Zsolt Garami, MD
General Practice · Houston, TXNPI 1023387339
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (47.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Longeviti Neuro Solutions Inc at 41.6% of the total. Among general practice clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 218 payments — averaging $507.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Longeviti Neuro Solutions Inc$46K
- Silk Road Medical, Inc.$24K
- W. L. Gore & Associates, Inc.$20K
- Neural Analytics, Inc.$10K
- Siemens Medical Solutions USA, Inc.$6K
- Boston Scientific$702
- plus $4K from 26 others
What the payments were for
- Consulting fees$52,82048%
- Speaking & faculty fees$34,05631%
- Travel & lodging$11,82311%
- Food & beverage$11,85011%
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 |
|---|---|---|
| Longeviti Neuro Solutions Inc | 10 | $45,974 |
| Silk Road Medical, Inc. | 45 | $24,184 |
| W. L. Gore & Associates, Inc. | 46 | $19,992 |
| Neural Analytics, Inc. | 10 | $9,762 |
| Siemens Medical Solutions USA, Inc. | 33 | $6,250 |
| Boston Scientific | 15 | $702 |
| Medtronic(2 entities) | 8 | $624 |
| Inari Medical, Inc. | 4 | $411 |
| Johnson & Johnson | 4 | $397 |
| GE HealthCare | 5 | $378 |
| Abbott | 4 | $293 |
| Baxter Healthcare | 5 | $236 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $148 |
| Cook Medical LLC | 5 | $144 |
| Medinc Of Texas | 1 | $136 |
| Bolton Medical Inc | 1 | $133 |
| Aroa Biosurgery Incorporated | 1 | $116 |
| Shockwave Medical, Inc | 1 | $111 |
| Angiodynamics, Inc. | 2 | $102 |
| Corcym Inc | 1 | $92 |
| Smith+Nephew | 2 | $52 |
| Medistim USA, Inc. | 1 | $47 |
| Endologix LLC | 2 | $47 |
| Shape Memory Medical Inc. | 2 | $46 |
| KARL Storz Endoscopy-america | 1 | $34 |
| Pfizer | 2 | $32 |
| Avinger Inc. | 1 | $27 |
| Janssen Scientific Affairs, LLC | 1 | $24 |
| Sanara Medtech Inc. | 1 | $17 |
| Acell, Inc. | 1 | $15 |
| KCI USA, Inc. | 1 | $13 |
| Inceptus Medical, LLC | 1 | $9 |
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.
- CLEARFIT$45,867
- ENROUTE Transcarotid Neuroprotection System$23,630
- ENHANCE Transcarotid Peripheral Access Kit$23,000
- ENROUTE Transcarotid Stent System$22,483
- ENROUTE 0.014 Guidewire$22,483
- GORE CARDIOFORM Septal Occluder$16,521
- Lucid M1 Transcranial Doppler System$5,785
- Lucid M1 Transcranial Doppler$2,135
- Product in Development$1,934
- ENROUTE Transcarotid Stent$1,036
- ACUSON Sequoia Diagnostic Ultrasound System$1,018
- ENROUTE .014 Guidewire$517
- GORE VIABAHN VBX Balloon Expandable Endo$380
- XARELTO$368
- FLOWTRIEVER CATHETER, S$364
- CT THROMBECTOMY SYSTEM KIT$364
- Endurant$241
- JETSTREAM SC$175
- InvisiShunt Implant Kit$173
- GORE TAG Thoracic Branch Endoprosthesis$152
How this compares
$110,549 in reported general payments places this provider in the 95th percentile of 8,074 general practice providers in Texas.
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 general practice in Houston
- Kathleen Szelei-StevensHouston$253K
- Scott ColemanHouston$87K
- Rispba McCray-GarrisonHouston$70K
- Piya GandhiHouston$36K
- Terri AlaniHouston$30K
- Demetris GreenHouston$26K
- Steven XueHouston$19K
- Carol DupuisHouston$16K
- Rosita HamidiHouston$16K
- Marcus LastimadoFort Bliss$2.3M
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.