Total Payments
$55,657
2024 Payments
$41,075
Companies
3
Transactions
59
Medicare Patients
2,932
Medicare Billing
$340,295
Payment Breakdown by Category
Other$26,775 (48.1%)
Consulting$17,500 (31.4%)
Travel$10,104 (18.2%)
Food & Beverage$1,277 (2.3%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Compensation for serving as faculty or as a speaker for a medical education program | $26,775 | 7 | 48.1% |
| Consulting Fee | $17,500 | 7 | 31.4% |
| Travel and Lodging | $10,104 | 26 | 18.2% |
| Food and Beverage | $1,277 | 19 | 2.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Silk Road Medical, Inc. | $54,112 | 43 | $0 (2024) |
| Medtronic Vascular, Inc. | $1,485 | 15 | $0 (2019) |
| Medtronic, Inc. | $59.71 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $41,075 | 32 | Silk Road Medical, Inc. ($41,075) |
| 2023 | $13,097 | 12 | Silk Road Medical, Inc. ($13,037) |
| 2019 | $1,175 | 8 | Medtronic Vascular, Inc. ($1,175) |
| 2018 | $68.88 | 2 | Medtronic Vascular, Inc. ($68.88) |
| 2017 | $241.02 | 5 | Medtronic Vascular, Inc. ($241.02) |
All Payment Transactions
59 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/20/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Stent (Device), ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter, ENROUTE Transcarotid Neuroprotection System | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $3,500.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 12/09/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Food and Beverage | In-kind items and services | $200.53 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 12/08/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Stent (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Neuroprotection System | Travel and Lodging | In-kind items and services | $789.95 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 12/08/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Stent, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | In-kind items and services | $243.68 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 12/08/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | In-kind items and services | $197.95 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 10/16/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Food and Beverage | In-kind items and services | $129.38 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 10/10/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $2,100.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 10/10/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Neuroprotection System | Travel and Lodging | Cash or cash equivalent | $49.58 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 10/03/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Stent, ENROUTE Transcarotid Neuroprotection System | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $5,250.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/26/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Travel and Lodging | In-kind items and services | $591.53 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/26/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter, ENROUTE Transcarotid Stent | Travel and Lodging | In-kind items and services | $309.08 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/26/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | In-kind items and services | $154.77 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/20/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $5,250.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/19/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Stent, ENROUTE Transcarotid Neuroprotection System | Travel and Lodging | In-kind items and services | $1,904.20 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/11/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $3,500.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/11/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Stent, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | Cash or cash equivalent | $237.18 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/11/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Stent (Device), ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter, ENROUTE Transcarotid Neuroprotection System | Travel and Lodging | Cash or cash equivalent | $149.58 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 07/26/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Stent (Device), ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter, ENROUTE Transcarotid Neuroprotection System | Compensation for serving as faculty or as a speaker for a medical education program | Cash or cash equivalent | $5,250.00 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 07/26/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | Cash or cash equivalent | $158.12 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 07/14/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Travel and Lodging | In-kind items and services | $173.99 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 05/17/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter | Food and Beverage | In-kind items and services | $184.70 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 05/16/2024 | Silk Road Medical, Inc. | ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device), ENROUTE Transcarotid Stent, ENROUTE Transcarotid Neuroprotection System | Travel and Lodging | In-kind items and services | $1,096.20 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 05/16/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Travel and Lodging | In-kind items and services | $373.32 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 05/16/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Neuroprotection System (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent | Travel and Lodging | In-kind items and services | $288.25 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 05/16/2024 | Silk Road Medical, Inc. | ENROUTE Transcarotid Stent (Device), ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Neuroprotection System | Food and Beverage | In-kind items and services | $154.50 | General |
| Category: Cardiology/Vascular Diseases | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 718 | 822 | $336,668 | $92,792 |
| 2022 | 17 | 714 | 819 | $202,578 | $84,800 |
| 2021 | 15 | 741 | 853 | $176,728 | $79,210 |
| 2020 | 17 | 759 | 843 | $211,716 | $83,494 |
Total Patients
2,932
Total Services
3,337
Medicare Billing
$340,295
Procedure Codes
64
All Medicare Procedures & Services
64 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 37215 | Insertion of stent and blood clot protection device in neck artery with review by radiologist | Facility | 2023 | 39 | 43 | $177,201 | $31,576 | 17.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 263 | 332 | $39,840 | $21,200 | 53.2% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 106 | 106 | $21,200 | $8,688 | 41.0% |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | Facility | 2023 | 11 | 11 | $15,550 | $5,498 | 35.4% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 40 | 42 | $10,257 | $4,101 | 40.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 36 | 40 | $7,400 | $3,784 | 51.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 32 | 32 | $10,240 | $3,659 | 35.7% |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | Facility | 2023 | 14 | 17 | $26,944 | $3,269 | 12.1% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 27 | 46 | $5,925 | $2,827 | 47.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 62 | 62 | $5,270 | $2,537 | 48.1% |
| 36200 | Insertion of tube into aorta | Facility | 2023 | 19 | 19 | $6,650 | $1,840 | 27.7% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 11 | 11 | $3,750 | $1,387 | 37.0% |
| 75716 | Review by radiologist of both arms or legs arteries image | Facility | 2023 | 15 | 15 | $2,610 | $1,064 | 40.8% |
| 75625 | Review by radiologist of abdominal aorta image | Facility | 2023 | 20 | 20 | $2,864 | $1,012 | 35.3% |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | Facility | 2023 | 23 | 26 | $967.00 | $346.75 | 35.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 311 | 372 | $43,552 | $24,867 | 57.1% |
| 37215 | Insertion of stent and blood clot protection device in neck artery with review by radiologist | Facility | 2022 | 22 | 25 | $62,875 | $19,518 | 31.0% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 91 | 91 | $16,240 | $7,661 | 47.2% |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | Facility | 2022 | 13 | 13 | $17,745 | $6,795 | 38.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 35 | 37 | $6,467 | $3,664 | 56.7% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 34 | 61 | $7,023 | $3,421 | 48.7% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 21 | 21 | $5,908 | $2,748 | 46.5% |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | Facility | 2022 | 13 | 13 | $10,164 | $2,574 | 25.3% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 24 | 25 | $5,425 | $2,513 | 46.3% |
| 36200 | Insertion of tube into aorta | Facility | 2022 | 22 | 23 | $8,050 | $2,427 | 30.1% |
About Dr. Lamiere Downing, MD
Dr. Lamiere Downing, MD is a Surgery healthcare provider based in Christiansburg, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/09/2005. The National Provider Identifier (NPI) number assigned to this provider is 1699750976.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Lamiere Downing, MD has received a total of $55,657 in payments from pharmaceutical and medical device companies, with $41,075 received in 2024. These payments were reported across 59 transactions from 3 companies. The most common payment nature is "Compensation for serving as faculty or as a speaker for a medical education program" ($26,775).
As a Medicare-enrolled provider, Downing has provided services to 2,932 Medicare beneficiaries, totaling 3,337 services with total Medicare billing of $340,295. Data is available for 4 years (2020–2023), covering 64 distinct procedure/service records.
Ad
Practice Information
- Specialty Surgery
- Other Specialties Surgical Critical Care
- Location Christiansburg, VA
- Active Since 12/09/2005
- Last Updated 08/11/2011
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1699750976
Products in Payments
- ENROUTE Transcarotid Stent (Device) $20,403
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter (Device) $17,706
- ENROUTE Transcarotid Neuroprotection System (Device) $16,004
- Valiant Navion (Device) $1,134
- Endurant (Device) $351.02
- ENDURANT IIS (Device) $59.71
Explore
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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