Rafael Marroquin, MD
Diagnostic Radiology · Columbia, MONPI 1740419431
Payments from drug & device makers
What this record shows
Penumbra, Inc. accounts for 68.8% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $3,623 and has fallen 96.1% since, to $143 in 2025. Among diagnostic radiology clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $94.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$4K
- Stryker$1K
- Bard Peripheral Vascular, Inc.$251
- Inari Medical, Inc.$193
- CAS Medical Systems Inc.$112
- Boston Scientific$81
- plus $95 from 3 others
What the payments were for
- Travel & lodging$3,13454%
- Food & beverage$2,64246%
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 |
|---|---|---|
| Penumbra, Inc. | 32 | $3,973 |
| Stryker | 19 | $1,072 |
| Bard Peripheral Vascular, Inc. | 4 | $251 |
| Inari Medical, Inc. | 1 | $193 |
| CAS Medical Systems Inc. | 1 | $112 |
| Boston Scientific | 1 | $81 |
| Medtronic | 1 | $53 |
| Edwards Lifesciences | 1 | $26 |
| GE HealthCare | 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.
- Penumbra System$2,036
- Penumbra Jet 7$1,295
- SPINEJACK$725
- MAX$422
- FLOWTRIEVER CATHETER, S$193
- CT THROMBECTOMY SYSTEM KIT$193
- Penumbra SMART Coil$136
- ForeSight$112
- RUBY Coil$101
How this compares
$5,777 in reported general payments places this provider in the 95th percentile of 762 diagnostic radiology providers in Missouri.
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 diagnostic radiology in Columbia
- Talissa AltesColumbia$202K
- Alejandro Mendez CastilloColumbia$4K
- Kimberly PraterSpringfield$1.7M
- Kyongtae BaeSaint Louis$232K
- Jack JenningsSaint Louis$189K
- Ambrose HuangSaint Louis$169K
- Matthew CherrySpringfield$164K
- Christopher WalkerKansas City$150K
- Laurie FajardoSaint Louis$87K
- Tammie BenzingerSaint Louis$80K
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.