Joseph Espat
Surgery · Providence, RINPI 1225041361
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $106,950 of the $159,190 with a category attached, or 67.2%. Sirtex Medical Inc accounts for 98.3% of it on its own, with 9 other manufacturers making up the rest. Among surgery clinicians in RI 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 206 payments — averaging $772.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sirtex Medical Inc$156K
- Medtronic$2K
- Stryker$443
- Hitachi Healthcare Americas Corp.$309
- Eisai Inc.$215
- Covidien LP$132
- plus $119 from 4 others
What the payments were for
- Consulting fees$21,72514%
- Speaking & faculty fees$106,95067%
- Travel & lodging$24,98016%
- Food & beverage$5,2253%
- Entertainment$3090%
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 |
|---|---|---|
| Sirtex Medical Inc | 178 | $156,459 |
| Medtronic | 16 | $1,513 |
| Stryker | 1 | $443 |
| Hitachi Healthcare Americas Corp. | 3 | $309 |
| Eisai Inc. | 2 | $215 |
| Covidien LP | 2 | $132 |
| Olympus America Inc. | 1 | $67 |
| Novo Nordisk | 1 | $21 |
| Amgen | 1 | $20 |
| Medical Device Business Services, 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.
- SIR-Spheres Microspheres$153,034
- ENDO GIA ULTRA$814
- SPY-PHI SYSTEM$443
- Sonicision$225
- Signia$138
- LENVIMA$116
How this compares
$159,190 in reported general payments places this provider in the 95th percentile of 108 surgery providers in Rhode Island.
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 surgery in Providence
- Marcoandrea GiorgiProvidence$63K
- Andrew LuhrsProvidence$51K
- Tristen ChunProvidence$22K
- William CioffiProvidence$18K
- Ponnandai SomasundarProvidence$10K
- Michael ConnollyProvidence$9K
- Erin FullerProvidence$7K
- Thach PhamProvidence$7K
- David EdmonsonProvidence$7K
- Brent EmighProvidence$6K
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.