Michael Kourany, MD
Cardiovascular Disease · Indianapolis, INNPI 1407824816
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 35 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 23.2% — the pattern of someone who eats at a lot of different presentations.
Across 35 payments — averaging $113.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shockwave Medical, Inc$920
- Boston Scientific$763
- Abbott$533
- Biotronik Inc.$355
- Edwards Lifesciences$319
- Asahi Intecc CO., LTD.$265
- plus $810 from 6 others
Across 132 payments — averaging $1892.21 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.
- CSL Behring$156K
- M.a. Med Alliance S.A.$47K
- Shockwave Medical, Inc$29K
- Biotronik Inc.$18K
What the payments were for
- Food & beverage$3,953100%
- Education$120%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Shockwave Medical, Inc | 8 | $920 |
| Boston Scientific | 7 | $763 |
| Abbott | 3 | $533 |
| Biotronik Inc. | 3 | $355 |
| Edwards Lifesciences | 3 | $319 |
| Asahi Intecc CO., LTD. | 1 | $265 |
| Abiomed | 2 | $222 |
| Teleflex LLC | 2 | $190 |
| Asahi Intecc USA, Inc. | 2 | $160 |
| Heartflow, Inc. | 2 | $131 |
| Philips North America LLC | 1 | $95 |
| Regeneron Healthcare Solutions, Inc. | 1 | $12 |
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.
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$890
- PERIPHERAL VASCULAR$380
- Diamondback Coronary$194
- DRAGONFLY OPSTAR$176
- OPTICROSS$166
- GUIDELINER$165
- XIENCE V$162
- GENERAL - THERAPIES$146
- CROSSBOSS$140
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$137
- AVVIGO Guidance System$128
- PK Papyrus$127
- Orsiro Mission$127
- FFRct$122
How this compares
$3,965 in reported general payments places this provider in the 55th percentile of 408 cardiovascular disease providers in Indiana.
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 |
|---|---|---|
| EliquisApixaban | 274 | $312,668 |
| XareltoRivaroxaban | 68 | $75,388 |
| EntrestoSacubitril/Valsartan | 43 | $48,313 |
| JardianceEmpagliflozin | 20 | $30,368 |
| BrilintaTicagrelor | 15 | $9,891 |
| Repatha SureclickEvolocumab | 16 | $9,773 |
| Metoprolol Succinate | 346 | $5,142 |
| Valsartan | 148 | $3,970 |
| ClopidogrelClopidogrel Bisulfate | 385 | $3,648 |
| Atorvastatin Calcium | 320 | $2,811 |
| Rosuvastatin Calcium | 203 | $2,356 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 176 | $2,196 |
| Prasugrel Hcl | 17 | $1,809 |
| Ranolazine ErRanolazine | 15 | $1,684 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 40 | $1,654 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Indianapolis
- John MillerIndianapolis$354K
- David KovacichIndianapolis$327K
- Vijay RaoIndianapolis$247K
- Atul ChughIndianapolis$242K
- James TrippiIndianapolis$239K
- Christopher HealyIndianapolis$209K
- Richard KovacsIndianapolis$136K
- George LolayIndianapolis$128K
- Onyedika IlonzeIndianapolis$125K
- Noel DasguptaIndianapolis$122K
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.