Rafael Cavalcanti, MD
Clinical Cardiac Electrophysiology · Winston Salem, NCNPI 1417248089
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,759 of the $18,888 with a category attached, or 62.3%. 26 manufacturers reported payments, led by Medtronic at 26.5% of the total. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in NC, where the typical reported total is $16,673.
Across 543 payments — averaging $34.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- Boston Scientific$3K
- Abbott$2K
- Altathera Pharmaceuticals LLC$2K
- Biosense Webster, Inc.$1K
- Novartis$902
- plus $5K from 20 others
What the payments were for
- Consulting fees$1,6259%
- Travel & lodging$5,44029%
- Food & beverage$11,75962%
- Education$630%
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(2 entities) | 71 | $5,012 |
| Boston Scientific | 101 | $3,206 |
| Abbott | 31 | $1,927 |
| Altathera Pharmaceuticals LLC | 3 | $1,865 |
| Biosense Webster, Inc. | 29 | $1,360 |
| Novartis | 50 | $902 |
| E.r. Squibb & Sons, L.L.C. | 54 | $594 |
| Cardiva Medical, Inc. | 36 | $582 |
| AstraZeneca | 30 | $525 |
| Amgen | 26 | $518 |
| Johnson & Johnson | 30 | $412 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 19 | $284 |
| Atricure, Inc. | 5 | $282 |
| Boehringer Ingelheim | 13 | $266 |
| Biotronik Inc. | 11 | $221 |
| Vital Connect, Inc | 9 | $219 |
| Philips North America LLC | 3 | $189 |
| Merck | 7 | $152 |
| Novo Nordisk | 5 | $97 |
| Abiomed | 1 | $87 |
| Pfizer | 4 | $80 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $31 |
| Siemens Medical Solutions USA, Inc. | 1 | $24 |
| Angiodynamics, Inc. | 1 | $18 |
| Convatec Inc. | 1 | $18 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
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.
How this compares
$18,888 in reported general payments places this provider in the 50th percentile of 98 clinical cardiac electrophysiology providers in North Carolina.
See all clinical cardiac electrophysiology providers in North Carolina →
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 | 304 | $326,594 |
| XareltoRivaroxaban | 90 | $83,692 |
| EntrestoSacubitril/Valsartan | 45 | $54,704 |
| JardianceEmpagliflozin | 20 | $20,317 |
| Metoprolol Succinate | 319 | $3,906 |
| Dofetilide | 22 | $3,779 |
| SotalolSotalol Hcl | 69 | $1,185 |
| Amiodarone Hcl | 89 | $926 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 42 | $891 |
| Metoprolol Tartrate | 106 | $765 |
| ClopidogrelClopidogrel Bisulfate | 109 | $671 |
| Flecainide Acetate | 22 | $536 |
| Carvedilol | 56 | $517 |
| Pantoprazole Sodium | 53 | $429 |
| Furosemide | 101 | $427 |
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 | $80 | $326,594304 claims |
| Johnson & JohnsonXarelto | $412 | $83,69290 claims |
| NovartisEntresto | $902 | $54,70445 claims |
| Boehringer IngelheimJardiance | $266 | $20,31720 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 50th percentile of 98 clinical cardiac electrophysiology providers in North Carolina.
Other clinical cardiac electrophysiology in Winston Salem
- Lai Chow KokWinston Salem$74K
- Natalie BradfordWinston Salem$57K
- George WaitsWinston Salem$55K
- Prashant BhaveWinston Salem$47K
- Michael DruckerWinston Salem$37K
- Kashif ChaudhryWinston Salem$19K
- Takeki SuzukiWinston Salem$16K
- Nicholas CostaWinston Salem$15K
- Mark MitchellWinston Salem$15K
- Michael ManogueAsheville$230K
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.