Joseph Muhlestein, MD
Clinical Cardiac Electrophysiology · Billings, MTNPI 1760826978
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (35.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Boston Scientific at 42.5% of the total.
Across 123 payments — averaging $346.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$18K
- Cook Incorporated$7K
- Merit Medical Systems Inc$6K
- Abbott$4K
- Medtronic$3K
- Biosense Webster, Inc.$2K
- plus $2K from 8 others
What the payments were for
- Consulting fees$3,0617%
- Speaking & faculty fees$9,40022%
- Grants$15,00035%
- Travel & lodging$11,18326%
- Food & beverage$3,8719%
- Education$940%
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 |
|---|---|---|
| Boston Scientific | 23 | $18,092 |
| Cook Incorporated | 1 | $6,600 |
| Merit Medical Systems Inc | 7 | $6,296 |
| Abbott | 23 | $4,029 |
| Medtronic | 24 | $3,154 |
| Biosense Webster, Inc. | 26 | $2,132 |
| Medical Device Business Services, Inc. | 8 | $1,102 |
| Philips North America LLC | 3 | $635 |
| Cook Medical LLC | 3 | $218 |
| Actelion Pharmaceuticals US, Inc. | 1 | $150 |
| E.r. Squibb & Sons, L.L.C. | 1 | $125 |
| Cvrx, Inc. | 1 | $32 |
| Impulse Dynamics (USA) Inc. | 1 | $24 |
| Novo Nordisk | 1 | $21 |
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.
- GENERAL BRADY$15,000
- Evolution$6,765
- AVEIR$3,234
- FlexTract$3,061
- Carto 3$2,246
- Watchman$1,471
- EVERA MRI XT DR SURESCAN$1,378
- (9124) LM Undivided$602
- Micra$470
- Prelude Introducers$151
- UPTRAVI$150
- OPSUMIT$150
- OCTARAY MAPPING CATHETER$139
- CAMZYOS$125
- ENSITE PRECISION$104
How this compares
Too few clinical cardiac electrophysiology providers in Montanato place this figure against a meaningful peer group, so we don't.
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 | 248 | $223,993 |
| XareltoRivaroxaban | 46 | $47,010 |
| JardianceEmpagliflozin | 11 | $7,228 |
| Metoprolol Succinate | 178 | $3,128 |
| Flecainide Acetate | 62 | $2,054 |
| Potassium Chloride | 30 | $770 |
| Amiodarone Hcl | 54 | $655 |
| Atorvastatin Calcium | 33 | $617 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 22 | $551 |
| Carvedilol | 31 | $437 |
| SotalolSotalol Hcl | 34 | $408 |
| Omeprazole | 53 | $391 |
| Mupirocin | 56 | $378 |
| Losartan Potassium | 26 | $243 |
| Warfarin Sodium | 32 | $216 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Billings
- Loren BudgeBillings$10K
- William DresenBillings$8K
- Anastasios SaliarisBillings$8K
- Luis AlvarezBillings$3K
- Alan ThometzBillings$282
- Melissa RobinsonMissoula$248K
- Nicholas MantiniMissoula$39K
- Annie DongMissoula$29K
- Robert MurdockKalispell$12K
- Mark KovachGreat Falls$10K
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.