Device Cardiothoracic

Mi-Chord

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

$138Kassociated payments (2023-2025)
15clinicians with associated payments
1company reporting

By year

2025 $138K

Payments reported as associated with Mi-Chord, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Thoracic Surgery (Cardiothoracic Vascular Surgery) $136K
Surgical $2,461
Gerontology (Nurse Practitioner) $58.80
Anesthesiology $16.26

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

Clinicians most associated with Mi-Chord

These are the largest totals companies reported as associated with Mi-Chord. 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)
Michael Defrain Pensacola, FL Thoracic Surgery (Cardiothoracic Vascular Surgery) $64,757.00
Mahesh Ramchandani Houston, TX Thoracic Surgery (Cardiothoracic Vascular Surgery) $27,567.21
Mario Castillo-Sang Edgewood, KY Thoracic Surgery (Cardiothoracic Vascular Surgery) $20,275.44
Juan Penaranda-Canal Edgewood, KY Thoracic Surgery (Cardiothoracic Vascular Surgery) $14,106.41
Ziyab Sarfaraz Houston, TX Thoracic Surgery (Cardiothoracic Vascular Surgery) $4,968.93
Gianluca Torregrossa Chicago, IL Thoracic Surgery (Cardiothoracic Vascular Surgery) $3,489.18
Amanda Yakobitis Wynnewood, PA Surgical $2,460.62
Husam Balkhy Chicago, IL Thoracic Surgery (Cardiothoracic Vascular Surgery) $224.19
Carrie Baker Port Charlotte, FL Gerontology (Nurse Practitioner) $58.80
Ernesto Jimenez Winchester, VA Thoracic Surgery (Cardiothoracic Vascular Surgery) $45.46

Prescribed Mi-Chord?

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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.