Michael Angtuaco, MD
Pediatric Cardiology · Little Rock, ARNPI 1255515037
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (32.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Siemens Medical Solutions USA, Inc. at 49.4% of the total. Reporting peaked in 2023 at $4,324 and has fallen 74.3% since, to $1,112 in 2025.
Across 113 payments — averaging $116.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Siemens Medical Solutions USA, Inc.$7K
- Edwards Lifesciences$3K
- Medtronic$2K
- Abbott$1K
- Renata Medical, Inc.$317
- B. Braun Interventional Systems Inc.$42
- plus $97 from 4 others
Across 29 payments — averaging $10,078 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.
- Edwards Lifesciences$265K
- Siemens Medical Solutions USA, Inc.$27K
What the payments were for
- Consulting fees$3,00023%
- Speaking & faculty fees$2,40018%
- Travel & lodging$3,48326%
- Food & beverage$4,32733%
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 |
|---|---|---|
| Siemens Medical Solutions USA, Inc. | 10 | $6,522 |
| Edwards Lifesciences | 46 | $3,069 |
| Medtronic(2 entities) | 28 | $2,029 |
| Abbott | 18 | $1,134 |
| Renata Medical, Inc. | 4 | $317 |
| B. Braun Interventional Systems Inc. | 2 | $42 |
| Cordis US CORP. | 2 | $34 |
| Terumo Medical Corporation | 1 | $28 |
| Elutia, Inc. | 1 | $21 |
| Abiomed | 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.
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,226
- Melody$946
- Artis Q.zen$886
- AMPLATZER$442
- THE EDWARDS SAPIEN 3 VALVE WITH ALTERRA ADAPTIVE PRESTENT SYSTEM$431
- MINIMA STENT SYSTEM - 6MM$252
- MINIMA STENT SYSTEM - 8MM$252
- HARMONY$246
- AMPLATZER Occluders$112
- MitraClip$112
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$103
How this compares
Too few pediatric cardiology providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 pediatric cardiology in Little Rock
- Murad AlmasriLittle Rock$3K
- Stephen DalbyLittle Rock$3K
- Daniel FiedorekLittle Rock$2K
- Jeffrey OrcuttLittle Rock$2K
- Amy DosseyLittle Rock$1K
- Tanmay BhamareLittle Rock$981
- Karl MigallyLittle Rock$548
- Markus RennoLittle Rock$301
- Sam LeeLittle Rock$229
- Paul SeibLittle Rock$173
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.