RxDoctor Payments Data

Thomas Loh, MD

Vascular Surgery · Shenandoah, TXNPI 1376803106

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (37.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Inari Medical, Inc. accounts for 74.2% of it on its own, with 59 other manufacturers making up the rest. Reporting peaked in 2022 at $71,376 and has fallen 71.5% since, to $20,330 in 2025. Among vascular surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$200,650in general payments, 2019–2025

Across 688 payments — averaging $291.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inari Medical, Inc.$149K
  • Biom'up France SAS$11K
  • Stryker$10K
  • Medtronic$9K
  • Boston Scientific$7K
  • W. L. Gore & Associates, Inc.$2K
  • plus $13K from 54 others
$10,000in research payments, 2019–2025

Across 1 payment — averaging $10,000 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.

  • Penumbra, Inc.$10K

What the payments were for

  • Consulting fees$76,09038%
  • Speaking & faculty fees$64,65032%
  • Travel & lodging$31,17616%
  • Food & beverage$28,64614%
  • Education$880%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Inari Medical, Inc.181$148,925
Biom'up France SAS13$10,797
Stryker15$10,371
Medtronic(2 entities)64$8,502
Boston Scientific54$6,513
W. L. Gore & Associates, Inc.61$2,128
Penumbra, Inc.6$1,734
Smith+Nephew62$1,330
Silk Road Medical, Inc.11$1,240
Abbott25$997
Baxter Healthcare10$846
Philips North America LLC6$514
Terumo Medical Corporation6$478
Angiodynamics, Inc.8$452
Surmodics, Inc.10$413
Merit Medical Systems Inc1$340
Bard Peripheral Vascular, Inc.10$339
Endologix LLC2$279
Atricure, Inc.6$264
Johnson & Johnson9$257
Biotissue Holdings Inc.6$250
Amgen9$241
Impulse Dynamics (USA) Inc.8$215
Cvrx, Inc.6$211
Cook Medical LLC5$188
Merck11$188
Siemens Medical Solutions USA, Inc.1$157
Aroa Biosurgery Incorporated2$152
Asahi Intecc USA, Inc.1$146
Biom'up SA2$145
Medinc Of Texas1$136
Tactile Systems Technology Inc9$132
Organogenesis Inc.1$110
Lemaitre Vascular, Inc.5$104
Veryan Medical Incorporated1$104
Bolton Medical Inc4$97
Corindus Inc.1$94
Endovascular Engineering Inc.2$94
Elutia, Inc.4$75
ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)4$75
Kerecis Limited4$73
Imperative Care, Inc1$67
Wound Management Technologies, Inc1$62
E.r. Squibb & Sons, L.L.C.3$59
Heartflow, Inc.1$59
Davol Inc.2$58
Innovation Technologies Inc1$44
Avinger Inc.2$39
Urgo Medical North America, LLC2$37
Pfizer2$37
Inspire Medical Systems, Inc.2$36
GE HealthCare3$33
G Medical Diagnostic Services, Inc.2$31
Irhythm Technologies, Inc.2$31
Cardiva Medical, Inc.1$30
LSI Solutions Inc1$29
Cordis US CORP.1$28
Dilon Technologies, Inc.1$27
Solventum Corporation1$27
Esperion Therapeutics, 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.

How this compares

$200,650 in reported general payments places this provider in the 95th percentile of 347 vascular surgery providers in Texas.

See all vascular surgery providers in Texas

Medicare billing

Part B allowed, 2024
$509,673
Medicare patients
535
Services billed
2,210

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

DrugClaimsCost to plans & patients
EliquisApixaban114$74,216
XareltoRivaroxaban30$23,129
ClopidogrelClopidogrel Bisulfate98$1,316
Cilostazol19$271
Atorvastatin Calcium19$228
Gabapentin15$176
Methylprednisolone12$67

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$37$74,216114 claims
Johnson & JohnsonXarelto$257$23,12930 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 95th percentile of 347 vascular surgery providers in Texas.

Other vascular surgery in Shenandoah

See the full list for Texas

Where these figures come from

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