Mark Joseph, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Roanoke, VANPI 1710106067
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $30,209 of the $43,916 with a category attached, or 68.8%. Angiodynamics, Inc. accounts for 65.3% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $18,124 and has fallen 97.1% since, to $528 in 2024. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in VA 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 75 payments — averaging $585.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$29K
- Medtronic$6K
- Neptune Medical Inc.$4K
- Boston Scientific$3K
- Ancora Heart, Inc.$1K
- Abbott$354
- plus $763 from 6 others
Across 16 payments — averaging $4510.25 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.
- Artivion, Inc.$72K
What the payments were for
- Consulting fees$30,20969%
- Travel & lodging$10,64124%
- Food & beverage$3,0677%
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 |
|---|---|---|
| Angiodynamics, Inc. | 14 | $28,697 |
| Medtronic(2 entities) | 28 | $5,906 |
| Neptune Medical Inc. | 1 | $3,859 |
| Boston Scientific | 14 | $2,847 |
| Ancora Heart, Inc. | 2 | $1,490 |
| Abbott | 4 | $354 |
| Edwards Lifesciences | 7 | $274 |
| Johnson & Johnson | 1 | $139 |
| Avanos Medical | 1 | $117 |
| Abiomed | 1 | $112 |
| Bolton Medical Inc | 1 | $107 |
| Livanova USA, 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.
- AngioVac$19,350
- CoreValve Evolut$4,180
- VersaCross Access Solution$1,755
- Micra$1,108
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$245
- AccuCinch$189
- Echelon Flex$139
- ECHELON ENDOPATH$139
- EVARREST$139
- VISTASEAL$139
- ON-Q* PUMP AND ACCESSORIES$117
- Impella$112
- Valiant Captivia$112
- TREO ABDOMINAL STENT-GRAFT SYSTEM$107
How this compares
$43,916 in reported general payments places this provider in the 90th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Virginia →
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 Roanoke
- Joseph RoweRoanoke$26K
- Clinton KempNorfolk$367K
- Sandeep KhandharFairfax$261K
- Mark CooperHampton$219K
- Linda MartinCharlottesville$76K
- Kenneth SaumLynchburg$56K
- Michael WeyantFalls Church$47K
- Justin MilliganVirginia Beach$42K
- Christopher BarreiroNorfolk$41K
- Alan SpeirFalls Church$39K
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.