Joseph Ciacci, DO
Diagnostic Radiology · Royal Oak, MINPI 1861472664
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $20,793 of the $32,536 with a category attached, or 63.9%. Neo Spine USA, Inc. accounts for 75.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $25,725 and has fallen 80.7% since, to $4,974 in 2025. Among diagnostic radiology clinicians in MI 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 124 payments — averaging $262.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neo Spine USA, Inc.$25K
- Stryker$3K
- Inari Medical, Inc.$1K
- Boston Scientific$990
- Penumbra, Inc.$665
- Bard Peripheral Vascular, Inc.$356
- plus $2K from 11 others
What the payments were for
- Consulting fees$5,00015%
- Travel & lodging$20,79364%
- Food & beverage$6,74221%
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 |
|---|---|---|
| Neo Spine USA, Inc. | 7 | $24,667 |
| Stryker | 30 | $3,054 |
| Inari Medical, Inc. | 11 | $1,049 |
| Boston Scientific | 23 | $990 |
| Penumbra, Inc. | 11 | $665 |
| Bard Peripheral Vascular, Inc. | 5 | $356 |
| Medtronic | 11 | $304 |
| Abbott | 2 | $282 |
| Trisalus Life Sciences, Inc. | 5 | $281 |
| Cook Medical LLC | 9 | $259 |
| Imperative Care, Inc | 3 | $199 |
| W. L. Gore & Associates, Inc. | 1 | $172 |
| Amgen | 1 | $118 |
| Okami Medical, Inc. | 1 | $48 |
| Sirtex Medical Inc | 2 | $35 |
| Terumo Medical Corporation | 1 | $31 |
| Cardiva Medical, Inc. | 1 | $24 |
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.
- Neo Pedicle Screw System$24,667
- CLOTTRIEVER BOLD CATHETER$1,281
- FLOWTRIEVER CATHETER, S$1,265
- CT THROMBECTOMY SYSTEM KIT$1,265
- FlowTriever$795
- RUBY Coil$456
- TheraSphere Y90 Glass Microspheres 7.0 GBq (US Commercial)$294
- TRINAV INFUSION SYSTEM$184
- GORE VIATORR TIPS Endoprosthesis with Controlled Expansion$172
- Concerto$151
- Perclose ProStyle$143
- EKOSONIC$140
- JETI$140
- SYMPHONY CATHETER$134
- AngioJet Ultra 5000A$125
- Ranger$124
- Denali Vena Cava Filter$122
- Tornado$117
How this compares
$32,536 in reported general payments places this provider in the 95th percentile of 1,184 diagnostic radiology providers in Michigan.
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 diagnostic radiology in Royal Oak
- Terrence MetzRoyal Oak$26K
- Ann SwinfordRoyal Oak$21K
- Evita SinghRoyal Oak$15K
- Sayf Al-KatibRoyal Oak$14K
- Vidya PaiRoyal Oak$13K
- Murray RebnerRoyal Oak$11K
- Kristian LoveridgeRoyal Oak$6K
- Richard ChesbroughBingham Farms$14.4M
- Shane WellsAnn Arbor$414K
- Peter LittrupDetroit$328K
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.