
11 manufacturers reported payments, led by Merck at 57.6% of the total. Reporting peaked in 2019 at $1,009 and has fallen 85.9% since, to $142 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in KY, where the typical reported total is $2,503.
Across 22 payments — averaging $65.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$829
- Abiomed$127
- Medtronic$120
- Boston Scientific$117
- Kestra Medical Technology Services, Inc.$65
- Novartis$57
- plus $123 from 5 others
Across 88 payments — averaging $1233.13 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boehringer Ingelheim Pharma GmbH & Co.kg$51K
- Boehringer Ingelheim International GmbH$20K
- Merck$19K
- AstraZeneca$18K
What the payments were for
- Travel & lodging$64044%
- Food & beverage$79856%
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 |
|---|---|---|
| Merck | 6 | $829 |
| Abiomed | 1 | $127 |
| Medtronic(2 entities) | 2 | $120 |
| Boston Scientific | 1 | $117 |
| Kestra Medical Technology Services, Inc. | 2 | $65 |
| Novartis | 4 | $57 |
| Bracco Diagnostics Inc. | 2 | $45 |
| Baxter Healthcare | 1 | $39 |
| Bsn Medical Inc | 1 | $15 |
| E.r. Squibb & Sons, L.L.C. | 1 | $12 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
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.
- MK-1242$640
- WATCHMAN Access System$117
How this compares
$1,438 in reported general payments places this provider in the 35th percentile of 258 cardiovascular disease 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 18 | $13,537 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Louisville
- Amir PirachaLouisville$530K
- Dinesh KalraLouisville$316K
- John HarrisLouisville$129K
- Rohan SamsonLouisville$94K
- Vipul PanchalLouisville$39K
- Steven RaibleLouisville$30K
- Chandhiran RangaswamyLouisville$19K
- Joseph LashLouisville$16K
- Shanker ChandiramaniLouisville$16K
- Pradeep SinghLouisville$15K
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.