Npseal Medium
Payments companies reported to CMS as associated with Npseal Medium. "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 Npseal Medium, 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 Npseal Medium
These are the largest totals companies reported as associated with Npseal Medium. 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) |
|---|---|---|---|
| David Rivadeneira | Woodbury, NY | Colon & Rectal Surgery | $9,586.31 |
| Nivedh Paluvoi | Miami, FL | Surgery | $4,188.78 |
| Sang Lee | Los Angeles, CA | Colon & Rectal Surgery | $3,981.69 |
| Andrew Cohen | Beverly Hills, CA | $3,000.00 | |
| Marco Ferrara | Orlando, FL | Colon & Rectal Surgery | $470.88 |
| Toyooki Sonoda | New York, NY | Colon & Rectal Surgery | $320.96 |
| Ankit Sarin | Sacramento, CA | Colon & Rectal Surgery | $312.86 |
| Joshua Karas | Orlando, FL | Colon & Rectal Surgery | $307.52 |
| Lea Lowenfeld | New York, NY | Surgery | $250.82 |
| Mitchell Kramer | Huntington Station, NY | Obstetrics | $247.56 |
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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.