Nidal Alkafarna
Surgical · Los Angeles, CANPI 1053796136
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,498 of the $6,209 with a category attached, or 72.4%. 12 manufacturers reported payments, led by Atricure, Inc. at 31.9% of the total. Reporting peaked in 2024 at $3,294 and has fallen 69.7% since, to $999 in 2025. Among surgical clinicians in CA 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 66 payments — averaging $94.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$2K
- Getinge USA Sales, LLC$1K
- Abbott$802
- Medical Device Business Services, Inc.$510
- Stryker$427
- Johnson & Johnson$392
- plus $1K from 6 others
What the payments were for
- Travel & lodging$1,71228%
- Food & beverage$4,49872%
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 |
|---|---|---|
| Atricure, Inc. | 9 | $1,983 |
| Getinge USA Sales, LLC | 22 | $1,053 |
| Abbott | 9 | $802 |
| Medical Device Business Services, Inc. | 6 | $510 |
| Stryker | 4 | $427 |
| Johnson & Johnson | 6 | $392 |
| Baxter Healthcare | 4 | $306 |
| Medtronic | 2 | $291 |
| Edwards Lifesciences | 1 | $175 |
| Davol Inc. | 1 | $146 |
| Abiomed | 1 | $90 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $32 |
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.
- SYNERGY ABLATION SYSTEM$1,733
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$1,108
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,108
- Epic$443
- EVARREST$384
- Vasoview Hemopro 2$218
- SAPIEN 3 Ultra RESILIA$175
- PORTICO$174
- 1788$172
- COREVALVE EVOLUT R$158
- SURGIFLO Hemostatic Matrix$148
- PROGEL$146
- NA$140
- 3F$133
- FLOSEAL$125
- TISSEEL$125
- COSEAL$125
- OSTENE$125
- PREVELEAK$125
- No Related Product$101
How this compares
$6,209 in reported general payments places this provider in the 90th percentile of 729 surgical providers in California.
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 |
|---|---|---|
| Oxycodone Hcl | 21 | $123 |
| Metoprolol Tartrate | 24 | $63 |
| Warfarin Sodium | 13 | $45 |
| Furosemide | 17 | $36 |
Paid to pharmacies, not to this prescriber.
Other surgical in Los Angeles
- Tiffany ShearingLos Angeles$10K
- Jennifer CabreraLos Angeles$5K
- Maggie ChingLos Angeles$5K
- Lauren AmicoVista$989K
- Cheyanne MallasWest Hollywood$199K
- Laura PietrzakMarina del Rey$63K
- Jane HartiganSanta Rosa$27K
- Kenny NgoPalo Alto$25K
- Crispin MarRancho Santa Margarita$23K
- Robert FrostRancho Santa Margarita$22K
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.