Juan Crestanello, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Rochester, MNNPI 1477505048
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $36,213 of the $56,043 with a category attached, or 64.6%. 3 manufacturers reported payments, led by Medtronic at 59.8% of the total. Reporting peaked in 2023 at $22,988 and has fallen 97.2% since, to $642 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in MN 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 114 payments — averaging $491.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$34K
- Edwards Lifesciences$22K
- Bolton Medical Inc$131
Across 28 payments — averaging $9694.40 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vascular Graft Solutions Inc$158K
- Medtronic$96K
- Atricure, Inc.$17K
What the payments were for
- Consulting fees$36,21365%
- Travel & lodging$16,09229%
- Food & beverage$3,5106%
- Education$2290%
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) | 71 | $33,502 |
| Edwards Lifesciences | 42 | $22,410 |
| Bolton Medical Inc | 1 | $131 |
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.
- Avalus$20,298
- Mosaic$1,523
- Simulus$746
- Hancock$485
- Cardioblate$284
- Edwards SAPIEN 3 Transcatheter Heart Valve$142
- Penditure$141
- Grafts$131
How this compares
$56,043 in reported general payments places this provider in the 95th percentile of 128 thoracic surgery (cardiothoracic vascular surgery) providers in Minnesota.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Minnesota →
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 Rochester
- Malakh ShresthaRochester$89K
- Janani ReisenauerRochester$46K
- Monisha SudarshanRochester$22K
- Arman ArghamiRochester$16K
- Yahya AlwatariRochester$13K
- Elvis CamachoRochester$11K
- Stephen CassiviRochester$10K
- Phillip RowseRochester$9K
- K Robert ShenRochester$7K
- Luis Tapias VargasRochester$7K
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.