Reflexion Spiral
Payments companies reported to CMS as associated with Reflexion Spiral. "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 Reflexion Spiral, 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 Reflexion Spiral
These are the largest totals companies reported as associated with Reflexion Spiral. 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) |
|---|---|---|---|
| Gilad Birnbaum | New Braunfels, TX | Clinical Cardiac Electrophysiology | $15.15 |
| Jie Cheng | Houston, TX | Clinical Cardiac Electrophysiology | $15.15 |
| Michael Tan | Greenwood Village, CO | Anesthesiology | $15.14 |
| Anum Saeed | Pittsburgh, PA | Cardiovascular Disease | $15.14 |
| John Seger | Houston, TX | Clinical Cardiac Electrophysiology | $15.14 |
| Alberto Lopez | Houston, TX | $15.14 | |
| Robert Paisley | Houston, TX | Clinical Cardiac Electrophysiology | $15.14 |
Prescribed Reflexion Spiral?
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.