Exacto
Payments companies reported to CMS as associated with Exacto. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Exacto, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Exacto
These are the largest totals companies reported as associated with Exacto. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Venkataraman Muthusamy | Los Angeles, CA | Gastroenterology (Internal Medicine) | $114.74 |
| Mihir Wagh | Aurora, CO | Gastroenterology (Internal Medicine) | $92.23 |
| Shailendra Singh | Morgantown, WV | Gastroenterology (Internal Medicine) | $92.23 |
| Thomas Mccarty | Houston, TX | Gastroenterology (Internal Medicine) | $92.23 |
| Gabriel Lang | Saint Louis, MO | Gastroenterology (Internal Medicine) | $92.23 |
| Richard Kwon | Ann Arbor, MI | Gastroenterology (Internal Medicine) | $92.23 |
| Michelle Baliss | Saint Louis, MO | Gastroenterology (Internal Medicine) | $92.23 |
| Arvind Rengarajan | Saint Louis, MO | Gastroenterology (Internal Medicine) | $92.23 |
| Samuel Han | Rochester, MN | Gastroenterology (Internal Medicine) | $92.23 |
| Koushik Das | Saint Louis, MO | Gastroenterology (Internal Medicine) | $92.23 |
Prescribed Exacto?
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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.