Paul Bigenho
Family · Ormond Beach, FLNPI 1881390284
Payments from drug & device makers
Across 229 payments — averaging $29.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Biosense Webster, Inc.$1K
- Atricure, Inc.$741
- E.r. Squibb & Sons, L.L.C.$491
- AstraZeneca$381
- Merck$300
- plus $2K from 22 others
What the payments were for
- Consulting fees$1402%
- Travel & lodging$1,12117%
- Food & beverage$5,39681%
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 |
|---|---|---|
| Medtronic | 17 | $1,372 |
| Biosense Webster, Inc. | 49 | $1,099 |
| Atricure, Inc. | 7 | $741 |
| E.r. Squibb & Sons, L.L.C. | 41 | $491 |
| AstraZeneca | 15 | $381 |
| Merck | 14 | $300 |
| Johnson & Johnson | 10 | $298 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 12 | $280 |
| Boehringer Ingelheim | 12 | $250 |
| Novo Nordisk | 7 | $192 |
| Boston Scientific | 3 | $179 |
| Novartis | 9 | $149 |
| Cvrx, Inc. | 6 | $148 |
| Impulse Dynamics (USA) Inc. | 4 | $143 |
| Amgen | 1 | $121 |
| Pfizer | 6 | $119 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $63 |
| Sanofi-aventis U.S. LLC | 2 | $45 |
| Lexicon Pharmaceuticals, Inc. | 2 | $41 |
| Ascensia Diabetes Care US Inc. | 1 | $37 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $34 |
| Esperion Therapeutics, Inc. | 2 | $31 |
| Philips North America LLC | 1 | $31 |
| Kestra Medical Technology Services, Inc. | 1 | $29 |
| Bayer | 1 | $27 |
| Tempus AI, Inc | 1 | $21 |
| Convatec Inc. | 1 | $20 |
| Irhythm Technologies, Inc. | 1 | $16 |
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.
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$601
- XARELTO$130
- FARXIGA$124
- Repatha$121
- GENERAL TACHY$119
- CAMZYOS$107
- Carto 3$107
How this compares
$6,657 in reported general payments places this provider in the 95th percentile of 14,618 family providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 91 | $98,716 |
| XareltoRivaroxaban | 60 | $60,577 |
| EntrestoSacubitril/Valsartan | 45 | $57,076 |
| JardianceEmpagliflozin | 45 | $45,875 |
| OzempicSemaglutide | 27 | $27,113 |
| Repatha SureclickEvolocumab | 14 | $9,851 |
| Rosuvastatin Calcium | 23 | $874 |
| Diltiazem 24hr Er (La)Diltiazem Hcl | 18 | $870 |
| Amiodarone Hcl | 37 | $789 |
| Dilt-XrDiltiazem Hcl | 27 | $777 |
| Flecainide Acetate | 16 | $634 |
| Metoprolol Succinate | 36 | $484 |
| Diltiazem Hcl | 27 | $483 |
| Carvedilol | 27 | $417 |
| Furosemide | 39 | $396 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $119 | $98,71691 claims |
| Johnson & JohnsonXarelto | $298 | $60,57760 claims |
| NovartisEntresto | $149 | $57,07645 claims |
| Boehringer IngelheimJardiance | $250 | $45,87545 claims |
| Novo NordiskOzempic | $192 | $27,11327 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 14,618 family providers in Florida.
Other family in Ormond Beach
- John HuffakerVenice$8M
- Stephanie MompointMiami$4.5M
- Miguel TrujilloMiami Gardens$4.4M
- Itsel Cardenas RamonMiami$1M
- Lewis HarringtonTampa$954K
- Adam StrosbergFort Lauderdale$859K
- Danielle PharesFt Lauderdale$713K
- David RodriguezHialeah$658K
- Donna OrtizOrlando$417K
- Patrick SzarazMiami$327K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.