Julian Guitron-Roig, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Cincinnati, OHNPI 1730378944
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $74,050 of the $85,234 with a category attached, or 86.9%. Atricure, Inc. accounts for 82.7% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2024 at $23,680 and has fallen 52.0% since, to $11,372 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 174 payments — averaging $489.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$70K
- Johnson & Johnson$7K
- Zimmer Biomet$2K
- Ethicon Endo-surgery Inc.$2K
- Olympus Corporation Of The Americas$771
- Covidien LP$600
- plus $3K from 23 others
Across 3 payments — averaging $998.33 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.
- Atricure, Inc.$3K
What the payments were for
- Consulting fees$74,05087%
- Travel & lodging$4,6655%
- Food & beverage$6,5198%
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 |
|---|---|---|
| Atricure, Inc. | 96 | $70,477 |
| Johnson & Johnson(2 entities) | 7 | $7,301 |
| Zimmer Biomet | 13 | $1,799 |
| Ethicon Endo-surgery Inc. | 1 | $1,575 |
| Olympus Corporation Of The Americas | 12 | $771 |
| Covidien LP | 2 | $600 |
| Davol Inc. | 4 | $544 |
| AstraZeneca | 4 | $429 |
| Medtronic | 5 | $334 |
| E.r. Squibb & Sons, L.L.C. | 4 | $259 |
| Steris Corporation | 1 | $198 |
| Medical Device Business Services, Inc. | 4 | $181 |
| Abiomed | 1 | $124 |
| Genentech, Inc. | 1 | $90 |
| Veran Medical Technologies, Inc. | 1 | $85 |
| Tempus AI, Inc | 2 | $78 |
| Blueprint Medicines Corporation | 1 | $55 |
| Exelixis Inc. | 1 | $46 |
| Intuitive Surgical | 1 | $42 |
| Baxter Healthcare | 2 | $35 |
| Boston Scientific | 2 | $31 |
| Arthrex | 2 | $28 |
| Pulmonx Corporation | 1 | $27 |
| Novartis | 1 | $24 |
| W. L. Gore & Associates, Inc. | 1 | $22 |
| LSI Solutions Inc | 1 | $21 |
| Pinnacle Biologics, Inc | 1 | $20 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $20 |
| Legacy Ortho LLC | 1 | $16 |
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.
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$29,750
- ATRICURE CRYOSURGICAL SYSTEM$10,569
- SYNERGY ABLATION SYSTEM$9,209
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$2,600
- ATRICURE ATRICLIP LAA EXCLUSION$2,227
- ENSEAL Product Family$2,080
- RIBFIX TITAN$904
- Olympus EBUS Bronchoscopes$543
- Olympus Respiratory Accessories$543
- Olympus Capital Accessories$543
- ECHELON ENDOPATH Stapler$505
- HARMONIC Product Family$505
- ETHICON ENDO-SURGERY Curved Intraluminal Stapler$505
- AdvantageRib$472
- Progel Applicator Spray Tips$401
- ATRICURE SYNERGY ABLATION SYSTEM$365
- Monarch Platform$324
- TAGRISSO$234
- OPDIVO$228
- Signia$225
How this compares
$85,234 in reported general payments places this provider in the 90th percentile of 245 thoracic surgery (cardiothoracic vascular surgery) providers in Ohio.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Ohio →
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 |
|---|---|---|
| Pregabalin | 18 | $580 |
| Methocarbamol | 16 | $260 |
| Gabapentin | 26 | $194 |
| Oxycodone Hcl | 19 | $89 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Cincinnati
- Robert AdamsCincinnati$321K
- Louis BrunstingCincinnati$210K
- David MoralesCincinnati$163K
- John SmithCincinnati$153K
- Kathryn O'KeefeCincinnati$123K
- Robert DowlingCincinnati$82K
- Saad HasanCincinnati$35K
- Carmen TugulanCincinnati$32K
- Mohi MitiekCincinnati$25K
- Cristiano SpadaccioCincinnati$21K
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.