Puma System
Payments companies reported to CMS as associated with Puma System. "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 Puma System, 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 Puma System
These are the largest totals companies reported as associated with Puma System. 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) |
|---|---|---|---|
| Faraz Jaffer | Plantation, FL | Critical Care Medicine (Internal Medicine) | $36,119.44 |
| Angela Argento | Baltimore, MD | Pulmonary Disease | $9,850.10 |
| Ashutosh Sachdeva | Baltimore, MD | Pulmonary Disease | $2,720.77 |
| Jennifer Rippon | Baton Rouge, LA | Pulmonary Disease | $2,029.92 |
| Amay Parikh | Orlando, FL | Critical Care Medicine (Internal Medicine) | $1,682.28 |
| Joshua Huelster | Minneapolis, MN | Critical Care Medicine (Internal Medicine) | $1,612.20 |
| Nicholas Pastis | Columbus, OH | Critical Care Medicine (Internal Medicine) | $1,377.60 |
| Shaheen Islam | Augusta, GA | Pulmonary Disease | $748.26 |
| Asif Saberi | Marietta, GA | Critical Care Medicine (Internal Medicine) | $706.51 |
| Samson Zarbiv | Camden, NJ | Critical Care Medicine (Internal Medicine) | $698.78 |
Prescribed Puma System?
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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.