Ristenka Prnarova, DO
Cardiovascular Disease · Pensacola, FLNPI 1922236447
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $469 of the $585 with a category attached, or 80.2%. 6 manufacturers reported payments, led by Abiomed at 28.3% of the total. 2025 is the largest year on record at $433, more than ten times the $16 reported in 2020. That places this record below the midpoint for cardiovascular disease clinicians in FL, where the typical reported total is $2,774.
Across 8 payments — averaging $73.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$166
- Medtronic$145
- Abbott$136
- Novo Nordisk$116
- Boston Scientific$16
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$7
What the payments were for
- Food & beverage$46980%
- Education$11620%
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 |
|---|---|---|
| Abiomed | 2 | $166 |
| Medtronic | 1 | $145 |
| Abbott | 2 | $136 |
| Novo Nordisk | 1 | $116 |
| Boston Scientific | 1 | $16 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $7 |
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.
- COREVALVE EVOLUT R$145
- TRICLIP$123
- Ozempic$116
How this compares
$585 in reported general payments places this provider in the 20th percentile of 1,740 cardiovascular disease providers in Florida.
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 | 355 | $377,195 |
| XareltoRivaroxaban | 57 | $63,217 |
| EntrestoSacubitril/Valsartan | 28 | $37,775 |
| Repatha SureclickEvolocumab | 19 | $28,780 |
| BrilintaTicagrelor | 24 | $19,423 |
| FarxigaDapagliflozin Propanediol | 16 | $16,793 |
| VascepaIcosapent Ethyl | 14 | $5,436 |
| Metoprolol Succinate | 444 | $3,967 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 83 | $2,764 |
| Midodrine Hcl | 22 | $2,698 |
| Flecainide Acetate | 53 | $2,578 |
| Ranolazine ErRanolazine | 30 | $2,358 |
| Atorvastatin Calcium | 342 | $2,272 |
| Amiodarone Hcl | 65 | $1,923 |
| Carvedilol | 293 | $1,777 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Pensacola
- Franklin FleischhauerPensacola$155K
- Kevin MakatiLutz$1.6M
- Hiram BezerraTampa$698K
- William OneillNaples$637K
- Theodore FeldmanMiami$637K
- John Gerald CantoLakeland$588K
- Alan MillerJacksonville$547K
- Seth BaumBoca Raton$517K
- Elliott EliasMiami$497K
- Vijay HaryaniVero Beach$413K
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.