Michael Kasten, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Edgewood, KYNPI 1760748164
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Atricure, Inc. at 58.3% of the total. 2025 is the largest year on record at $11,905, 5.5 times the $2,147 reported in 2019. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in KY 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 219 payments — averaging $146.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$19K
- Intuitive Surgical$4K
- Edwards Lifesciences$3K
- Angiodynamics, Inc.$2K
- Artivion, Inc.$973
- Medtronic$703
- plus $3K from 20 others
Across 24 payments — averaging $3127.63 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.
- Atricure, Inc.$75K
What the payments were for
- Consulting fees$13,02841%
- Travel & lodging$7,77324%
- Food & beverage$11,22635%
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 |
|---|---|---|
| Atricure, Inc. | 69 | $18,675 |
| Intuitive Surgical | 24 | $3,914 |
| Edwards Lifesciences | 44 | $3,368 |
| Angiodynamics, Inc. | 8 | $1,669 |
| Artivion, Inc. | 7 | $973 |
| Medtronic(2 entities) | 10 | $703 |
| Abiomed | 7 | $509 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 5 | $498 |
| Lemaitre Vascular, Inc. | 4 | $256 |
| Zimmer Biomet | 6 | $187 |
| Corcym Inc | 2 | $183 |
| Johnson & Johnson | 5 | $160 |
| Getinge USA Sales, LLC | 3 | $158 |
| Abbott | 2 | $153 |
| W. L. Gore & Associates, Inc. | 2 | $139 |
| Boston Scientific | 1 | $114 |
| Baxter Healthcare | 4 | $93 |
| Kls-martin L.p. | 6 | $69 |
| Olympus America Inc. | 2 | $39 |
| Veran Medical Technologies, Inc. | 1 | $28 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $26 |
| Sanara Medtech Inc. | 1 | $24 |
| LSI Solutions Inc | 1 | $24 |
| Cook Medical LLC | 1 | $22 |
| Solventum Corporation | 1 | $21 |
| Legacy Ortho LLC | 1 | $17 |
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.
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$10,143
- Da Vinci Surgical System$3,615
- SYNERGY ABLATION SYSTEM$2,308
- AngioVac$1,555
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,154
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$832
- AMDS-Ascyrus Medical$803
- ATRICLIP LAA EXCLUSION SYSTEM$495
- SAPIEN 3 Ultra RESILIA$350
- Valiant Captivia$322
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$299
- Impella$145
- RESTOREFLOW$144
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$137
- GORE EXCLUDER Iliac Branch Endoprosthesis$123
- Signia$120
- Perceval$118
- LOTUS EDGE$114
- ATRICURE ATRICLIP LAA EXCLUSION$111
- ATRICURE SYNERGY ABLATION SYSTEM$111
How this compares
$32,027 in reported general payments places this provider in the 90th percentile of 98 thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky →
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 |
|---|---|---|
| Mupirocin | 20 | $163 |
| Chlorhexidine Gluconate | 15 | $45 |
| Gabapentin | 11 | $41 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Edgewood
- Mario Castillo-SangEdgewood$163K
- Juan Penaranda-CanalEdgewood$30K
- Royce CalhounEdgewood$20K
- George ChristensenEdgewood$19K
- Michael JohnsonEdgewood$8K
- Valerie WilliamsEdgewood$8K
- Michael IsingEdgewood$5K
- Steven PetersonLouisville$283K
- Edward CantuLexington$74K
- Mansi Shah-JadejaLexington$45K
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.