Miguel Leal, MD
Clinical Cardiac Electrophysiology · Madison, WINPI 1679765440
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Medtronic accounts for 92.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $52,626 and has fallen 72.7% since, to $14,390 in 2025. Among clinical cardiac electrophysiology clinicians in WI 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 310 payments — averaging $652.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$187K
- Sanofi-aventis U.S. LLC$10K
- Abbott$5K
- Biosense Webster, Inc.$382
- Outset Medical Inc$187
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$113
- plus $255 from 4 others
Across 114 payments — averaging $1607.54 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$183K
What the payments were for
- Consulting fees$22,82411%
- Speaking & faculty fees$108,76954%
- Travel & lodging$59,84730%
- Food & beverage$10,7385%
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(3 entities) | 242 | $186,512 |
| Sanofi-aventis U.S. LLC | 8 | $9,756 |
| Abbott | 47 | $4,975 |
| Biosense Webster, Inc. | 5 | $382 |
| Outset Medical Inc | 1 | $187 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $113 |
| Cook Medical LLC | 1 | $101 |
| Philips North America LLC | 2 | $92 |
| Angiodynamics, Inc. | 1 | $35 |
| Amgen | 1 | $27 |
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.
- Micra$95,162
- Cardioblate$13,638
- PlasmaBlade$4,963
- MULTAQ$4,524
- AVEIR$3,344
- TYRX$2,166
- EVERA MRI XT DR SURESCAN$1,110
- JOT DX$287
- ENSITE PRECISION$250
- Arctic Front$212
- Carto 3$212
- Claria MRI$135
- Quartet CRT Lead$135
- GALLANT$128
- Soundstar$118
- Carto 3 System$118
- Visia AF$105
- Cook Medical Lead Management - Lead Extraction$101
- NA$100
How this compares
$202,179 in reported general payments places this provider in the 95th percentile of 78 clinical cardiac electrophysiology providers in Wisconsin.
See all clinical cardiac electrophysiology providers in Wisconsin →
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 | 153 | $134,878 |
| XareltoRivaroxaban | 30 | $32,344 |
| Flecainide Acetate | 41 | $2,554 |
| Metoprolol Succinate | 105 | $1,032 |
| Amiodarone Hcl | 49 | $544 |
| SotalolSotalol Hcl | 23 | $482 |
| Metoprolol Tartrate | 17 | $225 |
| Hydralazine Hcl | 11 | $158 |
| Amlodipine Besylate | 28 | $127 |
| Atorvastatin Calcium | 15 | $78 |
| Losartan Potassium | 14 | $75 |
| ClopidogrelClopidogrel Bisulfate | 15 | $61 |
| Atenolol | 11 | $58 |
| Furosemide | 13 | $55 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Madison
- Craig JanuaryMadison$37K
- Jennifer WrightMadison$35K
- Pablo PazMadison$35K
- Tahmeed ContractorMadison$24K
- Stephanie WangMadison$24K
- Daniel ModaffMadison$19K
- Nicholas VonbergenMadison$13K
- Samuel ShabtaieMadison$7K
- Suchelis RhoddMadison$6K
- Linda EckhardtMadison$3K
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.