Victoria Ivanukoff, DO
Vascular Surgery · Paducah, KYNPI 1598095929
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,361 of the $8,464 with a category attached, or 75.2%. It is spread thinly across 26 manufacturers, the largest accounting for just 23.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for vascular surgery clinicians in KY, where the typical reported total is $9,151.
Across 118 payments — averaging $71.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endologix LLC$2K
- Lemaitre Vascular, Inc.$1K
- Boston Scientific$1K
- Stryker$726
- Inari Medical, Inc.$719
- Cardiovascular Systems Inc.$700
- plus $2K from 20 others
What the payments were for
- Travel & lodging$2,10325%
- Food & beverage$6,36175%
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.
| Company | Payments | Total |
|---|---|---|
| Endologix LLC | 7 | $1,972 |
| Lemaitre Vascular, Inc. | 5 | $1,400 |
| Boston Scientific | 9 | $1,040 |
| Stryker | 16 | $726 |
| Inari Medical, Inc. | 17 | $719 |
| Cardiovascular Systems Inc. | 8 | $700 |
| Bard Peripheral Vascular, Inc. | 17 | $413 |
| Siemens Medical Solutions USA, Inc. | 1 | $245 |
| W. L. Gore & Associates, Inc. | 4 | $237 |
| Shockwave Medical, Inc | 2 | $176 |
| Penumbra, Inc. | 2 | $162 |
| Abbott | 6 | $138 |
| Silk Road Medical, Inc. | 2 | $116 |
| Johnson & Johnson | 5 | $80 |
| Terumo Medical Corporation | 3 | $66 |
| Cvrx, Inc. | 2 | $45 |
| Medtronic | 1 | $37 |
| EKOS Corporation | 2 | $37 |
| Tactile Systems Technology Inc | 2 | $32 |
| Organogenesis Inc. | 1 | $23 |
| Cardinal Health 200 LLC | 1 | $19 |
| Melinta Therapeutics, LLC | 1 | $18 |
| Elutia, Inc. | 1 | $18 |
| BD | 1 | $17 |
| Bioventus LLC | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
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.
- VALVULOTOM$1,212
- GENERAL VASCULAR INTERVENTION$957
- AFX2 Bifurcated Endograft System$916
- Ovation$798
- FLOWTRIEVER CATHETER, S$589
- CT THROMBECTOMY SYSTEM KIT$589
- Diamondback Peripheral$564
- Artis pheno$245
- Indigo System$150
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$144
- Torus Stent Graft System$134
- ENDOCROSS Device$134
- VIABAHN Endoprosthesis with Heparin Bioactive Surface$129
- AFX$124
How this compares
$8,464 in reported general payments places this provider in the 45th percentile of 72 vascular surgery providers in Kentucky.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 43 | $271 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $59 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Paducah
- Griffin BickingPaducah$16K
- Scott SandersPaducah$15K
- Alexander SappPaducah$6K
- Amit DwivediLouisville$406K
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- Abindra SigdelLouisville$84K
- Samuel TyagiLexington$70K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
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.