Shaf Holden, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Huntsville, ALNPI 1518161397
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 36 manufacturers reported payments, led by Edwards Lifesciences at 52.4% of the total. Reporting peaked in 2019 at $11,490 and has fallen 88.8% since, to $1,291 in 2025.
Across 205 payments — averaging $157.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$17K
- Atricure, Inc.$5K
- Baxter Healthcare$4K
- Medtronic$3K
- Abiomed$938
- Zimmer Biomet$508
- plus $2K from 30 others
Across 8 payments — averaging $10,198 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.
- Atricure, Inc.$82K
What the payments were for
- Consulting fees$15,66548%
- Travel & lodging$6,94221%
- Food & beverage$9,59730%
- Education$1801%
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 | 36 | $16,972 |
| Atricure, Inc. | 45 | $5,384 |
| Baxter Healthcare | 14 | $4,085 |
| Medtronic(2 entities) | 31 | $2,702 |
| Abiomed | 17 | $938 |
| Zimmer Biomet | 7 | $508 |
| Abbott | 2 | $299 |
| LSI Solutions Inc | 2 | $229 |
| Artivion, Inc. | 5 | $208 |
| Boston Scientific | 3 | $158 |
| Hemosonics LLC | 2 | $151 |
| Cook Medical LLC | 3 | $59 |
| Johnson & Johnson(2 entities) | 3 | $53 |
| Olympus America Inc. | 3 | $50 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 2 | $46 |
| Elutia, Inc. | 3 | $45 |
| Kls-martin L.p. | 2 | $39 |
| La Jolla Pharmaceutical Company | 2 | $37 |
| E.r. Squibb & Sons, L.L.C. | 2 | $35 |
| Sanofi-aventis U.S. LLC | 2 | $35 |
| Angiodynamics, Inc. | 1 | $33 |
| TELA Bio, Inc. | 2 | $33 |
| BD | 1 | $31 |
| Convatec Inc. | 1 | $29 |
| Cook Biotech Incorporated | 1 | $27 |
| Chiesi USA, Inc. | 2 | $26 |
| Intuitive Surgical | 1 | $24 |
| AstraZeneca | 2 | $24 |
| Prime Surgical, LLC | 1 | $21 |
| Livanova USA, Inc. | 1 | $20 |
| Amgen | 1 | $16 |
| Lemaitre Vascular, Inc. | 1 | $15 |
| Medela LLC | 1 | $14 |
| KCI USA, Inc. | 1 | $13 |
| Sanara Medtech Inc. | 1 | $13 |
| Regeneron Healthcare Solutions, Inc. | 1 | $12 |
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.
- Edwards SAPIEN 3 Transcatheter Heart Valve$11,952
- FLOSEAL$3,705
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$2,184
- ATRICLIP LAA EXCLUSION SYSTEM$1,858
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$1,691
- Mosaic$1,195
- SYNERGY ABLATION SYSTEM$812
- Octopus$400
- ATRICURE SYNERGY ABLATION SYSTEM$397
- Impella$382
- Avalus$291
- COR KNOT$202
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$179
- Penditure$160
- HemoSphere$156
- Epic$150
- INSPIRIS RESILIA aortic valve$150
- NAVITOR$149
- COREVALVE EVOLUT R$148
- QUNATRA QPLUS SYSTEM$128
How this compares
$32,383 in reported general payments places this provider in the 80th percentile of 68 thoracic surgery (cardiothoracic vascular surgery) providers in Alabama.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Alabama →
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 | 22 | $12,117 |
| Enoxaparin Sodium | 13 | $713 |
| Amiodarone Hcl | 30 | $538 |
| Metoprolol Tartrate | 105 | $336 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 52 | $278 |
| ClopidogrelClopidogrel Bisulfate | 34 | $248 |
| Atorvastatin Calcium | 19 | $159 |
| Potassium Chloride | 33 | $100 |
| Pantoprazole Sodium | 12 | $82 |
| Amlodipine Besylate | 17 | $79 |
| Methocarbamol | 20 | $72 |
| Carvedilol | 13 | $57 |
| Famotidine | 17 | $50 |
| Furosemide | 31 | $26 |
| Lisinopril | 13 | $13 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Huntsville
- Frans VanwagenbergHuntsville$68K
- Gregory ThomasHuntsville$16K
- Andres SamayoaHuntsville$12K
- Juan GallegosHuntsville$9K
- Richard ClayHuntsville$6K
- Thomas WashburnHuntsville$3K
- Kyle EudaileyBirmingham$184K
- Carlton RandlemanBirmingham$161K
- James DaviesBirmingham$99K
- Parvez SultanVestavia$81K
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.