Optimizer
Payments companies reported to CMS as associated with Optimizer. "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 Optimizer, 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 Optimizer
These are the largest totals companies reported as associated with Optimizer. 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) |
|---|---|---|---|
| Javed Butler | Jackson, MS | Advanced Heart Failure and Transplant Cardiology | $781,804.88 |
| Nancy Bonnet | Morristown, NJ | Nurse Practitioner | $746,041.50 |
| Daniel Burkhoff | Saddlebrook, NJ | $724,822.44 | |
| Rami Kahwash | Columbus, OH | Advanced Heart Failure and Transplant Cardiology | $362,453.10 |
| Gregg Stone | New York, NY | Cardiovascular Disease | $234,000.00 |
| Niraj Varma | Maywood, IL | Cardiovascular Disease | $149,050.76 |
| Andrew Kaplan | Mesa, AZ | Cardiovascular Disease | $148,036.21 |
| Peter Carson | Washington, DC | $108,226.36 | |
| Isaac Whitman | Philadelphia, PA | Clinical Cardiac Electrophysiology | $87,512.44 |
| David Snipelisky | Weston, FL | Advanced Heart Failure and Transplant Cardiology | $86,668.76 |
Prescribed Optimizer?
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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.