Thomas Fagan, MD
Pediatric Cardiology · Madera, CANPI 1134116494
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.6%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Abbott at 39.4% of the total. 2025 is the largest year on record at $4,957, 2.1 times the $2,333 reported in 2019.
Across 79 payments — averaging $169.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$5K
- Medtronic$4K
- Edwards Lifesciences$3K
- Galt Medical$488
- W. L. Gore & Associates, Inc.$256
- Philips North America LLC$140
- plus $284 from 5 others
Across 23 payments — averaging $1599.26 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.
- Edwards Lifesciences$19K
- W. L. Gore & Associates, Inc.$18K
What the payments were for
- Consulting fees$3,50026%
- Travel & lodging$5,30140%
- Food & beverage$4,57834%
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 |
|---|---|---|
| Abbott | 14 | $5,268 |
| Medtronic(2 entities) | 36 | $4,156 |
| Edwards Lifesciences | 18 | $2,787 |
| Galt Medical | 2 | $488 |
| W. L. Gore & Associates, Inc. | 3 | $256 |
| Philips North America LLC | 1 | $140 |
| Penumbra, Inc. | 1 | $133 |
| B. Braun Interventional Systems Inc. | 1 | $60 |
| Terumo Medical Corporation | 1 | $34 |
| Boston Scientific | 1 | $33 |
| Getinge USA Sales, LLC | 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.
- AMPLATZER$4,884
- HARMONY$2,043
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,174
- Melody$1,021
- THE EDWARDS SAPIEN 3 VALVE WITH ALTERRA ADAPTIVE PRESTENT SYSTEM$1,000
- CARDIOFORM Septal Occluder$241
- AMPLATZER PICCOLO$151
- Azurion 7 B12$140
- RUBY Coil$133
How this compares
$13,379 in reported general payments places this provider in the 85th percentile of 239 pediatric cardiology providers in California.
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 pediatric cardiology in Madera
- Paolo AquinoMadera$6K
- Teresa EvansMadera$5K
- Doff McElhinneyPalo Alto$1M
- Daniel LeviLos Angeles$914K
- Brent GordonSan Diego$158K
- John WoodLos Angeles$122K
- Frank IngSacramento$113K
- Henri JustinoSan Diego$92K
- Leigh ReardonLos Angeles$87K
- Alejandro BorquezSan Diego$71K
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.