Presto
Payments companies reported to CMS as associated with Presto. "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 Presto, 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 Presto
These are the largest totals companies reported as associated with Presto. 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) |
|---|---|---|---|
| Paul Svigals | Mount Laurel, NJ | Vascular & Interventional Radiology | $49.91 |
| Karandeep Jagpal | Cherry Hill, NJ | Nephrology (Internal Medicine) | $49.91 |
| Philip Green | New York, NY | Interventional Cardiology | $48.45 |
| Ramesh Gowda | New York, NY | Interventional Cardiology | $34.31 |
| Joseph Ricotta | Delray Beach, FL | Vascular Surgery | $31.37 |
| Andrea Lacourciere | New York, NY | Family | $26.12 |
| Sean Ryan | Lewes, DE | Vascular Surgery | $23.90 |
| Darryn Appleton | Richmond, VA | Interventional Cardiology | $21.53 |
| David Goldstein | Cherry Hill, NJ | Vascular & Interventional Radiology | $19.50 |
| Behdad Aryavand | Manassas, VA | Vascular Surgery | $16.97 |
Prescribed Presto?
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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.