Tri-Ad
Payments companies reported to CMS as associated with Tri-Ad. "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 Tri-Ad, 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 Tri-Ad
These are the largest totals companies reported as associated with Tri-Ad. 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) |
|---|---|---|---|
| Javier Castillo-Granero | Bayamon, PR | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $594.57 |
| Yuichi Ishida | Newport Beach, CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $146.79 |
| Hector Gonzalez | Newport Beach, CA | Physician Assistant | $146.78 |
| Fernando Garzia | Rehoboth Beach, DE | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $141.78 |
| Javier Castillo | Ponce, PR | Urology | $90.96 |
| Paul Perry | Sacramento, CA | Surgery | $59.97 |
| William Turner | Tyler, TX | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $56.79 |
| Gregory Fontana | Thousand Oaks, CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $56.45 |
| Sheldon Freeberg | Tyler, TX | Interventional Cardiology | $47.43 |
| Fenton Mccarthy | Albuquerque, NM | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $42.56 |
Prescribed Tri-Ad?
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.