Vigneshwar Kasirajan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Richmond, VANPI 1578592671
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,887 of the $4,850 with a category attached, or 80.1%. Atricure, Inc. accounts for 91.7% of it on its own, with 4 other manufacturers making up the rest. 2024 is the largest year on record at $2,235, 8.9 times the $252 reported in 2019.
Across 18 payments — averaging $269.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$4K
- Medtronic$195
- W. L. Gore & Associates, Inc.$148
- Quest Medical Inc.$45
- Novartis$13
Across 120 payments — averaging $2754.33 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.
- Atricure, Inc.$268K
- Abbott$51K
- Carmat$11K
What the payments were for
- Travel & lodging$3,88780%
- Food & beverage$96320%
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 |
|---|---|---|
| Atricure, Inc. | 13 | $4,449 |
| Medtronic(2 entities) | 2 | $195 |
| W. L. Gore & Associates, Inc. | 1 | $148 |
| Quest Medical Inc. | 1 | $45 |
| Novartis | 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.
How this compares
$4,850 in reported general payments places this provider in the 55th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Virginia →
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 thoracic surgery (cardiothoracic vascular surgery) in Richmond
- Jonathan KievRichmond$20K
- Jenalee CosterRichmond$16K
- Paul WehmanRichmond$13K
- Arturo CardounelRichmond$9K
- Rachit ShahRichmond$7K
- Luigi Lagazzi GarrosRichmond$6K
- Daniel MulloyRichmond$5K
- Lauren TaylorRichmond$4K
- Motaz Al YafiRichmond$4K
- Steven FiserRichmond$4K
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.