Luis Vaca, MD
Neuroradiology · Ocala, FLNPI 1407055114
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 113 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Penumbra, Inc. at 54.4% of the total. Reporting peaked in 2019 at $2,178 and has fallen 51.4% since, to $1,058 in 2025.
Across 113 payments — averaging $73.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Imperative Care, Inc$2K
- Stryker$1K
- Balt USA, LLC$589
- Microvention, Inc.$226
- Inari Medical, Inc.$195
- plus $91 from 2 others
What the payments were for
- Travel & lodging$2833%
- Food & beverage$8,05597%
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. | 63 | $4,539 |
| Imperative Care, Inc | 17 | $1,571 |
| Stryker | 20 | $1,127 |
| Balt USA, LLC | 8 | $589 |
| Microvention, Inc. | 1 | $226 |
| Inari Medical, Inc. | 1 | $195 |
| Medtronic(2 entities) | 2 | $52 |
| Route 92 Medical, Inc. | 1 | $38 |
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.
- Penumbra System$1,235
- Benchmark$641
- SYMPHONY CATHETER$410
- TREVO$340
- ZOOM REPERFUSION CATHETER$277
- TARGET$238
- WEB$226
- FLOWTRIEVER CATHETER, S$195
- CT THROMBECTOMY SYSTEM KIT$195
- Optima Thermal Coil System$182
- TRUVIC GENERATOR$150
- Smart$148
- RED 72$136
- Jet 7$128
- Penumbra Coil 400$127
- SURPASS$121
- ZOOM 88-T LARGE DISTAL PLATFORM$109
- CATALYST$105
- SURPASS EVOLVE$103
How this compares
$8,338 in reported general payments places this provider in the 80th percentile of 50 neuroradiology providers in Florida.
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 neuroradiology in Ocala
- Iraj NikfarjamOcala$5K
- Soma Sinha RoyOcala$2K
- Guilherme DabusMiami$438K
- Italo LinfanteMiami$275K
- Brijesh MehtaHollywood$60K
- Lowell DawsonSt Petersburg$55K
- Jimmy GhostineAventura$38K
- Gerard DeibThe Villages$17K
- Richard KlucznikTampa$13K
- Laszlo MiskolcziFt Lauderdale$9K
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.