Paradigm Temporization
Payments companies reported to CMS as associated with Paradigm Temporization. "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 Paradigm Temporization, 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 Paradigm Temporization
These are the largest totals companies reported as associated with Paradigm Temporization. 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) |
|---|---|---|---|
| Frederick Balbo | Wood Ridge, NJ | General Practice (Dentist) | $98.85 |
| Ila Mankad | Brentwood, CA | General Practice (Dentist) | $54.15 |
| Amor Tiburcio | Brentwood, CA | General Practice (Dentist) | $54.14 |
| Reynaldo Gomez Valenzuela | Orlando, FL | Dentist | $51.49 |
| Sayamol Voraragsa | New City, NY | Dentist | $49.26 |
| Gunanand Persaud | Bronx, NY | General Practice (Dentist) | $44.17 |
| Fadel Carcamo | Bronx, NY | General Practice (Dentist) | $44.17 |
| Arnold Liebman | Long Island City, NY | General Practice (Dentist) | $44.17 |
| Bret Annoni | Walnut Creek, CA | General Practice (Dentist) | $42.50 |
| Benjamin Geleris | Walnut Creek, CA | General Practice (Dentist) | $42.50 |
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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.