Luigi Lagazzi Garros, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Richmond, VANPI 1649612318
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Abbott at 38.1% of the total. Reporting peaked in 2023 at $2,196 and has fallen 91.9% since, to $178 in 2025.
Across 66 payments — averaging $89.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$2K
- Medtronic$1K
- Abiomed$1K
- Davol Inc.$348
- Angiodynamics, Inc.$267
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$143
- plus $363 from 6 others
What the payments were for
- Travel & lodging$2,67745%
- Food & beverage$2,90949%
- Education$3486%
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 |
|---|---|---|
| Abbott | 16 | $2,260 |
| Medtronic(2 entities) | 10 | $1,353 |
| Abiomed | 12 | $1,201 |
| Davol Inc. | 14 | $348 |
| Angiodynamics, Inc. | 4 | $267 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $143 |
| Actelion Pharmaceuticals US, Inc. | 2 | $124 |
| Edwards Lifesciences | 1 | $94 |
| Teleflex LLC | 1 | $60 |
| Johnson & Johnson | 2 | $52 |
| Getinge USA Sales, LLC | 1 | $20 |
| Portola Pharmaceuticals, LLC | 1 | $14 |
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.
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$1,931
- HeartWare HVAD$1,118
- Impella$813
- AlphaVac$132
- LifeVest$125
- AngioVac$121
How this compares
$5,935 in reported general payments places this provider in the 60th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Virginia →
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 Richmond
- Jonathan KievRichmond$20K
- Jenalee CosterRichmond$16K
- Paul WehmanRichmond$13K
- Arturo CardounelRichmond$9K
- Rachit ShahRichmond$7K
- Daniel MulloyRichmond$5K
- Vigneshwar KasirajanRichmond$5K
- Lauren TaylorRichmond$4K
- Motaz Al YafiRichmond$4K
- Steven FiserRichmond$4K
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.