Cashflow Solutions, LLC
Reporting payments is a legal requirement; large totals often reflect large product portfolios.
$306Kgeneral payments (2019-2025)
$50Kresearch payments (2019-2025)
2,335clinicians paid
General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.
General payments by year
General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.
Products most associated with its payments
Specialties it works with most
Clinicians with the largest reported totals
Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.
| Clinician | Location | Specialty | General payments (2019-2025) |
|---|---|---|---|
| Karen Herbst | Tucson, AZ | Endocrinology, Diabetes & Metabolism | $186,361.25 |
| Richard Klein | Orlando, FL | Plastic Surgery | $5,289.95 |
| Salvador Abrams | San Antonio, TX | Emergency Medicine | $4,469.75 |
| William Pasley | Salem, VA | Surgery | $4,001.20 |
| Wendell Richardson | Fairmont, NC | Family Medicine | $3,222.45 |
| John Horowitz | Ocoee, FL | Vascular Surgery | $3,125.68 |
| Akash Patel | Melbourne, FL | Vascular & Interventional Radiology | $2,727.31 |
| John Hogg | San Antonio, TX | Vascular & Interventional Radiology | $2,682.88 |
| Joseph Wrobleski | Ocoee, FL | Vascular Surgery | $2,622.35 |
| Santiago Chahwan | Naples, FL | Vascular Surgery | $2,565.41 |
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.