Todd Lewis, MD
Cardiovascular Disease · St Augustine, FLNPI 1245274505
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $20,530 of the $25,209 with a category attached, or 81.4%. It is spread thinly across 58 manufacturers, the largest accounting for just 16.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $7,041 and has fallen 66.2% since, to $2,381 in 2025. Among cardiovascular disease clinicians in FL 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 798 payments — averaging $31.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$4K
- Cardiovascular Systems Inc.$2K
- Johnson & Johnson$2K
- Actelion Pharmaceuticals US, Inc.$1K
- Abiomed$1K
- Shockwave Medical, Inc$1K
- plus $13K from 52 others
Across 23 payments — averaging $19,587 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.
- AstraZeneca$270K
- Boehringer Ingelheim$175K
- Boehringer Ingelheim Pharma GmbH & Co.kg$5K
- Boehringer Ingelheim France S.a.s.$388
- Boehringer Ingelheim Canada Ltd.ltee$233
What the payments were for
- Consulting fees$3,41014%
- Travel & lodging$8573%
- Food & beverage$20,53081%
- Education$4112%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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.
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.
- LEQVIO$2,887
- Diamondback Peripheral$1,038
- Impella$899
- Peripheral Orbital Atherectomy System$528
- INTEGRA$397
- XARELTO$375
- MitraClip$373
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$233
- VERQUVO$204
- SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE M5+$164
- Resolute$135
- FLOWTRIEVER CATHETER, S$133
- CT THROMBECTOMY SYSTEM KIT$133
- INTEGRA DERMAL REGENERATION TEMPLATE$132
- PRIMATRIX$132
- SAPIEN 3 Ultra RESILIA$131
- UPTRAVI$127
- OPSUMIT$127
- Magellan$126
- Influx$126
How this compares
$25,209 in reported general payments places this provider in the 90th percentile of 1,740 cardiovascular disease providers in Florida.
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 | 239 | $280,461 |
| XareltoRivaroxaban | 236 | $277,629 |
| OpsumitMacitentan | 22 | $275,502 |
| AdempasRiociguat | 19 | $259,925 |
| EntrestoSacubitril/Valsartan | 112 | $148,291 |
| JardianceEmpagliflozin | 122 | $137,803 |
| Repatha SureclickEvolocumab | 65 | $59,493 |
| BrilintaTicagrelor | 65 | $43,865 |
| FarxigaDapagliflozin Propanediol | 31 | $34,172 |
| OzempicSemaglutide | 29 | $34,133 |
| VerquvoVericiguat | 17 | $22,993 |
| Repatha SyringeEvolocumab | 22 | $20,934 |
| Dofetilide | 30 | $13,311 |
| Rosuvastatin Calcium | 834 | $11,879 |
| Ezetimibe | 393 | $10,257 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $1,103 | $280,461239 claims |
| Johnson & JohnsonXarelto | $1,546 | $277,629236 claims |
| Actelion Pharmaceuticals US, Inc.Opsumit | $1,345 | $275,50222 claims |
| BayerAdempas | $710 | $259,92519 claims |
| NovartisEntresto | $4,092 | $148,291112 claims |
| Boehringer IngelheimJardiance | $615 | $137,803122 claims |
| AstraZenecaBrilinta, Farxiga | $571 | $78,03896 claims |
| Novo NordiskOzempic | $343 | $34,13329 claims |
| MerckVerquvo | $759 | $22,99317 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 90th percentile of 1,740 cardiovascular disease providers in Florida.
Other cardiovascular disease in St Augustine
- Kevin MakatiLutz$1.6M
- Hiram BezerraTampa$698K
- William OneillNaples$637K
- Theodore FeldmanMiami$637K
- John Gerald CantoLakeland$588K
- Alan MillerJacksonville$547K
- Seth BaumBoca Raton$517K
- Elliott EliasMiami$497K
- Vijay HaryaniVero Beach$413K
- Neel PatelMaitland$392K
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.