Malakh Shrestha, PhD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Rochester, MNNPI 1518684885
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $60,679 of the $89,226 with a category attached, or 68.0%. 5 manufacturers reported payments, led by Bolton Medical Inc at 53.1% of the total. Reporting peaked in 2024 at $43,977 and has fallen 60.5% since, to $17,380 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in MN 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 125 payments — averaging $713.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$47K
- Edwards Lifesciences$40K
- Medtronic$1K
- Artivion, Inc.$426
- Corcym Inc$207
Across 2 payments — averaging $10,975 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.
- W. L. Gore & Associates, Inc.$22K
What the payments were for
- Consulting fees$60,67968%
- Speaking & faculty fees$12,64014%
- Travel & lodging$12,67114%
- Food & beverage$3,0073%
- Education$2290%
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 |
|---|---|---|
| Bolton Medical Inc | 27 | $47,337 |
| Edwards Lifesciences | 82 | $40,115 |
| Medtronic | 10 | $1,141 |
| Artivion, Inc. | 2 | $426 |
| Corcym Inc | 4 | $207 |
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.
How this compares
$89,226 in reported general payments places this provider in the 95th percentile of 128 thoracic surgery (cardiothoracic vascular surgery) providers in Minnesota.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Minnesota →
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 Rochester
- Juan CrestanelloRochester$56K
- Janani ReisenauerRochester$46K
- Monisha SudarshanRochester$22K
- Arman ArghamiRochester$16K
- Yahya AlwatariRochester$13K
- Elvis CamachoRochester$11K
- Stephen CassiviRochester$10K
- Phillip RowseRochester$9K
- K Robert ShenRochester$7K
- Luis Tapias VargasRochester$7K
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.