Robert Helm, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Portsmouth, NHNPI 1831153337
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 107 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Medtronic at 46.5% of the total.
Across 107 payments — averaging $61.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Abiomed$951
- Abbott$653
- Atricure, Inc.$419
- Edwards Lifesciences$318
- Elutia, Inc.$276
- plus $880 from 11 others
What the payments were for
- Food & beverage$6,539100%
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) | 33 | $3,043 |
| Abiomed | 41 | $951 |
| Abbott | 5 | $653 |
| Atricure, Inc. | 6 | $419 |
| Edwards Lifesciences | 5 | $318 |
| Elutia, Inc. | 2 | $276 |
| B. Braun Medical Inc. | 1 | $242 |
| Cvrx, Inc. | 1 | $192 |
| Livanova USA, Inc. | 3 | $114 |
| Cardiovascular Systems Inc. | 1 | $103 |
| Lemaitre Vascular, Inc. | 2 | $73 |
| Haemonetics Corporation | 1 | $39 |
| Ambu Inc. | 1 | $37 |
| Boston Scientific | 2 | $32 |
| Shockwave Medical, Inc | 1 | $19 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
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.
- Avalus$1,412
- Mosaic$395
- ECM Patch,Pouch$276
- Epic$274
- 3F$271
- INTROCAN SAFETY$242
- MitraClip$194
- Barostim Neo System$192
- ATRICLIP LAA EXCLUSION SYSTEM$168
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$168
- Epic Stented Tissue Valve$161
- Penditure$157
- Impella$123
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$107
- Edwards SAPIEN 3 Transcatheter Heart Valve$104
- Peripheral Orbital Atherectomy System$103
How this compares
$6,539 in reported general payments places this provider in the 55th percentile of 27 thoracic surgery (cardiothoracic vascular surgery) providers in New Hampshire.
See all thoracic surgery (cardiothoracic vascular surgery) providers in New Hampshire →
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 thoracic surgery (cardiothoracic vascular surgery) in Portsmouth
- John FedericoPortsmouth$20K
- William WilsonPortsmouth$9K
- Christopher TerrienPortsmouth$7K
- David CaparrelliManchester$204K
- Bryan StaniferLebanon$68K
- David FinleyLebanon$46K
- Jose RodriguezLebanon$40K
- Alexandru VaidaConcord$28K
- Joseph DesimoneLebanon$16K
- Alexander IribarneLebanon$15K
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.