John Lystash, MD
Cardiovascular Disease · Bluffton, SCNPI 1336132729
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 6 manufacturers reported payments, led by E.r. Squibb & Sons, L.L.C. at 56.9% of the total. Reporting peaked in 2022 at $288 and has fallen 57.2% since, to $123 in 2023. That places this record below the midpoint for cardiovascular disease clinicians in SC, where the typical reported total is $3,855.
Across 13 payments — averaging $56.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$420
- Boehringer Ingelheim$176
- Pfizer$97
- Novo Nordisk$19
- Johnson & Johnson$13
- Regeneron Healthcare Solutions, Inc.$12
Across 9 payments — averaging $1114.28 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.
- Medtronic$10K
What the payments were for
- Food & beverage$72598%
- Education$122%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 6 | $420 |
| Boehringer Ingelheim | 2 | $176 |
| Pfizer | 2 | $97 |
| Novo Nordisk | 1 | $19 |
| Johnson & Johnson | 1 | $13 |
| Regeneron Healthcare Solutions, Inc. | 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.
- CAMZYOS$230
How this compares
$737 in reported general payments places this provider in the 20th percentile of 257 cardiovascular disease providers in South Carolina.
See all cardiovascular disease providers in South Carolina →
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 | 280 | $285,901 |
| XareltoRivaroxaban | 61 | $62,024 |
| EntrestoSacubitril/Valsartan | 53 | $56,494 |
| JardianceEmpagliflozin | 36 | $35,065 |
| Repatha SureclickEvolocumab | 20 | $15,101 |
| Dofetilide | 18 | $4,211 |
| Ranolazine ErRanolazine | 34 | $3,760 |
| Amiodarone Hcl | 88 | $3,120 |
| Metoprolol Succinate | 205 | $2,730 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 92 | $2,700 |
| Digoxin | 105 | $2,070 |
| ClopidogrelClopidogrel Bisulfate | 178 | $1,910 |
| Potassium Chloride | 63 | $1,489 |
| SotalolSotalol Hcl | 86 | $1,465 |
| Propafenone Hcl | 25 | $1,443 |
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 | $97 | $285,901280 claims |
| Johnson & JohnsonXarelto | $13 | $62,02461 claims |
| Boehringer IngelheimJardiance | $176 | $35,06536 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 20th percentile of 257 cardiovascular disease providers in South Carolina.
Other cardiovascular disease in Bluffton
- Robert BiedermanCharleston$775K
- Darren SidneyNorth Charleston$129K
- Priyanka BhattacharyaCharleston$107K
- Gregory SanGreenville$88K
- David McNeelyGreenville$78K
- Gregory EavesAiken$65K
- James SmithCharleston$64K
- Christopher SalmonGreenville$54K
- Ricky HendersonAnderson$52K
- Geetha PintoCharleston$51K
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.