Joshua Sibille, MD
Vascular Surgery · Lafayette, LANPI 1992029904
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $12,962 of the $16,663 with a category attached, or 77.8%. 29 manufacturers reported payments, led by Medtronic at 39.5% of the total. 2025 is the largest year on record at $5,652, 2.7 times the $2,069 reported in 2019.
Across 236 payments — averaging $70.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$7K
- Inari Medical, Inc.$2K
- Penumbra, Inc.$2K
- Terumo Medical Corporation$1K
- Lemaitre Vascular, Inc.$853
- Silk Road Medical, Inc.$796
- plus $4K from 23 others
What the payments were for
- Speaking & faculty fees$1,4259%
- Travel & lodging$2,27614%
- Food & beverage$12,96278%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic(2 entities) | 93 | $6,584 |
| Inari Medical, Inc. | 20 | $1,820 |
| Penumbra, Inc. | 7 | $1,682 |
| Terumo Medical Corporation | 9 | $1,285 |
| Lemaitre Vascular, Inc. | 19 | $853 |
| Silk Road Medical, Inc. | 10 | $796 |
| Boston Scientific | 13 | $595 |
| Shockwave Medical, Inc | 8 | $591 |
| W. L. Gore & Associates, Inc. | 5 | $335 |
| Imperative Care, Inc | 7 | $302 |
| Abbott | 5 | $299 |
| Endologix LLC | 7 | $286 |
| Cardiovascular Systems Inc. | 2 | $248 |
| Johnson & Johnson(2 entities) | 7 | $228 |
| Cook Medical LLC | 4 | $159 |
| Philips North America LLC | 1 | $110 |
| Surmodics, Inc. | 3 | $101 |
| Shape Memory Medical Inc. | 2 | $77 |
| Angiodynamics, Inc. | 1 | $66 |
| Amarin Pharma, Inc. | 3 | $55 |
| Getinge USA Sales, LLC | 2 | $47 |
| Kerecis Limited | 1 | $34 |
| Baxter Healthcare | 1 | $25 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $16 |
| Stryker | 1 | $15 |
| Sanara Medtech Inc. | 1 | $14 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $13 |
| Bard Peripheral Vascular, Inc. | 1 | $12 |
| Misonix Inc | 1 | $11 |
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.
- FLOWTRIEVER CATHETER, S$1,513
- Indigo System$1,512
- ENDURANT IIS$1,107
- ENROUTE Transcarotid Neuroprotection System$1,096
- Valiant Captivia$960
- Navicross$688
- Glidesheath$688
- GlideWire$688
- ENROUTE Transcarotid Stent$556
- CT THROMBECTOMY SYSTEM KIT$555
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$394
- FlowTriever$355
- ClotTriever$355
- Vascular Lithotripsy$285
- VALVULOTOM$235
- Azur CX Detachable$175
- ANGIO-SEAL$175
- ENROUTE .014 Guidewire$161
- ENHANCE Transcarotid Peripheral Access Kit$161
- VIABAHN VBX Balloon Expandable Endoprosthesis$150
How this compares
$16,663 in reported general payments places this provider in the 75th percentile of 65 vascular surgery providers in Louisiana.
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 |
|---|---|---|
| Cilostazol | 32 | $367 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 71 | $264 |
| ClopidogrelClopidogrel Bisulfate | 40 | $182 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Lafayette
- Christopher LagraizeLafayette$47K
- Allen BuiLafayette$19K
- John LukeLafayette$7K
- Angelle HoganLafayette$6K
- Racheed GhanamiLafayette$5K
- Michael Conners IiiBaton Rouge$70K
- Gregory CrenshawMetairie$67K
- James CravenBaton Rouge$65K
- Marvin WeaverBaton Rouge$58K
- Paul PerkowskiShreveport$41K
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.