Jonathan Fialkow, MD
Cardiovascular Disease · Miami, FLNPI 1538176557
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $134,003 of the $153,419 with a category attached, or 87.3%. 25 manufacturers reported payments, led by Amarin Pharma, Inc. at 46.6% of the total. Reporting peaked in 2019 at $72,451 and has fallen 98.0% since, to $1,429 in 2025. Among cardiovascular disease 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 207 payments — averaging $741.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amarin Pharma, Inc.$71K
- Amgen$41K
- Esperion Therapeutics, Inc.$26K
- Medtronic$4K
- Pfizer$4K
- Novo Nordisk$3K
- plus $3K from 19 others
Across 268 payments — averaging $8947.95 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.
- OPKO Pharmaceuticals, LLC$1.1M
- Amgen$989K
- AstraZeneca$114K
- Novartis$91K
- Astrazeneca UK Limited$56K
- Cleerly, Inc.$54K
- plus $13K from 3 others
What the payments were for
- Consulting fees$4,6633%
- Speaking & faculty fees$134,00387%
- Travel & lodging$5,4144%
- Food & beverage$9,1876%
- Education$1520%
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 |
|---|---|---|
| Amarin Pharma, Inc. | 59 | $71,441 |
| Amgen | 37 | $40,964 |
| Esperion Therapeutics, Inc. | 24 | $26,479 |
| Medtronic(2 entities) | 39 | $4,173 |
| Pfizer | 3 | $3,530 |
| Novo Nordisk | 8 | $3,487 |
| AstraZeneca | 1 | $1,000 |
| Cleerly, Inc. | 5 | $492 |
| Boston Scientific | 5 | $367 |
| Braemar Manufacturing, LLC | 1 | $294 |
| Lilly USA, LLC | 3 | $246 |
| Impulse Dynamics (USA) Inc. | 3 | $211 |
| Philips North America LLC | 1 | $174 |
| Heartflow, Inc. | 1 | $164 |
| Itamar Medical Inc | 1 | $125 |
| Gilead | 4 | $69 |
| Sanofi-aventis U.S. LLC | 3 | $48 |
| Current Health, Inc. | 1 | $25 |
| Novartis | 2 | $25 |
| Abbott | 1 | $22 |
| Bayer | 1 | $20 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $19 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $14 |
| 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.
- Vascepa$70,985
- Repatha$40,783
- NEXLIZET$26,459
- NEXLETOL$26,459
- Micra$392
- OPTIMIZER$356
- WATCHMAN FLX$320
- Cleerly Labs$313
- Cardiac Monitoring Suite$294
- Amplia MRI$287
- PACEART SYSTEM ECG MODULE$270
- COBALT DR MRI SURESCAN$261
- (3126) ECC Solutions$174
- Cleerly Ischemia$171
- SYMPLICITY G3$164
- FFRct$164
- Claria MRI$152
- CareLink$132
- Abre$128
- WatchPATONE$125
How this compares
$153,419 in reported general payments places this provider in the 95th percentile of 1,740 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 68 | $82,088 |
| Repatha SureclickEvolocumab | 41 | $40,788 |
| XareltoRivaroxaban | 17 | $19,023 |
| Praluent PenAlirocumab | 11 | $4,927 |
| LivaloPitavastatin Calcium | 12 | $3,861 |
| Atorvastatin Calcium | 138 | $1,843 |
| Ezetimibe | 58 | $1,512 |
| Rosuvastatin Calcium | 77 | $1,220 |
| Metoprolol Succinate | 54 | $702 |
| Losartan Potassium | 50 | $529 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 18 | $416 |
| Amlodipine Besylate | 41 | $399 |
| Lisinopril | 29 | $386 |
| Carvedilol | 27 | $318 |
| Furosemide | 11 | $101 |
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 | $3,530 | $82,08868 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 95th percentile of 1,740 cardiovascular disease providers in Florida.
Other cardiovascular disease in Miami
- Theodore FeldmanMiami$637K
- Elliott EliasMiami$497K
- Ian del Conde PozziMiami$243K
- Bernard AshbyMiami$115K
- Kevin MakatiLutz$1.6M
- Hiram BezerraTampa$698K
- William OneillNaples$637K
- John Gerald CantoLakeland$588K
- Alan MillerJacksonville$547K
- Seth BaumBoca Raton$517K
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.