Joseph Lamelas, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Miami, FLNPI 1184613713
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.6%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Edwards Lifesciences at 40.2% of the total. Reporting peaked in 2019 at $78,387 and has fallen 53.0% since, to $36,873 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) 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 490 payments — averaging $774.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$153K
- Medtronic$118K
- Livanova USA, Inc.$81K
- Corcym Inc$21K
- Atricure, Inc.$4K
- Abbott$2K
- plus $1K from 12 others
What the payments were for
- Consulting fees$164,31343%
- Speaking & faculty fees$188,03850%
- Travel & lodging$3310%
- Food & beverage$26,6447%
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 |
|---|---|---|
| Edwards Lifesciences | 110 | $152,598 |
| Medtronic(2 entities) | 200 | $118,397 |
| Livanova USA, Inc. | 42 | $81,460 |
| Corcym Inc | 11 | $20,696 |
| Atricure, Inc. | 67 | $3,557 |
| Abbott | 25 | $1,542 |
| Boston Scientific | 13 | $469 |
| Lemaitre Vascular, Inc. | 1 | $125 |
| Smith+Nephew | 5 | $115 |
| Hemosonics LLC | 4 | $108 |
| Johnson & Johnson | 1 | $44 |
| Solventum Corporation | 2 | $40 |
| Artivion, Inc. | 2 | $38 |
| Terumo Cardiovascular Systems Corporation | 1 | $35 |
| Chiesi USA, Inc. | 2 | $32 |
| Zimmer Biomet | 2 | $30 |
| LSI Solutions Inc | 1 | $25 |
| Bolton Medical Inc | 1 | $17 |
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.
- Perceval$96,648
- Simulus$86,496
- MICS Instruments$45,308
- MICS Cannulae$20,339
- Mosaic$14,769
- Memo4D$8,366
- CG Future$4,875
- Avalus$3,699
- Hancock$1,844
- Tri-Ad$1,625
- MITRIS RESILIA Mitral Valve$1,073
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$975
- ATRICLIP LAA EXCLUSION SYSTEM$804
- INSPIRIS RESILIA aortic valve$653
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$497
- Epic$418
- ATRICURE CRYOSURGICAL SYSTEM$260
- Mitra Clip system$198
- MitraClip$188
- Epic Stented Tissue Valve$161
How this compares
$379,325 in reported general payments places this provider in the 95th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Cefepime Hcl | 12 | $4,100 |
| Colchicine | 23 | $168 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Miami
- Mark DylewskiMiami$279K
- Tom NguyenMiami$191K
- Joseph McGinnMiami$70K
- Michael Sasevich LorenzanaMiami$67K
- Mehrdad GhoreishiMiami$64K
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
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.