Juan Marcano, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Houston, TXNPI 1942560362
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $12,426 of the $17,351 with a category attached, or 71.6%. 17 manufacturers reported payments, led by Abiomed at 32.3% of the total. 2025 is the largest year on record at $6,068, 6.0 times the $1,012 reported in 2019.
Across 168 payments — averaging $103.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$6K
- Abbott$4K
- Atricure, Inc.$3K
- Edwards Lifesciences$3K
- Medtronic$279
- Helios Cardio Inc$248
- plus $948 from 11 others
What the payments were for
- Travel & lodging$4,69827%
- Food & beverage$12,42672%
- Education$2271%
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 |
|---|---|---|
| Abiomed | 65 | $5,612 |
| Abbott | 36 | $3,584 |
| Atricure, Inc. | 20 | $3,419 |
| Edwards Lifesciences | 26 | $3,262 |
| Medtronic | 5 | $279 |
| Helios Cardio Inc | 1 | $248 |
| Medinc Of Texas | 2 | $241 |
| BD | 1 | $166 |
| Inari Medical, Inc. | 1 | $132 |
| Zimmer Biomet | 1 | $131 |
| Kls-martin L.p. | 1 | $80 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $75 |
| Cvrx, Inc. | 1 | $42 |
| Merck | 2 | $27 |
| Novo Nordisk | 1 | $21 |
| Johnson & Johnson | 1 | $20 |
| AstraZeneca | 1 | $13 |
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.
- Impella$2,498
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$1,976
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$1,956
- INSPIRIS RESILIA aortic valve$1,104
- SYNERGY ABLATION SYSTEM$1,031
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$687
- NAVITOR$474
- MITRIS RESILIA Mitral Valve$471
- Epic$254
- CARDIAMEND$248
- Ensite Cardiac Mapping System$227
- ATRICLIP LAA EXCLUSION SYSTEM$178
- HemoSphere$166
- CARDIOMEMS$136
- FLOWTRIEVER CATHETER, S$132
- CT THROMBECTOMY SYSTEM KIT$132
- STERNALOCK BLU SYSTEM$131
- Avalus$115
How this compares
$17,351 in reported general payments places this provider in the 70th percentile of 424 thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Texas →
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 Houston
- Michael ReardonHouston$713K
- Danny RamzyHouston$527K
- Randall WolfHouston$283K
- Min KimHouston$185K
- Marc MoonHouston$142K
- Ismael Salas de ArmasHouston$121K
- Shawn GrothHouston$110K
- Mahesh RamchandaniHouston$110K
- Gabriel LoorHouston$106K
- Mara AntonoffHouston$104K
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.