Vernon Horst, MD
Vascular Surgery · Birmingham, ALNPI 1033478466
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.7%), charitable contributions and grants — rather than concentrated in one kind of arrangement. Medtronic accounts for 60.2% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2019 at $5,355 and has fallen 83.5% since, to $885 in 2025.
Across 89 payments — averaging $106.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Silk Road Medical, Inc.$1K
- W. L. Gore & Associates, Inc.$587
- Penumbra, Inc.$328
- Boston Scientific$315
- Endologix LLC$312
- plus $914 from 15 others
What the payments were for
- Grants$2,25024%
- Food & beverage$4,49848%
- Education$1912%
- Charitable contribution$2,50026%
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) | 18 | $5,682 |
| Silk Road Medical, Inc. | 22 | $1,301 |
| W. L. Gore & Associates, Inc. | 10 | $587 |
| Penumbra, Inc. | 3 | $328 |
| Boston Scientific | 10 | $315 |
| Endologix LLC | 2 | $312 |
| Inari Medical, Inc. | 5 | $223 |
| Veryan Medical Incorporated | 2 | $140 |
| Solventum Corporation | 1 | $121 |
| Stryker | 2 | $75 |
| Artivion, Inc. | 1 | $55 |
| Bolton Medical Inc | 1 | $47 |
| Convatec Inc. | 2 | $45 |
| Kerecis Limited | 2 | $41 |
| Lemaitre Vascular, Inc. | 2 | $33 |
| KCI USA, Inc. | 1 | $29 |
| Teleflex LLC | 1 | $29 |
| Bard Peripheral Vascular, Inc. | 1 | $25 |
| Tactile Systems Technology Inc | 1 | $23 |
| Urgo Medical North America, LLC | 1 | $16 |
| Shockwave Medical, Inc | 1 | $11 |
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.
- Endurant$4,967
- ENROUTE Transcarotid Neuroprotection System$770
- ENROUTE Transcarotid Stent$615
- Penumbra System$304
- GORE VIABAHN VBX Balloon Expandable Endo$192
- Alto Abdominal Stent Graft System$183
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$157
- ENROUTE Transcarotid Stent System$156
- ENHANCE Transcarotid Peripheral Access Kit$156
- ENROUTE 0.014 Guidewire$156
- ELUVIA$136
- ENDOCROSS Device$129
- Torus Stent Graft System$129
- BioMimics 3D Vascular Stent System$125
- PREVENA$121
- V.A.C. VERAFLO$121
- V.A.C. ULTA$121
- Heli-FX EndoAnchor System$110
How this compares
$9,439 in reported general payments places this provider in the 65th percentile of 61 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 | 24 | $15,064 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 65 | $472 |
| Cilostazol | 25 | $449 |
| ClopidogrelClopidogrel Bisulfate | 17 | $131 |
| Atorvastatin Calcium | 15 | $117 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Birmingham
- Albert PacificoBirmingham$5.1M
- Benjamin PearceBirmingham$37K
- William HolmanBirmingham$25K
- Stephen HeinzmanBirmingham$18K
- Jarrad RowseBirmingham$10K
- Graeme McFarlandBirmingham$10K
- James KirklinBirmingham$6K
- Danielle SutzkoBirmingham$5K
- Mark PattersonBirmingham$5K
- Michael GleasonBirmingham$3K
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.