Manish Varma, MD
Vascular & Interventional Radiology · Grand Rapids, MINPI 1669445631
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.1%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Trisalus Life Sciences, Inc. at 49.7% of the total. Reporting peaked in 2023 at $4,371 and has fallen 78.1% since, to $957 in 2025.
Across 81 payments — averaging $97.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trisalus Life Sciences, Inc.$4K
- Inari Medical, Inc.$2K
- Stryker$690
- Sirtex Medical Inc$341
- Penumbra, Inc.$303
- Siemens Medical Solutions USA, Inc.$252
- plus $843 from 11 others
Across 2 payments — averaging $797.00 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.
- Boston Scientific$2K
What the payments were for
- Speaking & faculty fees$3,00038%
- Travel & lodging$78310%
- Food & beverage$4,11552%
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 |
|---|---|---|
| Trisalus Life Sciences, Inc. | 10 | $3,922 |
| Inari Medical, Inc. | 26 | $1,548 |
| Stryker | 16 | $690 |
| Sirtex Medical Inc | 5 | $341 |
| Penumbra, Inc. | 2 | $303 |
| Siemens Medical Solutions USA, Inc. | 2 | $252 |
| Medtronic | 3 | $180 |
| Boston Scientific | 4 | $170 |
| Johnson & Johnson(2 entities) | 2 | $151 |
| Bard Peripheral Vascular, Inc. | 1 | $126 |
| Cordis US CORP. | 3 | $64 |
| Boehringer Ingelheim | 2 | $55 |
| Novartis | 1 | $35 |
| Cardinal Health 200 LLC | 1 | $19 |
| Shockwave Medical, Inc | 1 | $17 |
| Chiesi USA, Inc. | 1 | $14 |
| Terumo Medical Corporation | 1 | $12 |
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.
- TRINAV INFUSION SYSTEM$3,565
- FLOWTRIEVER CATHETER, S$1,399
- CT THROMBECTOMY SYSTEM KIT$507
- Indigo System$303
- SIR-Spheres Microspheres$281
- IVS - IVAS$143
- Varian CRYOCARE TOUCH System$138
- Neuwave$134
- ARTIX MT$124
- OPTABLATE$119
- Abre$118
- GENERAL CATHETERS$118
- FlowTriever$109
How this compares
$7,898 in reported general payments places this provider in the 80th percentile of 118 vascular & interventional radiology providers in Michigan.
See all vascular & interventional radiology providers in Michigan →
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 vascular & interventional radiology in Grand Rapids
- Michael KnoxGrand Rapids$312K
- William SlaterGrand Rapids$25K
- David MitchellGrand Rapids$12K
- Bryan MustertGrand Rapids$9K
- Shivang PatelGrand Rapids$8K
- Orrie CloseGrand Rapids$8K
- Jeffrey SavinGrand Rapids$8K
- Matthew SmettsGrand Rapids$8K
- Nik KolicajGrand Rapids$7K
- Jordan CastleGrand Rapids$6K
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.