Shady Nakhla, MD
Clinical Cardiac Electrophysiology · Cleveland, OHNPI 1457615213
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Medtronic at 36.1% of the total. Reporting peaked in 2024 at $19,004 and has fallen 57.7% since, to $8,037 in 2025.
Across 105 payments — averaging $450.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$17K
- Biosense Webster, Inc.$16K
- Medical Device Business Services, Inc.$9K
- Boston Scientific$5K
- Abbott$1K
- Philips North America LLC$120
- plus $113 from 2 others
Across 12 payments — averaging $27,761 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.
- Philips North America LLC$333K
What the payments were for
- Consulting fees$25,40054%
- Speaking & faculty fees$9,50720%
- Travel & lodging$6,91015%
- Food & beverage$5,45712%
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) | 43 | $17,082 |
| Biosense Webster, Inc. | 19 | $15,589 |
| Medical Device Business Services, Inc. | 5 | $8,663 |
| Boston Scientific | 27 | $4,635 |
| Abbott | 8 | $1,072 |
| Philips North America LLC | 1 | $120 |
| Masimo Corporation | 1 | $89 |
| Atricure, Inc. | 1 | $24 |
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.
- Carto 3$22,417
- Micra$3,500
- GENERAL - THERAPIES$3,219
- Quadra Assura CRT Defibrillator$308
- Farapulse$301
- ENSITE$299
- ENSITE PRECISION$179
- AURORA EV-ICD MRI SURESCAN$167
- AVEIR$160
- ARCTIC FRONT ADVANCE$146
- COBALT DR MRI SURESCAN$132
- AZURE XT DR MRI SURESCAN$125
- S-ICD System Magnet$124
- (AO0) IGT Devices Intracardiac$120
- SQ RX PULSE GENERATOR$109
How this compares
$47,274 in reported general payments places this provider in the 80th percentile of 159 clinical cardiac electrophysiology providers in Ohio.
See all clinical cardiac electrophysiology providers in Ohio →
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 | 232 | $308,098 |
| XareltoRivaroxaban | 73 | $85,277 |
| Dofetilide | 118 | $31,111 |
| Flecainide Acetate | 97 | $5,914 |
| FarxigaDapagliflozin Propanediol | 11 | $5,682 |
| Metoprolol Succinate | 165 | $2,470 |
| Amiodarone Hcl | 66 | $1,188 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 29 | $1,040 |
| Propafenone Hcl | 12 | $676 |
| SotalolSotalol Hcl | 17 | $649 |
| Losartan Potassium | 13 | $217 |
| Metoprolol Tartrate | 12 | $112 |
| JantovenWarfarin Sodium | 12 | $84 |
| Furosemide | 26 | $73 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Cleveland
- Walid SalibaCleveland$511K
- Bruce WilkoffCleveland$213K
- Judith MackallCleveland$129K
- Albert WaldoCleveland$127K
- Thomas CallahanCleveland$119K
- Ayman HusseinCleveland$98K
- Muhammad ButtCleveland$82K
- Arshneel KocharCleveland$49K
- Mauricio ArrudaCleveland$38K
- Maki OnoCleveland$37K
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.