Patricio Rosa Sierra, MD
Vascular Surgery · Elizabethtown, KYNPI 1629055868
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,584 of the $4,258 with a category attached, or 60.7%. 20 manufacturers reported payments, led by Terumo Medical Corporation at 46.5% of the total. Reporting peaked in 2019 at $2,268 and has fallen 93.1% since, to $156 in 2025. That places this record below the midpoint for vascular surgery clinicians in KY, where the typical reported total is $9,151.
Across 54 payments — averaging $78.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Terumo Medical Corporation$2K
- Endologix LLC$1K
- Bard Peripheral Vascular, Inc.$349
- Penumbra, Inc.$207
- W. L. Gore & Associates, Inc.$203
- Medtronic$163
- plus $289 from 14 others
What the payments were for
- Travel & lodging$1,58437%
- Food & beverage$2,58461%
- Education$902%
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 |
|---|---|---|
| Terumo Medical Corporation | 11 | $1,979 |
| Endologix LLC | 7 | $1,068 |
| Bard Peripheral Vascular, Inc. | 10 | $349 |
| Penumbra, Inc. | 2 | $207 |
| W. L. Gore & Associates, Inc. | 3 | $203 |
| Medtronic(2 entities) | 4 | $163 |
| Cardiovascular Systems Inc. | 2 | $53 |
| Shockwave Medical, Inc | 1 | $27 |
| Cook Medical LLC | 2 | $27 |
| Regeneron Healthcare Solutions, Inc. | 2 | $26 |
| Avinger Inc. | 1 | $24 |
| KCI USA, Inc. | 1 | $22 |
| Surmodics, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $15 |
| Tactile Systems Technology Inc | 1 | $14 |
| Smith+Nephew | 1 | $14 |
| Lundbeck LLC | 1 | $14 |
| Cardinal Health 200 LLC | 1 | $13 |
| AstraZeneca | 1 | $13 |
| Boston Scientific | 1 | $12 |
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.
- Navicross$1,715
- GlideWire$1,715
- TR Band$895
- Glidesheath$895
- AZUR$821
- Alto Abdominal Stent Graft System$466
- Ovation$420
- Indigo System$135
- VIABAHN Endoprosthesis with Heparin Bioactive Surface$128
- AFX$108
How this compares
$4,258 in reported general payments places this provider in the 30th percentile of 72 vascular surgery providers in Kentucky.
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 | 107 | $1,234 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 95 | $422 |
| ClopidogrelClopidogrel Bisulfate | 96 | $342 |
| Amitriptyline Hcl | 18 | $64 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $55 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Elizabethtown
- Keith ZoellerElizabethtown$2K
- Amit DwivediLouisville$406K
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- Abindra SigdelLouisville$84K
- Samuel TyagiLexington$70K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
- Donald BrownSomerset$29K
- Brian GrantBowling Green$27K
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.