Matthew Alexander, MD
Vascular & Interventional Radiology · Sacramento, CANPI 1578899662
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $425,728 of the $435,256 with a category attached, or 97.8%. Route 92 Medical, Inc. accounts for 95.9% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $308,881, more than ten times the $3,923 reported in 2019. Among vascular & interventional radiology clinicians in CA 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 66 payments — averaging $6594.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Route 92 Medical, Inc.$417K
- Medical Device Business Services, Inc.$10K
- Microvention, Inc.$2K
- Stryker$2K
- Insightec,inc$1K
- Medtronic$1K
- plus $2K from 9 others
Across 2 payments — averaging $19,332 each. An ownership or investment interest held by the physician or an immediate family member.
- Route 92 Medical, Inc.$39K
What the payments were for
- Consulting fees$425,72898%
- Speaking & faculty fees$7470%
- Travel & lodging$3,8931%
- Food & beverage$4,8881%
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 |
|---|---|---|
| Route 92 Medical, Inc. | 6 | $417,496 |
| Medical Device Business Services, Inc. | 2 | $9,675 |
| Microvention, Inc. | 14 | $2,363 |
| Stryker | 11 | $1,533 |
| Insightec,inc | 1 | $1,352 |
| Medtronic(2 entities) | 7 | $1,236 |
| Johnson & Johnson | 10 | $684 |
| Biosense Webster, Inc. | 3 | $303 |
| Imperative Care, Inc | 5 | $200 |
| Rapid Medical Ltd | 1 | $144 |
| Penumbra, Inc. | 2 | $76 |
| Siemens Medical Solutions USA, Inc. | 1 | $66 |
| Qapel Medical Inc | 1 | $53 |
| Balt USA, LLC | 1 | $48 |
| Boston Scientific | 1 | $26 |
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.
- 8F Base Camp Sheath System$110,181
- HIPOINT 088$109,427
- WEB$1,754
- Pipeline$1,013
- PROWLER$342
- Embotrap$225
- BROADWAY 8$151
- EMBOTRAP II Revascularization Device$148
- WEB Aneurysm Embolization System$148
- STENT$148
- SOFIA 6F-131CM STR$148
- TIGERTRIEVER 17 REVASCULARIZATION DEVICE$144
- COMANECI 17$144
- Scepter XC Balloon Catheter$142
- LVIS Jr.$142
- Headway Duo Microcatheter$142
- Sofia$142
- Reveal LINQ$132
- Scepter C Balloon Catheter$108
- TARGET$100
How this compares
$435,256 in reported general payments places this provider in the 95th percentile of 504 vascular & interventional radiology providers in California.
See all vascular & interventional radiology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 34 | $308 |
| Pantoprazole Sodium | 30 | $277 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Sacramento
- Christopher LaingSacramento$124K
- Patrick HartySacramento$118K
- Mahmood RazaviOrange$2.4M
- Keith TerasakiLos Angeles$1.7M
- Bart DolmatchMountain View$1.7M
- Edward LeeLos Angeles$1.4M
- Alexander MisonoNewport Beach$1.3M
- Kevin BurnsOrange$1.1M
- Siddharth PadiaLos Angeles$960K
- Satoshi TateshimaLos Angeles$764K
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.