Kyla Joubert, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Little Rock, ARNPI 1154664514
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (56.7%), food and beverage and education — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 63.5% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $2,839 and has fallen 64.3% since, to $1,013 in 2025.
Across 44 payments — averaging $103.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Medtronic$1K
- Edwards Lifesciences$146
- Zimmer Biomet$95
- Davol Inc.$58
- Boston Scientific$28
- plus $39 from 2 others
Across 2 payments — averaging $3450.00 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.
- Ethicon Endo-surgery Inc.$7K
What the payments were for
- Travel & lodging$2,59057%
- Food & beverage$1,61635%
- Education$3598%
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 |
|---|---|---|
| Intuitive Surgical | 30 | $2,899 |
| Medtronic | 8 | $1,299 |
| Edwards Lifesciences | 1 | $146 |
| Zimmer Biomet | 1 | $95 |
| Davol Inc. | 1 | $58 |
| Boston Scientific | 1 | $28 |
| Atricure, Inc. | 1 | $22 |
| AstraZeneca | 1 | $17 |
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.
- Da Vinci Surgical System$2,019
- Signia$821
- VersaStep$153
- ENDO GIA ULTRA$119
How this compares
$4,564 in reported general payments places this provider in the 55th 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
- Katy MarinoLittle Rock$99K
- 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
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.