Total Payments
$52,676
2024 Payments
$5,523
Companies
47
Transactions
551
Medicare Patients
1,459
Medicare Billing
$314,383

Payment Breakdown by Category

Food & Beverage$34,016 (64.6%)
Travel$10,502 (19.9%)
Consulting$7,920 (15.0%)
Other$200.00 (0.4%)
Education$24.30 (0.0%)
Gifts$13.57 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $34,016 501 64.6%
Travel and Lodging $10,502 45 19.9%
Consulting Fee $7,920 1 15.0%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $200.00 1 0.4%
Education $24.30 2 0.0%
Gift $13.57 1 0.0%

Top Paying Companies

Company Total Records Latest Year
Abbott Laboratories $10,016 104 $0 (2024)
Baxter Healthcare $9,745 25 $0 (2024)
ABIOMED $8,769 100 $0 (2024)
ATRICURE, INC. $7,478 61 $0 (2024)
Edwards Lifesciences Corporation $3,946 45 $0 (2024)
INTUITIVE SURGICAL, INC. $2,464 26 $0 (2024)
Medtronic, Inc. $1,374 16 $0 (2024)
KLS-Martin L.P. $1,143 19 $0 (2024)
Medtronic Vascular, Inc. $1,081 23 $0 (2020)
ClearFlow Inc. $742.90 6 $0 (2022)

Payment History by Year

Year Amount Transactions Top Company
2024 $5,523 56 ATRICURE, INC. ($2,127)
2023 $4,817 53 ATRICURE, INC. ($2,506)
2022 $4,791 55 Intuitive Surgical, Inc. ($1,675)
2021 $4,932 65 ABIOMED ($3,053)
2020 $3,319 47 ABIOMED ($1,986)
2019 $14,860 83 BAXTER HEALTHCARE ($8,581)
2018 $7,586 98 Abbott Laboratories ($3,700)
2017 $6,849 94 Abbott Laboratories ($3,479)

All Payment Transactions

551 individual payment records from CMS Open Payments — Page 1 of 23

Date Company Product Nature Form Amount Type
12/17/2024 Abbott Laboratories AMPLATZER AMULET (Device) Food and Beverage In-kind items and services $122.71 General
Category: Structural Heart
12/13/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $31.96 General
Category: Cardiology/Vascular Diseases
12/05/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $31.12 General
Category: Cardiology/Vascular Diseases
12/03/2024 INTUITIVE SURGICAL, INC. Da Vinci Surgical System (Device) Food and Beverage In-kind items and services $31.25 General
Category: SURGERY
11/18/2024 ATRICURE, INC. ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM (Device) Food and Beverage In-kind items and services $170.61 General
Category: CARDIOVASCULAR
11/05/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $143.60 General
Category: Cardiology/Vascular Diseases
11/05/2024 Davol Inc. ARISTA AH FlexiTip (Device) Food and Beverage In-kind items and services $16.23 General
Category: Surgery
10/24/2024 Medtronic, Inc. MOSAIC (Device) Food and Beverage In-kind items and services $3.06 General
Category: Heart Valves
10/23/2024 Medtronic, Inc. SIMULUS (Device) Food and Beverage In-kind items and services $109.40 General
Category: Heart Valves
10/10/2024 Medtronic, Inc. AVALUS (Device) Food and Beverage In-kind items and services $139.22 General
Category: Heart Valves
09/12/2024 Corcym Inc MI DETACH - AORTIC CROSS CLAMP - DELIVERY SYSTEM KIT (Device) Food and Beverage In-kind items and services $44.78 General
Category: CARDIAC SURGERY
09/03/2024 Integra LifeSciences Corporation CODMAN CERTAS (Device), CUSA CLARITY, CODMAN HAKIM Food and Beverage In-kind items and services $21.44 General
Category: Neuro Critical Care
08/28/2024 ATRICURE, INC. SYNERGY ABLATION SYSTEM (Device) Food and Beverage In-kind items and services $173.49 General
Category: CARDIOVASCULAR
08/22/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $38.59 General
Category: Cardiology/Vascular Diseases
08/14/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $31.48 General
Category: Cardiology/Vascular Diseases
08/13/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $34.08 General
Category: Cardiology/Vascular Diseases
08/06/2024 Solventum Corporation PREVENA (Device) Food and Beverage Cash or cash equivalent $28.44 General
Category: Negative Pressure Systems & Dressings
07/29/2024 ATRICURE, INC. EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX (Device) Food and Beverage In-kind items and services $13.60 General
Category: CARDIOVASCULAR
07/28/2024 ATRICURE, INC. EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX (Device) Food and Beverage In-kind items and services $135.03 General
Category: CARDIOVASCULAR
07/03/2024 Baxter Healthcare PERCLOT (Device) Food and Beverage In-kind items and services $123.12 General
Category: Surgical Care
07/03/2024 Baxter Healthcare PERCLOT (Device) Food and Beverage In-kind items and services $12.20 General
Category: Surgical Care
07/02/2024 Lexington Medical, Inc. Aeon Endostapler & Echelon Flex Powered Stapler (Device) Food and Beverage Cash or cash equivalent $144.99 General
Category: Surgical stapling device
06/13/2024 Elite Orthopedics, Llc Food and Beverage In-kind items and services $19.62 General
06/06/2024 Zimmer Biomet Holdings, Inc. STERNALOCK BLU SYSTEM (Device) Food and Beverage In-kind items and services $21.39 General
Category: CMF & Thoracic
06/04/2024 Kiniksa Pharmaceuticals International, plc Arcalyst (Drug) Food and Beverage In-kind items and services $17.25 General
Category: Not Applicable

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 12 241 256 $245,947 $43,899
2022 12 336 349 $418,110 $73,181
2021 14 420 450 $525,109 $92,511
2020 15 462 485 $579,965 $104,793
Total Patients
1,459
Total Services
1,540
Medicare Billing
$314,383
Procedure Codes
53

All Medicare Procedures & Services

53 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
33533 Coronary artery bypass using artery graft, 1 graft Facility 2023 17 17 $144,500 $19,061 13.2%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2023 33 33 $17,130 $5,673 33.1%
32663 Exam of lung with removal of lung lobe using an endoscope Facility 2023 11 11 $32,879 $5,620 17.1%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 51 61 $9,690 $3,742 38.6%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 17 18 $6,440 $1,859 28.9%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 17 21 $5,385 $1,715 31.8%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 12 12 $6,000 $1,652 27.5%
32674 Removal of lymph nodes of chest cavity using an endoscope Facility 2023 21 21 $10,080 $1,549 15.4%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 12 12 $4,645 $1,450 31.2%
76998 Ultrasonic guidance during surgery Facility 2023 15 15 $6,150 $726.90 11.8%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 13 13 $1,420 $576.01 40.6%
33508 Harvest of vein using an endoscope Facility 2023 22 22 $1,628 $276.54 17.0%
33533 Coronary artery bypass using artery graft, 1 graft Facility 2022 19 19 $155,550 $24,765 15.9%
33534 Coronary artery bypass using artery graft, 2 grafts Facility 2022 12 12 $123,600 $20,246 16.4%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2022 45 45 $22,050 $7,821 35.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 73 86 $12,900 $4,929 38.2%
33518 Coronary artery bypass using vein or artery graft, 2 grafts Facility 2022 15 15 $31,460 $4,654 14.8%
99222 Initial hospital inpatient care per day, typically 50 minutes Facility 2022 25 25 $8,875 $2,686 30.3%
35600 Harvest of arm artery segment for heart byplass procedure Facility 2022 15 15 $30,000 $2,239 7.5%
76998 Ultrasonic guidance during surgery Facility 2022 42 42 $17,220 $2,078 12.1%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 15 15 $5,775 $1,585 27.4%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2022 30 30 $3,150 $1,090 34.6%
32674 Removal of lymph nodes of chest cavity using an endoscope Facility 2022 15 15 $5,310 $696.01 13.1%
33508 Harvest of vein using an endoscope Facility 2022 30 30 $2,220 $391.79 17.6%
33533 Heart artery bypass, single graft Facility 2021 21 21 $174,675 $26,582 15.2%

About Dr. Nabil Munfakh, MD

Dr. Nabil Munfakh, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) healthcare provider based in Saint Louis, Missouri. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/13/2006. The National Provider Identifier (NPI) number assigned to this provider is 1578634226.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nabil Munfakh, MD has received a total of $52,676 in payments from pharmaceutical and medical device companies, with $5,523 received in 2024. These payments were reported across 551 transactions from 47 companies. The most common payment nature is "Food and Beverage" ($34,016).

As a Medicare-enrolled provider, Munfakh has provided services to 1,459 Medicare beneficiaries, totaling 1,540 services with total Medicare billing of $314,383. Data is available for 4 years (2020–2023), covering 53 distinct procedure/service records.

Practice Information

Products in Payments

  • Impella (Device) $8,769
  • No Related Product (Device) $8,356
  • EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX (Device) $3,228
  • Pacemakers (Device) $2,567
  • Da Vinci Surgical System (Device) $2,264
  • Trifecta GT Tissue Heart Valve (Device) $2,115
  • MITRIS RESILIA Mitral Valve (Device) $951.59
  • AVALUS (Device) $905.34
  • Quadra Assura CRT Defibrillator (Device) $851.00
  • ATRICURE SYNERGY ABLATION SYSTEM (Device) $838.89
  • Perclose ProGlide suture mediated closure system (Device) $809.06
  • PleuraFlow (Device) $725.99
  • ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER (Device) $687.26
  • AtriCure Synergy Ablation System (Device) $657.28
  • EDWARDS INTUITY Elite valve system (Device) $638.18
  • INSPIRIS RESILIA aortic valve (Device) $582.96
  • ICDs (Device) $524.52
  • ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM (Device) $511.50
  • PREVELEAK (Device) $504.34
  • CoreValve Evolut (Device) $472.01

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Saint Louis