Micheal Ayad, MD
Vascular Surgery · Miami Beach, FLNPI 1538424007
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.8%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. It is spread thinly across 40 manufacturers, the largest accounting for just 23.9%. Reporting peaked in 2024 at $17,524 and has fallen 52.5% since, to $8,321 in 2025. Among vascular surgery clinicians in FL 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 336 payments — averaging $152.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$12K
- Cook Incorporated$7K
- Penumbra, Inc.$7K
- Cook Medical LLC$5K
- W. L. Gore & Associates, Inc.$3K
- Wilson Cook Medical Incorporated$2K
- plus $15K from 34 others
Across 57 payments — averaging $2769.53 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.
- Medtronic$50K
- Silk Road Medical, Inc.$44K
- Vesper Medical$33K
- Philips North America LLC$13K
- Boston Scientific$12K
- Penumbra, Inc.$3K
- plus $3K from 2 others
What the payments were for
- Consulting fees$6501%
- Speaking & faculty fees$9,80019%
- Travel & lodging$12,75325%
- Food & beverage$28,09655%
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 |
|---|---|---|
| Medtronic(2 entities) | 52 | $12,250 |
| Cook Incorporated | 1 | $7,350 |
| Penumbra, Inc. | 44 | $6,989 |
| Cook Medical LLC | 35 | $4,843 |
| W. L. Gore & Associates, Inc. | 21 | $2,585 |
| Wilson Cook Medical Incorporated | 1 | $2,450 |
| Silk Road Medical, Inc. | 20 | $2,266 |
| Endologix LLC | 17 | $2,235 |
| Bolton Medical Inc | 25 | $2,235 |
| Boston Scientific | 16 | $1,290 |
| Intact Vascular, Inc. | 6 | $1,104 |
| Shockwave Medical, Inc | 24 | $936 |
| Cagent Vascular Inc | 1 | $736 |
| Bard Peripheral Vascular, Inc. | 7 | $624 |
| Inari Medical, Inc. | 3 | $406 |
| Getinge USA Sales, LLC | 8 | $391 |
| Abbott | 7 | $337 |
| Johnson & Johnson | 13 | $261 |
| Edwards Lifesciences | 1 | $195 |
| Medistim USA, Inc. | 1 | $195 |
| Globus Medical | 3 | $181 |
| Philips North America LLC | 3 | $162 |
| Cvrx, Inc. | 1 | $149 |
| Biom'up France SAS | 1 | $140 |
| Microvention, Inc. | 1 | $139 |
| Artivion, Inc. | 1 | $132 |
| Shape Memory Medical Inc. | 1 | $132 |
| GSK | 5 | $104 |
| Imperative Care, Inc | 2 | $87 |
| Angiodynamics, Inc. | 2 | $81 |
| Humacyte Global, Inc. | 2 | $66 |
| Solventum Corporation | 2 | $54 |
| Surmodics, Inc. | 2 | $46 |
| Vesper Medical | 1 | $36 |
| KCI USA, Inc. | 1 | $21 |
| Inspiremd Ltd | 1 | $21 |
| Mozarc Medical US LLC | 1 | $21 |
| Chiesi USA, Inc. | 1 | $18 |
| Irhythm Technologies, Inc. | 1 | $18 |
| Cordis US CORP. | 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.
- Zenith$8,893
- ENDURANT IIS$6,120
- Indigo System$4,376
- Zenith Alpha$3,809
- ENROUTE Transcarotid Neuroprotection System$3,308
- NA$2,516
- ENROUTE Transcarotid Stent$1,780
- Endurant$1,097
- Tack Endovascular System$1,097
- Penumbra System$1,048
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$930
- Indigo$866
- Zenith Spiral-Z$759
- Serranator$736
- Valiant Captivia$730
- Ovation$664
- Heli-FX EndoAnchor System$657
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$631
- TREO ABDOMINAL STENT-GRAFT SYSTEM$631
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$629
How this compares
$51,298 in reported general payments places this provider in the 90th percentile of 385 vascular surgery providers in Florida.
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 |
|---|---|---|
| XareltoRivaroxaban | 28 | $37,022 |
| BrilintaTicagrelor | 28 | $12,527 |
| EliquisApixaban | 12 | $10,261 |
| ClopidogrelClopidogrel Bisulfate | 150 | $1,039 |
| Gabapentin | 15 | $425 |
| Rosuvastatin Calcium | 18 | $253 |
| Atorvastatin Calcium | 42 | $140 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonXarelto | $261 | $37,02228 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 385 vascular surgery providers in Florida.
Other vascular surgery in Miami Beach
- Samuel TapperStuart$1.3M
- Mariano ArosemenaBradenton$472K
- Manuel Perez IzquierdoOrlando$302K
- Erin MooreJacksonville$300K
- Rajesh MalikNaples$237K
- Charles BaileyTampa$162K
- Joseph WasselleMelbourne$161K
- Joseph RicottaDelray Beach$156K
- Murray ShamesTampa$144K
- K Dean ArnaoutakisTampa$115K
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.