Marc Sakwa, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Long Beach, CANPI 1750363552
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.2%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Abbott at 53.4% of the total. Reporting peaked in 2019 at $39,572 and has fallen 95.1% since, to $1,929 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 242 payments — averaging $298.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$39K
- Medtronic$16K
- LSI Solutions Inc$14K
- Atricure, Inc.$1K
- Abiomed$839
- Edwards Lifesciences$726
- plus $2K from 10 others
What the payments were for
- Consulting fees$30,54042%
- Speaking & faculty fees$13,74819%
- Travel & lodging$12,37317%
- Food & beverage$15,66822%
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 |
|---|---|---|
| Abbott | 88 | $38,626 |
| Medtronic(2 entities) | 80 | $15,561 |
| LSI Solutions Inc | 4 | $13,746 |
| Atricure, Inc. | 19 | $1,016 |
| Abiomed | 12 | $839 |
| Edwards Lifesciences | 9 | $726 |
| Zimmer Biomet | 9 | $690 |
| Artivion, Inc. | 4 | $467 |
| Baxter Healthcare | 3 | $231 |
| Smith+Nephew | 4 | $186 |
| AbbVie | 4 | $75 |
| Bolton Medical Inc | 2 | $42 |
| Impulse Dynamics (USA) Inc. | 1 | $36 |
| Johnson & Johnson | 1 | $33 |
| La Jolla Pharmaceutical Company | 1 | $31 |
| Terumo Cardiovascular Systems Corporation | 1 | $24 |
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.
- Trifecta GT Tissue Heart Valve$16,327
- RAM$13,526
- COR KNOT$13,266
- CoreValve Evolut$8,342
- Epic$7,708
- AMPLATZER Occluders$5,600
- MitraClip System$4,530
- Avalus$3,547
- Epic Stented Tissue Valve$1,804
- INSPIRIS RESILIA aortic valve$460
- Impella$422
- Mosaic$419
- COREVALVE EVOLUT R$389
- AMDS-Ascyrus Medical$363
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$363
- Trifecta Tissue Heart Valve$360
- Hancock$255
- STERNALOCK BLU SYSTEM$244
- Endurant$237
- PORTICO$224
How this compares
$72,329 in reported general payments places this provider in the 90th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic vascular surgery) providers in California →
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 Long Beach
- Ali KhoynezhadLong Beach$476K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Armin KiankhooySaint Helena$941K
- Ara KlijianMurrieta$916K
- Gregory FontanaThousand Oaks$875K
- Gansevoort DunningtonSaint Helena$764K
- Wilson TsaiWalnut Creek$680K
- Fernando FleischmanLos Angeles$608K
- Harmik SoukiasianLos Angeles$577K
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.