Joseph Shrager, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Palo Alto, CANPI 1619904521
Payments from drug & device makers
Across 38 payments — averaging $1986.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- BD$29K
- Bard Peripheral Vascular, Inc.$20K
- Varian Medical Systems, Inc.$16K
- Siemens Medical Solutions USA, Inc.$3K
- Lungpacer Medical USA Inc$3K
- Medela AG$2K
- plus $3K from 6 others
What the payments were for
- Consulting fees$49,69988%
- Speaking & faculty fees$1,5003%
- Travel & lodging$3,3416%
- Food & beverage$1,6203%
- Education$1600%
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 |
|---|---|---|
| BD | 7 | $29,250 |
| Bard Peripheral Vascular, Inc. | 6 | $19,800 |
| Varian Medical Systems, Inc. | 2 | $16,177 |
| Siemens Medical Solutions USA, Inc. | 1 | $3,000 |
| Lungpacer Medical USA Inc | 1 | $2,500 |
| Medela AG | 1 | $1,500 |
| AstraZeneca | 5 | $1,454 |
| Medtronic | 4 | $934 |
| Intuitive Surgical | 5 | $493 |
| Covidien LP | 4 | $273 |
| Genentech USA, Inc. | 1 | $87 |
| Bard Access Systems, Inc. | 1 | $29 |
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.
- AEROPACE NEUROSTIMULATION CONSOLE$2,500
- CFN PLEURX$2,150
- Invia Motion Endure$1,500
- Signia$484
- Da Vinci Surgical System$406
- iDrive$124
- TAGRISSO$117
- IMFINZI$116
How this compares
$75,497 in reported general payments places this provider in the 85th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic vascular surgery) providers in California →
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 thoracic surgery (cardiothoracic vascular surgery) in Palo Alto
- Michael FischbeinPalo Alto$899K
- William HiesingerPalo Alto$815K
- John MacarthurPalo Alto$739K
- Anson LeePalo Alto$373K
- Yasuhiro ShudoPalo Alto$310K
- Chawannuch RuaengsriPalo Alto$188K
- Vincent GaudianiPalo Alto$125K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Gregory FontanaThousand Oaks$1.4M
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.