Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $3,093 | 177 | 99.6% |
| Education | $13.89 | 1 | 0.4% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $588.09 | 25 | $0 (2024) |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $536.84 | 48 | $0 (2024) |
| PFIZER INC. | $328.10 | 20 | $0 (2023) |
| Amgen Inc. | $248.15 | 15 | $0 (2024) |
| Abbott Laboratories | $219.09 | 10 | $0 (2022) |
| Novartis Pharmaceuticals Corporation | $213.09 | 14 | $0 (2023) |
| Impulse Dynamics (USA) Inc. | $208.55 | 3 | $0 (2023) |
| Janssen Pharmaceuticals, Inc | $127.80 | 7 | $0 (2023) |
| E.R. Squibb & Sons, L.L.C. | $104.85 | 7 | $0 (2024) |
| Bayer HealthCare Pharmaceuticals Inc. | $86.43 | 5 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $349.52 | 19 | Boehringer Ingelheim Pharmaceuticals, Inc. ($113.08) |
| 2023 | $601.26 | 30 | Impulse Dynamics (USA) Inc. ($208.55) |
| 2022 | $1,086 | 64 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($198.63) |
| 2021 | $1,071 | 65 | Boehringer Ingelheim Pharmaceuticals, Inc. ($266.92) |
All Payment Transactions
178 individual payment records from CMS Open Payments — Page 1 of 8
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/17/2024 | Amgen Inc. | Repatha (Biological) | Food and Beverage | In-kind items and services | $13.31 | General |
| Category: Cardiology | ||||||
| 12/03/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $16.92 | General |
| Category: DIABETES | ||||||
| 11/19/2024 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $15.73 | General |
| Category: Cardiovascular | ||||||
| 10/22/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $15.45 | General |
| Category: DIABETES | ||||||
| 10/08/2024 | Inspire Medical Systems, Inc. | INSPIRE (Device) | Food and Beverage | In-kind items and services | $27.18 | General |
| Category: NEUROLOGY | ||||||
| 09/10/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $24.81 | General |
| Category: DIABETES | ||||||
| 08/30/2024 | HEARTFLOW, INC. | FFRct (Device) | Food and Beverage | Cash or cash equivalent | $17.18 | General |
| Category: Coronary | ||||||
| 07/30/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $20.42 | General |
| Category: DIABETES | ||||||
| 06/25/2024 | Amgen Inc. | Repatha (Biological) | Food and Beverage | In-kind items and services | $15.02 | General |
| Category: Cardiology | ||||||
| 06/18/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $17.91 | General |
| Category: DIABETES | ||||||
| 06/11/2024 | E.R. Squibb & Sons, L.L.C. | CAMZYOS (Drug) | Food and Beverage | Cash or cash equivalent | $18.13 | General |
| Category: Cardiovascular | ||||||
| 03/26/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $22.40 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 03/19/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $19.47 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 03/12/2024 | Alnylam Pharmaceuticals Inc. | ONPATTRO (Drug) | Food and Beverage | In-kind items and services | $15.62 | General |
| Category: Genetic Disease | ||||||
| 02/27/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $17.57 | General |
| Category: DIABETES | ||||||
| 02/20/2024 | ABIOMED | Impella (Device) | Food and Beverage | In-kind items and services | $17.31 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 01/23/2024 | ABIOMED | Impella (Device) | Food and Beverage | In-kind items and services | $17.66 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 01/18/2024 | Lilly USA, LLC | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $13.14 | General |
| Category: Diabetes | ||||||
| 01/16/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $24.29 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 10/24/2023 | Merck Sharp & Dohme LLC | VERQUVO (Drug), VERQUVO | Food and Beverage | In-kind items and services | $18.23 | General |
| Category: CARDIOVASCULAR | ||||||
| 09/27/2023 | Exact Sciences Corporation | Cologuard Collection Kit (Device) | Food and Beverage | In-kind items and services | $22.80 | General |
| Category: Oncology | ||||||
| 09/25/2023 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, ZAVZPRET | Food and Beverage | In-kind items and services | $15.69 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 09/19/2023 | Merck Sharp & Dohme LLC | VERQUVO (Drug), VERQUVO | Food and Beverage | In-kind items and services | $15.30 | General |
| Category: CARDIOVASCULAR | ||||||
| 08/22/2023 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $12.98 | General |
| Category: Cardiovascular | ||||||
| 08/08/2023 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $13.83 | General |
| Category: DIABETES | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 253 | 304 | $52,266 | $21,613 |
| 2022 | 5 | 266 | 302 | $62,988 | $19,583 |
| 2021 | 4 | 240 | 309 | $57,579 | $19,838 |
| 2020 | 5 | 416 | 493 | $68,748 | $23,693 |
All Medicare Procedures & Services
21 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 70 | 73 | $18,452 | $8,130 | 44.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 67 | 78 | $15,518 | $5,557 | 35.8% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 45 | 61 | $9,117 | $4,714 | 51.7% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 33 | 48 | $6,019 | $2,395 | 39.8% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 19 | 22 | $2,052 | $608.55 | 29.7% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2023 | 19 | 22 | $1,109 | $208.56 | 18.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 93 | 101 | $24,305 | $7,065 | 29.1% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 74 | 89 | $16,941 | $5,915 | 34.9% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 58 | 70 | $9,034 | $3,144 | 34.8% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 12 | 12 | $5,421 | $1,442 | 26.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 16 | 17 | $4,091 | $1,041 | 25.5% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 13 | 13 | $3,196 | $975.46 | 30.5% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 84 | 103 | $24,674 | $8,287 | 33.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 78 | 119 | $15,358 | $5,410 | 35.2% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 59 | 68 | $12,944 | $4,523 | 34.9% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 19 | 19 | $4,603 | $1,618 | 35.2% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 89 | 118 | $21,126 | $8,038 | 38.0% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 124 | 129 | $24,179 | $7,594 | 31.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 113 | 153 | $19,222 | $7,015 | 36.5% |
| 93000 | Routine ekg using at least 12 leads including interpretation and report | Office | 2020 | 79 | 81 | $3,500 | $730.01 | 20.9% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2020 | 11 | 12 | $720.00 | $316.14 | 43.9% |
About Jonathan Zirna, PA-C
Jonathan Zirna, PA-C is a Medical healthcare provider based in Buffalo, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/30/2017. The National Provider Identifier (NPI) number assigned to this provider is 1417485871.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Jonathan Zirna, PA-C has received a total of $3,107 in payments from pharmaceutical and medical device companies, with $349.52 received in 2024. These payments were reported across 178 transactions from 25 companies. The most common payment nature is "Food and Beverage" ($3,093).
As a Medicare-enrolled provider, Zirna has provided services to 1,175 Medicare beneficiaries, totaling 1,408 services with total Medicare billing of $84,727. Data is available for 4 years (2020–2023), covering 21 distinct procedure/service records.
Practice Information
- Specialty Medical
- Location Buffalo, NY
- Active Since 05/30/2017
- Last Updated 05/30/2017
- Taxonomy Code 363AM0700X
- Entity Type Individual
- NPI Number 1417485871
Products in Payments
- JARDIANCE (Drug) $601.23
- LifeVest (Device) $536.84
- Repatha (Biological) $248.15
- ELIQUIS (Drug) $246.61
- OPTIMIZER (Device) $208.55
- ENTRESTO (Drug) $168.00
- VYNDAQEL (Drug) $137.14
- XARELTO (Drug) $127.80
- Quadra Assura CRT Defibrillator (Device) $126.08
- VERQUVO (Drug) $59.15
- Verquvo (Drug) $49.51
- LEQVIO (Drug) $45.09
- AVEIR (Device) $43.50
- UPTRAVI (Drug) $37.74
- Kerendia (Drug) $36.92
- Impella (Device) $34.97
- BIOMONITOR (Device) $34.51
- BRILINTA (Drug) $34.00
- Arcalyst (Drug) $32.15
- INSPIRE (Device) $27.18
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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