Payment overview · 2025
General Payments
$1,363.00
17 reported records · 12 companies
Healthcare provider profile · identity verified
Nessa E Miller, MD
Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery · SAN ANTONIO, TX · NPI 1477715118
Verified facts
What the public records show
CMS Open Payments records show Nessa E Miller, MD received $1,363.00 in general payments during 2025 across 17 reported records.
InspireMD Ltd accounted for 25.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 14 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| InspireMD Ltd | Unresolved — no canonical attribution shown | $353.19 | 25.9% | 4 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $257.89 | 18.9% | 3 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $182.36 | 13.4% | 1 | 2025 |
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $157.27 | 11.5% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$110.00 | 8.1% | 1 | 2025 |
| AngioDynamics, Inc. | Unresolved — no canonical attribution shown | $95.87 | 7.0% | 1 | 2025 |
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $72.83 | 5.3% | 1 | 2025 |
| Biocomposites Inc | Unresolved — no canonical attribution shown | $37.08 | 2.7% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $30.05 | 2.2% | 1 | 2025 |
| Becton, Dickinson and Company | Unresolved — no canonical attribution shown | $29.00 | 2.1% | 1 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $23.82 | 1.8% | 1 | 2025 |
| Endologix LLC | Unresolved — no canonical attribution shown | $13.64 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,224.00 | 15 |
| Consulting Fee | $110.00 | 1 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $29.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CGuard Prime Carotid Stent System Normalized: cguard prime carotid stent system |
Device | InspireMD Ltd | $353.19 | 4 | 2025 |
Source payment records
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $182.36 | 1 | 2025 |
Source payment records
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| General - Thrombectomy Normalized: general thrombectomy |
Device | Boston Scientific Corporation | $166.39 | 2 | 2025 |
Source payment records
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| Indigo System Normalized: indigo system |
Device | Penumbra, Inc. | $157.27 | 1 | 2025 |
Source payment records
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| PACIFIC XTREME Normalized: pacific xtreme |
Device | Medtronic, Inc. | $110.00 | 1 | 2025 |
Source payment records
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| AURYON LASER SYSTEM 100-120 VAC Normalized: auryon laser system 100 120 vac |
Device | AngioDynamics, Inc. | $95.87 | 1 | 2025 |
Source payment records
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| General - Vascular Intervention Normalized: general vascular intervention |
Device | Boston Scientific Corporation | $91.50 | 1 | 2025 |
Source payment records
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| PURAPLY WOUND MATRIX Normalized: puraply wound matrix |
Device | Organogenesis Inc. | $72.83 | 1 | 2025 |
Source payment records
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| Stimulan Normalized: stimulan |
Device | Biocomposites Inc | $37.08 | 1 | 2025 |
Source payment records
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| ENTRESTO Normalized: entresto |
Drug | Novartis Pharmaceuticals Corporation | $30.05 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $30.05 | 1 | 2025 |
Source payment records
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| Power-Trialysis Normalized: power trialysis |
Device | Becton, Dickinson and Company | $29.00 | 1 | 2025 |
Source payment records
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| ENDOCROSS Device Normalized: endocross device |
Device | Endologix LLC | $13.64 | 1 | 2025 |
Source payment records
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| Torus Stent Graft System Normalized: torus stent graft system |
Device | Endologix LLC | $13.64 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Eliquis | Apixaban | 51 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 49 | 19 |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,363.00 · 17 records | InspireMD Ltd | AURYON LASER SYSTEM 100-120 VAC, CGuard Prime Carotid Stent System, ENDOCROSS Device, ENTRESTO, General - Thrombectomy, General - Vascular Intervention, Indigo System, LEQVIO, PACIFIC XTREME, PURAPLY WOUND MATRIX, Power-Trialysis, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, Stimulan, Torus Stent Graft System | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error