Luis Acosta, MD
Vascular & Interventional Radiology · Lexington, KYNPI 1336670363
Payments from drug & device makers
What this record shows
10 manufacturers reported payments, led by Penumbra, Inc. at 57.2% of the total. 2025 is the largest year on record at $6,196, more than ten times the $47 reported in 2022.
Across 55 payments — averaging $176.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$6K
- Medtronic$1K
- Sirtex Medical Inc$967
- Boston Scientific$695
- Terumo Medical Corporation$328
- Inari Medical, Inc.$192
- plus $534 from 4 others
What the payments were for
- Travel & lodging$4,73849%
- Food & beverage$4,94551%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Penumbra, Inc. | 17 | $5,537 |
| Medtronic | 14 | $1,428 |
| Sirtex Medical Inc | 8 | $967 |
| Boston Scientific | 7 | $695 |
| Terumo Medical Corporation | 3 | $328 |
| Inari Medical, Inc. | 1 | $192 |
| Stryker | 1 | $163 |
| Angiodynamics, Inc. | 2 | $149 |
| Philips North America LLC | 1 | $128 |
| Trisalus Life Sciences, Inc. | 1 | $95 |
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.
- Indigo System$4,906
- SIR-Spheres Microspheres$825
- KYPHON EXPRESS II KYPHOPAK TRAY$784
- Azur CX Detachable$316
- RUBY Coil$300
- TheraSphere Y90 Glass Microspheres 10 GBq$257
- FLOWTRIEVER CATHETER, S$192
- CT THROMBECTOMY SYSTEM KIT$192
- FlowTriever$163
- General - Interventional Oncology$147
- PROGREAT$137
- ANGIO-SEAL$137
- Nanoknife$134
- (9124) LM Undivided$128
- Emprint$122
- OSTEOCOOL RF ABLATION SYSTEM$115
- TheraSphere Y90 Glass Microspheres 7.0 GBq (US Commercial)$109
How this compares
$9,682 in reported general payments places this provider in the 80th percentile of 41 vascular & interventional radiology providers in Kentucky.
See all vascular & interventional radiology providers in Kentucky →
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 |
|---|---|---|
| Levofloxacin | 16 | $66 |
| Oxycodone Hcl | 12 | $34 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Lexington
- Andrew GunnLexington$119K
- Driss RaissiLexington$52K
- Roberto Galuppo MonticelliLexington$15K
- Gaby GabrielLexington$11K
- Nasir SiddiqiLexington$7K
- Elias El-HaddadLexington$7K
- Whitney TerrellLexington$6K
- Ian ProvanchaLexington$3K
- Shaun NordeckLexington$2K
- Austin BrownLexington$49
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.