Zaynoun El Khoury, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Topeka, KSNPI 1871744151
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.0%), education and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Intuitive Surgical at 38.9% of the total. 2025 is the largest year on record at $11,255, more than ten times the $230 reported in 2019.
Across 231 payments — averaging $101.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Edwards Lifesciences$3K
- Medtronic$3K
- Abiomed$3K
- Atricure, Inc.$2K
- Abbott$1K
- plus $2K from 16 others
What the payments were for
- Travel & lodging$4,54519%
- Food & beverage$13,29857%
- Education$5,50024%
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 |
|---|---|---|
| Intuitive Surgical | 32 | $9,080 |
| Edwards Lifesciences | 20 | $3,160 |
| Medtronic(2 entities) | 55 | $2,852 |
| Abiomed | 31 | $2,651 |
| Atricure, Inc. | 38 | $2,195 |
| Abbott | 25 | $1,145 |
| Johnson & Johnson(2 entities) | 7 | $507 |
| Getinge USA Sales, LLC | 3 | $286 |
| Corcym Inc | 2 | $275 |
| Kls-martin L.p. | 1 | $169 |
| Medistim USA, Inc. | 1 | $158 |
| Silk Road Medical, Inc. | 2 | $154 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Lemaitre Vascular, Inc. | 2 | $113 |
| AstraZeneca | 1 | $102 |
| Baxter Healthcare | 3 | $102 |
| Novo Nordisk | 1 | $97 |
| LSI Solutions Inc | 2 | $77 |
| Mission Medical Distribution, LLC | 1 | $38 |
| Mallinckrodt Enterprises LLC | 1 | $23 |
| Zimmer Biomet | 1 | $21 |
| Veran Medical Technologies, Inc. | 1 | $14 |
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.
- DAVINCI XI$5,500
- Da Vinci Surgical System$3,163
- Edwards SAPIEN 3 Transcatheter Heart Valve$2,086
- Impella$1,787
- COREVALVE EVOLUT R$1,497
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$1,121
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$1,020
- SYNERGY ABLATION SYSTEM$867
- ATRICLIP LAA EXCLUSION SYSTEM$856
- SAPIEN 3 Ultra RESILIA$500
- XARELTO$374
- Perceval$275
- Epic$180
- NAVITOR$170
- MiraQ$158
- HemoSphere$136
- Vasoview Hemopro 2$126
- ETHICON$125
- ENROUTE Transcarotid Stent$121
- ENROUTE Transcarotid Neuroprotection System$121
How this compares
$23,343 in reported general payments places this provider in the 80th percentile of 42 thoracic surgery (cardiothoracic vascular surgery) providers in Kansas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kansas →
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 Topeka
- Bastian Jakub WilhelmTopeka$36K
- Philip BongiornoTopeka$27K
- Stephen DicksonTopeka$23K
- Ashley MannTopeka$12K
- Juan Geronimo AdamesTopeka$12K
- Peter TutuskaTopeka$3K
- Keith AllenKansas City$2M
- Jessica HeimesKansas City$89K
- Matthew DanterKansas City$86K
- Emmanuel DaonKansas City$47K
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.