Nicholas Madden, DO
Surgery · Altoona, PANPI 1487913257
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Medtronic at 33.7% of the total. Reporting peaked in 2022 at $6,369 and has fallen 63.9% since, to $2,299 in 2025. Among surgery clinicians in PA 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 166 payments — averaging $108.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Silk Road Medical, Inc.$5K
- Boston Scientific$3K
- W. L. Gore & Associates, Inc.$2K
- Cook Medical LLC$562
- Inari Medical, Inc.$376
- plus $1K from 12 others
Across 1 payment — averaging $3200.00 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$3K
What the payments were for
- Consulting fees$1,5008%
- Travel & lodging$7,62742%
- Food & beverage$7,26940%
- Education$1,6759%
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) | 64 | $6,090 |
| Silk Road Medical, Inc. | 25 | $4,774 |
| Boston Scientific | 34 | $3,491 |
| W. L. Gore & Associates, Inc. | 10 | $1,565 |
| Cook Medical LLC | 7 | $562 |
| Inari Medical, Inc. | 3 | $376 |
| Penumbra, Inc. | 2 | $252 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $247 |
| Johnson & Johnson | 7 | $165 |
| Shockwave Medical, Inc | 1 | $117 |
| Getinge USA Sales, LLC | 2 | $112 |
| Abiomed | 1 | $81 |
| Terumo Medical Corporation | 1 | $72 |
| Pfizer | 1 | $62 |
| Lemaitre Vascular, Inc. | 2 | $55 |
| Avenu Medical Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $19 |
| Bard Peripheral Vascular, Inc. | 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.
- ENROUTE Transcarotid Neuroprotection System$5,915
- ENDURANT IIS$3,918
- ENROUTE Transcarotid Stent$3,278
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,778
- GENERAL - THERAPIES$1,598
- ENROUTE Transcarotid Stent System$859
- ENHANCE Transcarotid Peripheral Access Kit$859
- ENROUTE 0.014 Guidewire$859
- EXCLUDER AAA Endoprosthesis$814
- GORE VIABAHN VBX Balloon Expandable Endo$402
- Watchman$337
- HawkOne$226
- Cook Medical AAA$222
- GENERAL VASCULAR INTERVENTION$205
- FLOWTRIEVER CATHETER, S$198
- CT THROMBECTOMY SYSTEM KIT$198
- Indigo System$153
- VIABAHN Endoprosthesis with Heparin Bioactive Surface$150
- Endurant$131
- ELUVIA$125
How this compares
$18,071 in reported general payments places this provider in the 90th percentile of 1,424 surgery providers in Pennsylvania.
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 |
|---|---|---|
| Cilostazol | 31 | $691 |
| ClopidogrelClopidogrel Bisulfate | 42 | $603 |
Paid to pharmacies, not to this prescriber.
Other surgery in Altoona
- Andy KiserPittsburgh$1M
- Glenn SteeleDanville$698K
- Maher El ChaarAllentown$667K
- George EidPittsburgh$619K
- Paul CesanekAllentown$469K
- Clark GerhartPlains$317K
- Irina YermilovPlymouth Meeting$315K
- Eric PauliHershey$202K
- Ariel AballayPittsburgh$198K
- Ann RogersHershey$198K
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.