True Flow
Payments companies reported to CMS as associated with True Flow. "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 True Flow, 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 True Flow
These are the largest totals companies reported as associated with True Flow. 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) |
|---|---|---|---|
| Nishant Sethi | Scranton, PA | Interventional Cardiology | $257.89 |
| Pedro Villablanca Spinetto | Detroit, MI | Cardiovascular Disease | $144.62 |
| Arturo Giacaman Saavedra | Detroit, MI | Interventional Cardiology | $144.62 |
| Rommel Yap | Detroit, MI | Interventional Cardiology | $144.62 |
| William Oneill | Naples, FL | Cardiovascular Disease | $107.62 |
| Animesh Rathore | Norfolk, VA | Vascular Surgery | $101.68 |
| Jean Panneton | Virginia Beach, VA | Vascular Surgery | $101.68 |
| David Dexter | Norfolk, VA | Vascular Surgery | $101.68 |
| Todd Gensler | Va Beach, VA | Vascular Surgery | $101.67 |
| Justin Milligan | Virginia Beach, VA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $101.67 |
Prescribed True Flow?
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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.