Katy Marino, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Little Rock, ARNPI 1942562186
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.8%), education and travel and lodging — rather than concentrated in one kind of arrangement. Zimmer Biomet accounts for 69.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $32,154 and has fallen 92.1% since, to $2,549 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in AR 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 160 payments — averaging $615.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$68K
- Intuitive Surgical$29K
- Atricure, Inc.$526
- Medtronic$274
- Medical Device Business Services, Inc.$122
- Boston Scientific$77
- plus $163 from 4 others
What the payments were for
- Consulting fees$48,05349%
- Travel & lodging$11,54212%
- Food & beverage$5,0365%
- Education$33,89034%
- Gifts$140%
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 |
|---|---|---|
| Zimmer Biomet | 100 | $68,333 |
| Intuitive Surgical | 44 | $29,040 |
| Atricure, Inc. | 7 | $526 |
| Medtronic | 2 | $274 |
| Medical Device Business Services, Inc. | 1 | $122 |
| Boston Scientific | 1 | $77 |
| Sanara Medtech Inc. | 1 | $55 |
| Davol Inc. | 1 | $50 |
| La Jolla Pharmaceutical Company | 1 | $29 |
| Arthrex | 2 | $28 |
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.
- RIBFIX BLU ADVANTAGE$59,267
- Da Vinci Surgical System$22,035
- DAVINCI XI$6,000
- AdvantageRib$5,814
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$220
- Signia$219
- ETHICON$122
How this compares
$98,535 in reported general payments places this provider in the 90th percentile of 48 thoracic surgery (cardiothoracic vascular surgery) providers in Arkansas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Arkansas →
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 Little Rock
- Bassam ShukrallahLittle Rock$325K
- Pouya HemmatiLittle Rock$168K
- Charles ColeLittle Rock$23K
- Karol MudyLittle Rock$21K
- Jason MuesseLittle Rock$20K
- Kristofer FreelandLittle Rock$16K
- Michael NolenLittle Rock$15K
- John StreitmanLittle Rock$14K
- John RansomLittle Rock$12K
- David DeanLittle Rock$8K
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.