Nucletron Operations B.V.

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$13Kgeneral payments (2019-2025)
$0.00research payments (2019-2025)
9clinicians 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

2022 $7,349
2023 $2,836
2024 $2,320
2025 $550

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

Urology $7,558
Radiation Oncology $4,947

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.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Robert Karnes Rochester, MN Urology $5,337.31
Peter Orio Boston, MA Radiation Oncology $4,031.34
Karim Touijer New York, NY Urology $2,221.09
Barbara Schwartzberg Denver, CO $550.00
Daniel Spratt Cleveland, OH Radiation Oncology $535.44
Rahul Tendulkar Cleveland, OH Radiation Oncology $203.81
Kevin Albuquerque Dallas, TX Radiation Oncology $166.79
Alvaro Martinez Farmington Hills, MI Radiation Oncology $9.18

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.