Optium (Tgel & Tput)
Payments companies reported to CMS as associated with Optium (Tgel & Tput). "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 Optium (Tgel & Tput), 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 Optium (Tgel & Tput)
These are the largest totals companies reported as associated with Optium (Tgel & Tput). 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) |
|---|---|---|---|
| Mauricio Avila Guerra | Saint Louis, MO | Neurological Surgery | $118.13 |
| Emil Azer | East Syracuse, NY | Orthopaedic Trauma | $117.47 |
| Aymen Rashid | New Hartford, NY | Orthopaedic Surgery of The Spine | $117.46 |
| Jorge Urquiaga | St. Louis, MO | Neurological Surgery | $107.73 |
| Ali Hazama | Syracuse, NY | Neurological Surgery | $104.50 |
| Ernest Chisena | Centerport, NY | Orthopaedic Surgery | $85.01 |
| Amory Fiore | Greenwich, CT | Neurological Surgery | $66.38 |
| Duc Pham | Scottsdale, AZ | Plastic Surgery | $51.62 |
| Chelsea Blaney | Albany, NY | Surgical | $50.00 |
| Sean Ceci | Albany, NY | Surgical | $50.00 |
Prescribed Optium (Tgel & Tput)?
See what its makers reported for your doctor. Two steps, private, no account.
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.