Device Flow Diversion

Pipeline

Payments companies reported to CMS as associated with Pipeline. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$2.8Massociated payments (2023-2025)
1,637clinicians with associated payments
4companies reporting

By year

2023 $858K
2024 $903K
2025 $1.1M

Payments reported as associated with Pipeline, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Neurological Surgery $1.2M
Vascular & Interventional Radiology $495K
Neuroradiology $358K
Vascular Neurology $278K
Diagnostic Radiology $173K
Neurology (Psychiatry & Neurology) $169K

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Pipeline

These are the largest totals companies reported as associated with Pipeline. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
Daniel Sahlein Carmel, IN Vascular & Interventional Radiology $286,356.63
Maksim Shapiro New York, NY Neuroradiology $124,370.52
Santiago Ortega Gutierrez Iowa City, IA Vascular & Interventional Radiology $119,434.10
Aniel Majjhoo Flint, MI Vascular Neurology $110,498.60
Alois Zauner San Diego, CA Neurological Surgery $106,004.65
Jason Davies Buffalo, NY Neurological Surgery $94,661.44
Ramesh Grandhi Salt Lake City, UT Neurological Surgery $78,904.25
Ricardo Hanel Jacksonville, FL Neurological Surgery $70,690.48
Stavropoula Tjoumakaris Philadelphia, PA Neurological Surgery $70,623.54
Amon Liu Redwood City, CA Neuroradiology $56,354.78

Prescribed Pipeline?

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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.