Matthew Fiesta, MD
Diagnostic Radiology · Fort Worth, TXNPI 1316100084
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $107,851 of the $159,619 with a category attached, or 67.6%. Stryker accounts for 63.8% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $90,296, 4.1 times the $22,160 reported in 2019. Among diagnostic radiology clinicians in TX 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 558 payments — averaging $286.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$102K
- Penumbra, Inc.$20K
- Abbott$15K
- Balt USA, LLC$11K
- Medtronic$8K
- Scientia Vascular$2K
- plus $2K from 19 others
Across 2 payments — averaging $1151.00 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.
- Medical Device Business Services, Inc.$2K
What the payments were for
- Consulting fees$107,85168%
- Speaking & faculty fees$15,40310%
- Travel & lodging$22,86414%
- Food & beverage$13,5028%
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 |
|---|---|---|
| Stryker | 195 | $101,768 |
| Penumbra, Inc. | 214 | $20,152 |
| Abbott | 10 | $14,627 |
| Balt USA, LLC | 23 | $10,760 |
| Medtronic(3 entities) | 44 | $8,110 |
| Scientia Vascular | 3 | $1,827 |
| Imperative Care, Inc | 13 | $407 |
| Silk Road Medical, Inc. | 7 | $345 |
| Viz.ai, Inc. | 3 | $302 |
| Rapid Medical Ltd | 6 | $296 |
| Microvention, Inc. | 4 | $180 |
| Johnson & Johnson | 5 | $174 |
| Bard Peripheral Vascular, Inc. | 3 | $125 |
| Shockwave Medical, Inc | 6 | $112 |
| Cardiva Medical, Inc. | 3 | $77 |
| W. L. Gore & Associates, Inc. | 4 | $74 |
| Sirtex Medical Inc | 3 | $66 |
| Boston Scientific | 3 | $51 |
| BD | 1 | $40 |
| Route 92 Medical, Inc. | 2 | $38 |
| Angiodynamics, Inc. | 2 | $28 |
| Cordis US CORP. | 1 | $20 |
| Terumo Medical Corporation | 1 | $20 |
| Surmodics, Inc. | 1 | $16 |
| Terumo BCT, Inc. | 1 | $7 |
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.
- SURPASS EVOLVE$36,213
- TGS$18,961
- TREVO$13,300
- Penumbra System$12,433
- Emboshield NAV6 system$7,309
- Solitaire$6,601
- AXS CATALYST 7$6,353
- ACCULINK$3,750
- Smart Coil$3,600
- Xact carotid stent system$3,500
- Optima Coil System$2,898
- Raptor Aspiration Catheter$2,400
- Carrier Delivery Catheter$1,649
- TARGET$1,615
- EVOLVE PROLINE$1,200
- EVOLVE$1,148
- Pipeline$800
- SURPASS$765
- Prestige Coil System$449
- RED 72$395
How this compares
$159,619 in reported general payments places this provider in the 95th percentile of 2,506 diagnostic radiology providers in Texas.
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 diagnostic radiology in Fort Worth
- Alexandru BageacFort Worth$339K
- Harlan HarveyHouston$583K
- Anthony StavrosSan Antonio$465K
- Steven RoweDallas$407K
- Sasidhar YallampalliHouston$263K
- Debra ButlerHouston$262K
- Melissa PriceHouston$233K
- Vivek BansalHouston$173K
- Stephen RoseHouston$163K
- Sankaman PraisoodyHouston$147K
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.