Sean Marco, MD
Critical Care Medicine · Scottsdale, AZNPI 1790123834
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.8% of the total across 50 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $345, 4.4 times the $79 reported in 2019.
Across 50 payments — averaging $22.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$190
- AstraZeneca$141
- Astellas Pharma US Inc$109
- GSK$91
- Actelion Pharmaceuticals US, Inc.$90
- Sanofi$68
- plus $427 from 12 others
What the payments were for
- Food & beverage$1,03693%
- Education$807%
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 |
|---|---|---|
| Intuitive Surgical | 2 | $190 |
| AstraZeneca | 9 | $141 |
| Astellas Pharma US Inc | 2 | $109 |
| GSK | 4 | $91 |
| Actelion Pharmaceuticals US, Inc. | 3 | $90 |
| Sanofi | 3 | $68 |
| Pulmonx Corporation | 4 | $66 |
| Electromed, Inc. | 7 | $64 |
| Merck | 3 | $55 |
| Amgen | 3 | $49 |
| Viiv Healthcare Company | 2 | $45 |
| Boehringer Ingelheim | 2 | $43 |
| Viatris Specialty LLC | 1 | $27 |
| Boston Scientific | 1 | $23 |
| Philips North America LLC | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| United Therapeutics Corporation | 1 | $14 |
| Advanced Respiratory, Inc | 1 | $14 |
How this compares
$1,116 in reported general payments places this provider in the 70th percentile of 175 critical care medicine providers in Arizona.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 180 | $132,330 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 46 | $35,342 |
| Breo ElliptaFluticasone/Vilanterol | 35 | $15,700 |
| SymbicortBudesonide/Formoterol Fumarate | 33 | $9,961 |
| Spiriva RespimatTiotropium Bromide | 11 | $7,948 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 11 | $5,312 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 12 | $3,552 |
| Wixela InhubFluticasone Propion/Salmeterol | 22 | $3,264 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 108 | $3,023 |
| Advair DiskusFluticasone Propion/Salmeterol | 11 | $2,321 |
| Fluconazole | 14 | $768 |
| Azelastine Hcl | 14 | $589 |
| Prednisone | 83 | $397 |
| Azithromycin | 26 | $240 |
| Furosemide | 24 | $88 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta | $91 | $148,030215 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $141 | $45,30379 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $43 | $13,25922 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 70th percentile of 175 critical care medicine providers in Arizona.
Other critical care medicine in Scottsdale
- Akshay MuralidharScottsdale$44K
- Rodrigo Cartin-CebaScottsdale$18K
- Reena BansalScottsdale$10K
- Kenneth SakataScottsdale$4K
- Heemesh SethScottsdale$4K
- Sandra TillScottsdale$3K
- Aditya GuptaScottsdale$3K
- Pritesh PatelScottsdale$3K
- Benjamin CantrillScottsdale$2K
- Randy WeismanScottsdale$2K
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.