Sebastian Pagni, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Louisville, KYNPI 1255384004
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.0%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Edwards Lifesciences accounts for 68.4% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2024 at $13,163 and has fallen 66.6% since, to $4,391 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 191 payments — averaging $146.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$19K
- Medtronic$4K
- Abbott$1K
- Abiomed$1K
- Philips North America LLC$1K
- Artivion, Inc.$816
- plus $1K from 18 others
What the payments were for
- Consulting fees$9,90035%
- Travel & lodging$10,90439%
- Food & beverage$7,19126%
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 |
|---|---|---|
| Edwards Lifesciences | 64 | $19,157 |
| Medtronic(2 entities) | 58 | $3,527 |
| Abbott | 16 | $1,176 |
| Abiomed | 8 | $1,134 |
| Philips North America LLC | 3 | $1,022 |
| Artivion, Inc. | 4 | $816 |
| Atricure, Inc. | 11 | $449 |
| Stryker | 2 | $84 |
| Corcym Inc | 4 | $75 |
| KARL Storz Endoscopy-america | 1 | $69 |
| Smith+Nephew | 3 | $68 |
| LSI Solutions Inc | 3 | $54 |
| Bolton Medical Inc | 2 | $52 |
| Getinge USA Sales, LLC | 2 | $46 |
| Johnson & Johnson | 1 | $39 |
| Biotronik Inc. | 1 | $33 |
| Baxter Healthcare | 1 | $30 |
| Octapharma USA, Inc. | 1 | $30 |
| Davol Inc. | 1 | $28 |
| Teleflex LLC | 1 | $28 |
| Blue Surgical LLC | 1 | $24 |
| Alpha Orthopedic Systems | 1 | $19 |
| Cook Medical LLC | 1 | $17 |
| Zimmer Biomet | 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.
- MITRIS RESILIA Mitral Valve$5,243
- Tri-Ad$1,670
- Azurion 7 B20$997
- Impella$911
- Cardiac non-SynerGraft$767
- Mitra Clip system$752
- Simulus$421
- Avalus$245
- HANCOCK II$170
- SAPIEN 3 Ultra RESILIA$158
- Edwards SAPIEN 3 Transcatheter Heart Valve$151
- SYNERGY ABLATION SYSTEM$117
- INSPIRIS RESILIA aortic valve$103
How this compares
$27,995 in reported general payments places this provider in the 90th percentile of 98 thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kentucky →
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 |
|---|---|---|
| Mupirocin | 35 | $139 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Louisville
- Steven PetersonLouisville$283K
- Mark SlaughterLouisville$39K
- George MikosLouisville$19K
- Steven EtochLouisville$17K
- Austen HuftonLouisville$16K
- David RosenbaumLouisville$14K
- Matthew FoxLouisville$12K
- Siddharth PahwaLouisville$11K
- Angela MahanLouisville$9K
- Yash VaidyaLouisville$9K
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.