Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,981 | 53 | 64.0% |
| Travel and Lodging | $1,584 | 4 | 34.0% |
| Education | $90.00 | 1 | 1.9% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Terumo Medical Corporation | $1,979 | 11 | $0 (2019) |
| Endologix LLC | $993.88 | 6 | $0 (2022) |
| Medtronic Vascular, Inc. | $433.48 | 7 | $0 (2020) |
| Bard Peripheral Vascular, Inc. | $323.66 | 9 | $0 (2024) |
| Penumbra, Inc. | $207.12 | 2 | $0 (2022) |
| W. L. Gore & Associates, Inc. | $202.82 | 3 | $0 (2020) |
| Medtronic, Inc. | $147.14 | 3 | $0 (2024) |
| Ethicon US, LLC | $112.28 | 1 | $0 (2018) |
| Cardiovascular Systems Inc. | $52.55 | 2 | $0 (2021) |
| Janssen Pharmaceuticals, Inc | $28.21 | 2 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $113.47 | 3 | Medtronic, Inc. ($84.65) |
| 2023 | $59.41 | 2 | Medtronic, Inc. ($35.01) |
| 2022 | $603.74 | 10 | Bard Peripheral Vascular, Inc. ($284.54) |
| 2021 | $462.69 | 7 | Endologix LLC ($353.49) |
| 2020 | $594.54 | 10 | Endologix, LLC ($420.37) |
| 2019 | $2,268 | 17 | Terumo Medical Corporation ($1,979) |
| 2018 | $308.57 | 6 | Medtronic Vascular, Inc. ($182.70) |
| 2017 | $245.44 | 3 | Medtronic Vascular, Inc. ($235.12) |
All Payment Transactions
58 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/30/2024 | Medtronic, Inc. | ENDURANT IIS (Device) | Food and Beverage | In-kind items and services | $84.65 | General |
| Category: Aortic Stent Grafts | ||||||
| 04/22/2024 | Bard Peripheral Vascular, Inc. | Pristine (Device) | Food and Beverage | In-kind items and services | $14.72 | General |
| Category: Vascular/Oncology | ||||||
| 02/26/2024 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $14.10 | General |
| Category: Pharma Products | ||||||
| 06/12/2023 | Bard Peripheral Vascular, Inc. | Pristine (Device) | Food and Beverage | In-kind items and services | $24.40 | General |
| Category: Vascular/Oncology | ||||||
| 03/06/2023 | Medtronic, Inc. | ENDURANT IIS (Device) | Food and Beverage | In-kind items and services | $35.01 | General |
| Category: Aortic Stent Grafts | ||||||
| 09/20/2022 | Penumbra, Inc. | Indigo System (Device) | Food and Beverage | Cash or cash equivalent | $134.64 | General |
| Category: Peripheral Intervention | ||||||
| 04/20/2022 | Endologix LLC | Alto Abdominal Stent Graft System (Device) | Food and Beverage | In-kind items and services | $112.08 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 04/14/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $95.50 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 04/14/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $21.81 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 04/14/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $18.87 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 04/13/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $100.12 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 04/13/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $21.81 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 04/13/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $18.87 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 03/27/2022 | Penumbra, Inc. | Indigo System (Device) | Food and Beverage | Cash or cash equivalent | $72.48 | General |
| Category: Peripheral Intervention | ||||||
| 01/21/2022 | Bard Peripheral Vascular, Inc. | — | Food and Beverage | In-kind items and services | $7.56 | General |
| Category: BD Interventional Peripheral Intervention | ||||||
| 09/15/2021 | Cook Medical LLC | Zilver PTX (Device) | Food and Beverage | Cash or cash equivalent | $13.06 | General |
| Category: Peripheral Intervention | ||||||
| 09/14/2021 | Medtronic, Inc. | Endurant (Device) | Food and Beverage | In-kind items and services | $27.48 | General |
| Category: Aortic Stent Grafts | ||||||
| 08/18/2021 | Endologix LLC | Alto Abdominal Stent Graft System (Device) | Food and Beverage | In-kind items and services | $218.62 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 08/16/2021 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $14.62 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 07/15/2021 | Cardiovascular Systems Inc. | Diamondback Peripheral (Device) | Food and Beverage | Cash or cash equivalent | $31.89 | General |
| Category: Atherectomy Device | ||||||
| 05/17/2021 | Endologix LLC | Alto Abdominal Stent Graft System (Device) | Food and Beverage | In-kind items and services | $134.87 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 04/12/2021 | KCI USA, Inc. | Cavilon Advanced Skin Protectant (Device), Cavilon No Sting Barrier Film, V.A.C. VERAFLO | Food and Beverage | Cash or cash equivalent | $22.15 | General |
| Category: Skin Integrity | ||||||
| 12/10/2020 | Medtronic Vascular, Inc. | HawkOne (Device) | Food and Beverage | In-kind items and services | $15.66 | General |
| Category: Directional Atherectomy Devices | ||||||
| 11/19/2020 | Endologix, LLC | Ovation (Device) | Food and Beverage | In-kind items and services | $222.48 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 11/12/2020 | Tactile Systems Technology Inc | FLEXITOUCH (Device), ACTITOUCH, ENTRE | Food and Beverage | In-kind items and services | $14.13 | General |
| Category: PNEUMATIC COMPRESSOR | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 18 | 595 | 682 | $114,690 | $39,419 |
| 2022 | 15 | 488 | 583 | $78,332 | $28,647 |
| 2021 | 15 | 485 | 568 | $96,950 | $32,728 |
| 2020 | 9 | 304 | 377 | $64,756 | $20,627 |
All Medicare Procedures & Services
57 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 110 | 135 | $17,415 | $6,317 | 36.3% |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | Facility | 2023 | 11 | 11 | $16,280 | $5,194 | 31.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 57 | 74 | $14,060 | $5,073 | 36.1% |
| 37224 | Balloon dilation of artery of leg | Facility | 2023 | 11 | 13 | $12,493 | $3,703 | 29.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 49 | 49 | $7,889 | $2,755 | 34.9% |
| 75710 | Review by radiologist of arm or leg artery image | Facility | 2023 | 29 | 35 | $5,670 | $2,179 | 38.4% |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | Facility | 2023 | 11 | 11 | $6,149 | $2,121 | 34.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 24 | 24 | $6,264 | $2,120 | 33.8% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2023 | 76 | 87 | $6,090 | $1,870 | 30.7% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 19 | 19 | $4,921 | $1,863 | 37.9% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 28 | 28 | $5,376 | $1,751 | 32.6% |
| 75625 | Review by radiologist of abdominal aorta image | Facility | 2023 | 24 | 26 | $3,692 | $1,320 | 35.7% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 12 | 14 | $1,918 | $834.82 | 43.5% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 15 | 19 | $1,425 | $711.74 | 49.9% |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Facility | 2023 | 59 | 72 | $1,800 | $669.53 | 37.2% |
| 76937 | Ultrasonic guidance for blood vessel access | Facility | 2023 | 32 | 36 | $1,260 | $387.00 | 30.7% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Facility | 2023 | 16 | 16 | $1,520 | $373.82 | 24.6% |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | Facility | 2023 | 12 | 13 | $468.00 | $176.41 | 37.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 58 | 69 | $11,710 | $4,989 | 42.6% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 101 | 140 | $9,280 | $3,364 | 36.3% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 38 | 40 | $7,736 | $3,029 | 39.1% |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | Facility | 2022 | 13 | 13 | $10,179 | $2,545 | 25.0% |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | Facility | 2022 | 12 | 14 | $7,401 | $2,451 | 33.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 46 | 48 | $5,583 | $2,180 | 39.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 19 | 19 | $4,777 | $1,950 | 40.8% |
About Dr. Patricio Rosa Sierra, MD
Dr. Patricio Rosa Sierra, MD is a Vascular Surgery healthcare provider based in Elizabethtown, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/29/2005. The National Provider Identifier (NPI) number assigned to this provider is 1629055868.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Patricio Rosa Sierra, MD has received a total of $4,656 in payments from pharmaceutical and medical device companies, with $113.47 received in 2024. These payments were reported across 58 transactions from 21 companies. The most common payment nature is "Food and Beverage" ($2,981).
As a Medicare-enrolled provider, Rosa Sierra has provided services to 1,872 Medicare beneficiaries, totaling 2,210 services with total Medicare billing of $121,420. Data is available for 4 years (2020–2023), covering 57 distinct procedure/service records.
Practice Information
- Specialty Vascular Surgery
- Other Specialties Vascular Surgery
- Location Elizabethtown, KY
- Active Since 12/29/2005
- Last Updated 09/30/2025
- Taxonomy Code 2086S0129X
- Entity Type Individual
- NPI Number 1629055868
Products in Payments
- Navicross (Device) $1,814
- Alto Abdominal Stent Graft System (Device) $465.57
- Ovation (Device) $420.37
- Indigo System (Device) $207.12
- Valiant Captivia (Device) $182.70
- IN.PACT Admiral (Device) $140.65
- VIABAHN Endoprosthesis with Heparin Bioactive Surface (Device) $127.95
- ENDURANT IIS (Device) $119.66
- Enseal X1 5mm (Device) $112.28
- AFX (Device) $107.94
- Adapta (Device) $94.47
- Optitorque (Device) $90.00
- EXCLUDER AAA Endoprosthesis (Device) $74.87
- Pristine (Device) $39.12
- AZUR (Device) $38.41
- TR Band (Device) $36.21
- Diamondback Peripheral (Device) $31.89
- XARELTO (Drug) $28.21
- Endurant (Device) $27.48
- PRALUENT (Biological) $26.21
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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.