Lydia Fein, MD
Obstetrics & Gynecology · Miami, FLNPI 1497149777
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,000 of the $14,708 with a category attached, or 81.6%. Intuitive Surgical accounts for 88.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $6,746 and has fallen 96.9% since, to $211 in 2025. Among obstetrics & gynecology clinicians in FL 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 38 payments — averaging $387.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Cerner Corporation$450
- AbbVie$428
- Astellas Pharma Global Development$187
- Exeltis, USA Inc.$122
- Rigel Pharmaceuticals, Inc.$118
- plus $459 from 10 others
What the payments were for
- Travel & lodging$5454%
- Food & beverage$1,69912%
- Education$12,00082%
- Gifts$4643%
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 | 13 | $12,944 |
| Cerner Corporation | 1 | $450 |
| AbbVie | 6 | $428 |
| Astellas Pharma Global Development | 2 | $187 |
| Exeltis, USA Inc. | 2 | $122 |
| Rigel Pharmaceuticals, Inc. | 1 | $118 |
| Novartis | 1 | $102 |
| Hologic Sales And Service, LLC | 3 | $81 |
| Merck | 1 | $73 |
| Organon | 2 | $63 |
| Sumitomo Pharma America, Inc. | 1 | $28 |
| Applied Medical Resources Corporation | 1 | $28 |
| Myovant Sciences Inc. | 1 | $25 |
| Davol Inc. | 1 | $22 |
| Mallinckrodt Enterprises LLC | 1 | $22 |
| Guard Medical Inc. | 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.
- Da Vinci Surgical System$6,727
- DAVINCI XI$6,000
- Orilissa$370
- Veozah$155
- Tavalisse$118
- RYDAPT$102
- Slynd$100
How this compares
$14,708 in reported general payments places this provider in the 95th percentile of 2,438 obstetrics & gynecology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol (Twice Weekly)Estradiol | 16 | $1,295 |
| Estradiol | 13 | $811 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Miami
- Youssef MouhayarMiami$162K
- Rebeca MartinezMiami$108K
- Jason JamesMiami$97K
- Peter KhamvongsaMiami$67K
- Abdulrahman SinnoMiami$67K
- Ingrid ParedesMiami$65K
- Karen Salazar ValdesMiami$29K
- Steven McCarusCelebration$2.3M
- Elliot CazesTampa$725K
- Charles BloomWinter Park$652K
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.