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Ralph Damiano, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Saint Louis, MONPI 1578580023

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $91,413 of the $134,458 with a category attached, or 68.0%. Atricure, Inc. accounts for 66.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2023 at $48,501 and has fallen 74.4% since, to $12,395 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) 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.

$134,458in general payments, 2019–2025

Across 299 payments — averaging $449.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Atricure, Inc.$89K
  • Edwards Lifesciences$34K
  • Medtronic$10K
  • Livanova USA, Inc.$726
  • Abbott$468
  • Artivion, Inc.$293
  • plus $899 from 10 others
$729,121in research payments, 2019–2025

Across 192 payments — averaging $3797.51 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Medtronic$418K
  • Atricure, Inc.$142K
  • Edwards Lifesciences$104K
  • AbbVie$40K
  • Artivion, Inc.$15K
  • AstraZeneca$9K

What the payments were for

  • Consulting fees$91,41368%
  • Speaking & faculty fees$3,2252%
  • Grants$1,6751%
  • Travel & lodging$21,37416%
  • Food & beverage$16,59712%
  • Education$1740%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Atricure, Inc.144$88,736
Edwards Lifesciences74$33,638
Medtronic(2 entities)61$9,699
Livanova USA, Inc.3$726
Abbott3$468
Artivion, Inc.4$293
Cardiovascular Systems Inc.1$125
Philips North America LLC1$125
Biotronik Inc.1$125
Getinge USA Sales, LLC1$118
Helios Cardio Inc1$116
Bolton Medical Inc1$113
LSI Solutions Inc1$58
ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)1$50
Arthrex1$44
Corcym Inc1$26

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

$134,458 in reported general payments places this provider in the 95th percentile of 113 thoracic surgery (cardiothoracic vascular surgery) providers in Missouri.

See all thoracic surgery (cardiothoracic vascular surgery) providers in Missouri →

Medicare billing

Part B allowed, 2024
$114,066
Medicare patients
139
Services billed
234

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

DrugClaimsCost to plans & patients
Mupirocin28$200
Chlorhexidine Gluconate23$58

Paid to pharmacies, not to this prescriber.

Other thoracic surgery (cardiothoracic vascular surgery) in Saint Louis

See the full list for Missouri →

Where these figures come from

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