Vsi
Payments companies reported to CMS as associated with Vsi. "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 Vsi, 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 Vsi
These are the largest totals companies reported as associated with Vsi. 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) |
|---|---|---|---|
| Sumit Patel | Robbinsdale, MN | Interventional Cardiology | $141.28 |
| Saroj Neupane | Detroit, MI | Internal Medicine | $136.58 |
| Sushruth Edla | Festus, MO | Interventional Cardiology | $136.57 |
| Brian Case | Washington, DC | Interventional Cardiology | $123.69 |
| Matthew Emerson | Saint Cloud, MN | Internal Medicine | $101.74 |
| Christopher Couch | Tyler, TX | Surgical Critical Care | $96.85 |
| Lofton Misick | Corpus Christi, TX | Vascular Surgery | $82.49 |
| Hannah Horton | Springfield, OR | Physician Assistant | $48.33 |
| Patrick Bergin | Eugene, OR | Cardiovascular Disease | $48.32 |
| Anthony Ramos | Corpus Christi, TX | Physician Assistant | $47.10 |
Prescribed Vsi?
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.