Norbert Avril, MD
Nuclear Medicine · Cleveland, OHNPI 1952660094
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.0%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Amgen at 43.0% of the total. Reporting peaked in 2021 at $2,011 and has fallen 96.3% since, to $74 in 2024.
Across 13 payments — averaging $337.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$2K
- Blue Earth Diagnostics$2K
- Sirtex Medical Inc$281
- Siemens Medical Solutions USA, Inc.$249
- GE HealthCare$194
- Novartis$74
Across 26 payments — averaging $16,080 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.
- Blue Earth Diagnostics$418K
What the payments were for
- Consulting fees$1,88443%
- Speaking & faculty fees$1,70039%
- Food & beverage$79918%
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 |
|---|---|---|
| Amgen | 1 | $1,884 |
| Blue Earth Diagnostics | 1 | $1,700 |
| Sirtex Medical Inc | 3 | $281 |
| Siemens Medical Solutions USA, Inc. | 2 | $249 |
| GE HealthCare | 5 | $194 |
| Novartis | 1 | $74 |
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.
- Axumin$1,700
- SIR-Spheres Microspheres$262
- Biograph Vision 600 (8 Ring/64 CT)$141
- Symbia.net$108
How this compares
Too few nuclear medicine providers in Ohioto place this figure against a meaningful peer group, so we don't.
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.
Other nuclear medicine in Cleveland
- Manuel CerqueiraCleveland$160K
- Anca AvramCleveland$11K
- Jon KotlerColumbus$556
- Martin JacobsKettering$234
- Michael GelfandCincinnati$135
- Nishanta BaidyaDayton$74
- Benedict KimCanton$0
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.