Lorenzo Azzalini
Interventional Cardiology · Seattle, WANPI 1821562505
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $141,709 of the $232,615 with a category attached, or 60.9%. 30 manufacturers reported payments, led by Abiomed at 28.4% of the total. Among interventional cardiology clinicians in WA 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 354 payments — averaging $657.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$66K
- Teleflex LLC$41K
- GE HealthCare$32K
- Cardiovascular Systems Inc.$28K
- Shockwave Medical, Inc$25K
- Abbott$16K
- plus $26K from 24 others
Across 2 payments — averaging $38,720 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.
- Guerbet LLC$55K
- Shockwave Medical, Inc$23K
What the payments were for
- Consulting fees$62,22327%
- Speaking & faculty fees$141,70961%
- Travel & lodging$15,3637%
- Food & beverage$13,3206%
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 | 56 | $66,050 |
| Teleflex LLC | 40 | $41,269 |
| GE HealthCare | 16 | $31,546 |
| Cardiovascular Systems Inc. | 55 | $27,751 |
| Shockwave Medical, Inc | 32 | $24,628 |
| Abbott | 25 | $15,538 |
| Reflow Medical Inc | 6 | $7,512 |
| Boston Scientific | 32 | $6,351 |
| Arrow International, Inc. | 4 | $4,329 |
| Asahi Intecc USA, Inc. | 4 | $2,272 |
| Vascular Solutions, Inc. | 2 | $1,375 |
| Heartflow, Inc. | 4 | $1,161 |
| Philips North America LLC | 13 | $404 |
| Cardiva Medical, Inc. | 2 | $321 |
| Chiesi USA, Inc. | 13 | $270 |
| Terumo Medical Corporation | 8 | $240 |
| E.r. Squibb & Sons, L.L.C. | 11 | $240 |
| Biotronik Inc. | 2 | $231 |
| Medtronic | 2 | $229 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 9 | $180 |
| Johnson & Johnson | 6 | $128 |
| AstraZeneca | 2 | $125 |
| Siemens Medical Solutions USA, Inc. | 1 | $113 |
| Edwards Lifesciences | 1 | $94 |
| Cook Medical LLC | 3 | $77 |
| Cordis US CORP. | 1 | $71 |
| Merit Medical Systems Inc | 1 | $33 |
| Angiodynamics, Inc. | 1 | $28 |
| Pfizer | 1 | $26 |
| Saranas, Inc. | 1 | $22 |
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$62,843
- Diamondback Coronary$35,432
- TURNPIKE$24,601
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$23,913
- OEC$20,284
- Diamondback Peripheral$16,135
- GUIDELINER$8,375
- GUIDELINER V3 CATHETER$7,265
- Interventional Products$4,760
- GENERAL VASCULAR ACCESS$4,688
- OPTIS$3,232
- ASAHI PTCA Guide Wire$2,230
- Dragonfly OCT$2,000
- FFRct$1,100
- HeartMate Touch$1,000
- MANTA$536
- SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE C2+ CORONARY$384
- Vascular Closure Device$321
- GUARDIAN II HEMOSTASIS VALVE$210
- GENERAL ATHERECTOMY$154
How this compares
$232,615 in reported general payments places this provider in the 95th percentile of 125 interventional cardiology providers in Washington.
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 interventional cardiology in Seattle
- William LombardiSeattle$902K
- Kathleen KearneySeattle$448K
- Danny DvirSeattle$374K
- James McCabeSeattle$289K
- Christopher BrownSeattle$266K
- Sidakpal PanaichSeattle$214K
- Christine ChungSeattle$210K
- Sameer GafoorSeattle$80K
- Ravi HiraSeattle$64K
- Ming ZhangSeattle$43K
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.