Paige Smietana
Surgical · Butler, PANPI 1922434638
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.8% of the total across 54 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 16.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,373 and has fallen 75.8% since, to $332 in 2025. Among surgical 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 54 payments — averaging $79.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$718
- Novo Nordisk$458
- Silk Road Medical, Inc.$449
- Atricure, Inc.$388
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$371
- Johnson & Johnson$341
- plus $2K from 12 others
What the payments were for
- Food & beverage$4,16197%
- Education$1373%
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 |
|---|---|---|
| AstraZeneca | 7 | $718 |
| Novo Nordisk | 5 | $458 |
| Silk Road Medical, Inc. | 4 | $449 |
| Atricure, Inc. | 6 | $388 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $371 |
| Johnson & Johnson(2 entities) | 5 | $341 |
| Boehringer Ingelheim | 2 | $205 |
| Medical Device Business Services, Inc. | 2 | $191 |
| Scpharmaceuticals Inc. | 1 | $189 |
| Medtronic | 2 | $187 |
| Boston Scientific | 1 | $134 |
| W. L. Gore & Associates, Inc. | 1 | $127 |
| Irhythm Technologies, Inc. | 1 | $127 |
| Abiomed | 3 | $110 |
| Getinge USA Sales, LLC | 4 | $106 |
| Vifor Pharma, Inc. | 1 | $93 |
| Esperion Therapeutics, Inc. | 1 | $71 |
| Edwards Lifesciences | 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.
- ENROUTE Transcarotid Neuroprotection System$432
- ENROUTE Transcarotid Stent$432
- TAGRISSO$243
- ANDEXXA$229
- XARELTO$225
- Ozempic$221
- FUROSCIX$189
- V-LOC 180$165
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$148
- LifeVest$147
- STRATAFIX$137
- WATCHMAN Access System$134
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$127
- ZIO XT Patch$127
- JARDIANCE$124
- IMFINZI$124
How this compares
$4,298 in reported general payments places this provider in the 90th percentile of 626 surgical 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 |
|---|---|---|
| EliquisApixaban | 18 | $10,276 |
| ClopidogrelClopidogrel Bisulfate | 66 | $641 |
| Amiodarone Hcl | 19 | $166 |
| Potassium Chloride | 18 | $128 |
| Cilostazol | 18 | $125 |
| JantovenWarfarin Sodium | 15 | $78 |
| Oxycodone Hcl | 31 | $71 |
| Warfarin Sodium | 12 | $62 |
| Furosemide | 20 | $37 |
| Metoprolol Tartrate | 14 | $30 |
Paid to pharmacies, not to this prescriber.
Other surgical in Butler
- Tyler NolfButler$5K
- Gary YoungButler$3K
- Marie DelaneyButler$3K
- Patsy SkablaWynnewood$188K
- Kyle LangstonAllentown$50K
- Aaron MacoskeyPittsburgh$40K
- Elissa CastorPittsburgh$25K
- Amanda YakobitisWynnewood$24K
- Dustin HobbsWilkes Barre$15K
- Leah KovalPittsburgh$13K
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.