Cashflow Solutions, LLC: payments to clinicians

922 clinicians received $65,097 from Cashflow Solutions, LLC in 2025; Internal Medicine, Endocrinology, Diabetes & Metabolism is the most common specialty among the largest recipients. Most of it (55%) was consulting fees, then food and beverage (35%). The largest single recipient (Internal Medicine, Endocrinology, Diabetes & Metabolism, Arizona) received $36,422.

Program year	Total	Payments	Clinicians paid
2025	$65,097	1,139	922
2024	$66,646	1,343	1,046

Largest recipients in 2025

#	Clinician	Specialty	Location	Amount
1	Karen Louise Herbst, PH.D., M.D.	Internal Medicine, Endocrinology, Diabetes & Metabolism	Tucson, AZ	$36,422
2	Wendell L. Richardson, M.D.	Family Medicine	Fairmont, NC	$3,222
3	Rebecca M. Perkins, APRN.CNP	Nurse Practitioner	Dublin, OH	$1,978
4	Arthur P. Topoulos, MD	Nuclear Medicine, Nuclear Cardiology	Philadelphia, PA	$648.00
5	Jason Joseph George	Internal Medicine, Cardiovascular Disease	Livonia, MI	$250.19
6	Timothy P. Bumann, D.O.	Emergency Medicine, Undersea and Hyperbaric Medicine	Abilene, TX	$199.27
7	Diego Escobar, MD	Internal Medicine	Tampa, FL	$178.04
8	Rodrigo B. Fonseca, MD	Surgery, Vascular Surgery	Pembroke Pines, FL	$164.10
9	Mark Conant Jr., M.D.	Surgery, Vascular Surgery	St Petersburg, FL	$155.55
10	John H. Iljas, D.O.	Surgery, Vascular Surgery	Livonia, MI	$147.42
11	Frank A. Vicini, M.D.	Radiology, Radiation Oncology	Pontiac, MI	$137.05
12	Jae Won Lim Layug	Nurse Practitioner, Acute Care	Davenport, FL	$135.84
13	Megan Mary Bergeron	Podiatrist	Clinton Township, MI	$125.56
14	Sotero Peralta, M.D	Surgery, Vascular Surgery	Orlando, FL	$122.11
15	Kendra K. Maag	Nurse Practitioner, Family	Maumee, OH	$120.93
16	Manu B. Aggarwal, MD	Family Medicine	Lima, OH	$120.93
17	Natalie Wills	Nurse Practitioner	Camden, NJ	$119.38
18	Trenton Kinnear, MD	Surgery, Vascular Surgery	Oklahoma City, OK	$116.96
19	Lynda B. McHutchison, MD	Obstetrics & Gynecology	Durham, NC	$107.55
20	Douglas H. Joyce	Surgery, Vascular Surgery	Punta Gorda, FL	$103.49
21	Brittany Hemker, CNP	Nurse Practitioner, Adult Health	Lima, OH	$100.97
22	Jocelyn M. Biggers, D.O.	Family Medicine	Brandon, FL	$98.63
23	Alicia Lianne Ward, DPM	Podiatrist, Foot & Ankle Surgery	Ferndale, MI	$96.52
24	Josephine M. Kamendat, FNP -C	Nurse Practitioner, Family	Fort Gratiot, MI	$90.57
25	Martirea Pratt, FNP-BC	Nurse Practitioner, Family	Knoxville, TN	$90.36
26	Amber Lea Ridner, FNP-BC	Nurse Practitioner, Family	Lenoir City, TN	$90.35
27	Avelina Oxholm-Dababneh, DO	Family Medicine	Bad Axe, MI	$88.78
28	Omar Lazaro Esponda, M.D.	Phlebology	Charlotte, NC	$88.71
29	Edward Nazareno, M.D.	Family Medicine	Southgate, MI	$86.12
30	Naixin Kang, MD	Surgery, Vascular Surgery	Miami, FL	$86.11
31	Saluja R. Goldman, MD	Phlebology	Jupiter, FL	$79.51
32	Steven Kang, MD	Surgery, Vascular Surgery	South Miami, FL	$78.57
33	Elianne Rojas, DO	Surgery, Vascular Surgery	Aventura, FL	$77.57
34	Aisha S. Chaudhry, DPM	Podiatrist, Foot & Ankle Surgery	Hamilton, NJ	$77.57
35	Eslam Mohamed, DO	Family Medicine	Brandon, FL	$74.72
36	Shaun Felipe Saint, M.D.	Surgery	Crystal River, FL	$73.44
37	Rebecca Brown	Nurse Practitioner, Family	Fayetteville, NC	$72.83
38	Suzanne E. Jones, MD	Surgery	Ann Arbor, MI	$70.09
39	Cham A. Jayanetti, MD	Surgery, Vascular Surgery	South Miami, FL	$69.41
40	Ana Lopez, ARNP	Nurse Practitioner, Family	Miami, FL	$65.62
41	Patrick J. McFadden, D.O.	Emergency Medicine	Englewood, FL	$65.34
42	Manuel E. Garcia, MD	Internal Medicine	East Lansing, MI	$65.00
43	Tarek Elshaarawy, M.D.	Surgery, Vascular Surgery	Battle Creek, MI	$63.97
44	Palanisamy Rathinasamy, MD	Surgery	Brandon, FL	$62.88
45	Cassandra Angela Schiller, APRN, FNP-C	Nurse Practitioner	Seguin, TX	$61.16
46	Laurel Hadley Hastings, MD	Surgery, Vascular Surgery	Camden, NJ	$60.87
47	Julio A. Calderin, MD	Surgery, Vascular Surgery	Kissimmee, FL	$58.61
48	Jack M. Bondi, DPM	Podiatrist	Sewell, NJ	$57.86
49	Kennedy Legel, DPM	Podiatrist, Foot & Ankle Surgery	Dallas, TX	$57.66
50	Darius R. Mehregan, M.D.	Dermatology, Dermatopathology	Monroe, MI	$57.52
51	William T. Su, MD	Surgery, Vascular Surgery	Hagerstown, MD	$57.25
52	Andrew P. Russeau, MD	Surgery, Vascular Surgery	Chicago, IL	$56.88
53	Priya S. Thirumlai, MD	Obstetrics & Gynecology	Severn, MD	$55.67
54	Kari Holly, ARNP	Nurse Practitioner	Sarasota, FL	$55.64
55	Syed Hussain, MD	Family Medicine	Wesley Chapel, FL	$55.37
56	Roxanna H. Nemec, PA	Physician Assistant, Surgical	Gettysburg, PA	$53.88
57	Laurette Flannery, ANP-BC	Nurse Practitioner	Lebanon, PA	$52.09
58	Sunny Sahajwani	Surgery, Vascular Surgery	Cherry Hill, NJ	$51.63
59	Terry H. Clarke, DPM	Podiatrist, Foot & Ankle Surgery	Mechanicsburg, PA	$51.40
60	Bobby J. Rupani, MD	Surgery, Vascular Surgery	Hackettstown, NJ	$51.36
61	Mark C. Rummel, M.D.	Surgery, Vascular Surgery	Kalamazoo, MI	$49.89
62	Sumitha V. Panicker, M.D.	Internal Medicine	Bolingbrook, IL	$47.00
63	Charles John Hastings, DPM, FACFAS	Podiatrist, Foot & Ankle Surgery	Arcadia, CA	$46.74
64	Kyle Reynolds, M.D.	Surgery, Vascular Surgery	Washington, DC	$46.60
65	James N. Antezana, MD	Surgery, Vascular Surgery	Charlotte, NC	$46.50
66	Michael Jack, D.P.M.	Podiatrist	Kent, OH	$45.57
67	Niraj H. Mehta, M.D.	Radiology, Radiation Oncology	Pembroke Pines, FL	$45.55
68	Hannah Beam, NP	Nurse Practitioner, Family	Richmond, VA	$45.09
69	Basit Ali, D.O.	Preventive Medicine, Undersea and Hyperbaric Medicine	Dallas, TX	$45.06
70	Michael Daniel Figueiredo, MD	Emergency Medicine	Tulsa, OK	$44.61
71	Eugene Victor Vitvitsky, MD	Thoracic Surgery (Cardiothoracic Vascular Surgery)	Warren, OH	$44.60
72	Barry Alan Cook, M.D.	Family Medicine	Kissimmee, FL	$44.01
73	Scott Koppel, D.P.M.	Podiatrist	Gainesville, FL	$43.60
74	David Anderson Beaird, M.D.	Surgery	Murfreesboro, TN	$43.47
75	Brad Joseph Bissell, MD	Emergency Medicine	Monroe, NC	$43.33
76	Paul F. Hudzik, D.O.	Surgery, Vascular Surgery	Alliance, OH	$42.85
77	Catherine Swain Ward	Nurse Practitioner, Family	Oak Island, NC	$42.65
78	Ariel D. Soffer, M.D.	Internal Medicine, Cardiovascular Disease	Hollywood, FL	$42.64
79	Rory Thomas Gilhooly, DPM	Podiatrist	Flint, MI	$42.18
80	Xavier Francis Cannella, MD	Surgery	Tampa, FL	$41.94
81	Kevin D. Fradkin, M.D.	Surgery	Houston, TX	$41.86
82	Ronald Vanderlaan, MD	Internal Medicine, Cardiovascular Disease	Grand Rapids, MI	$41.80
83	Russell W. Becker, D.O.	Surgery, Vascular Surgery	Naples, FL	$41.75
84	Deborah Lindner Cogan, M.D.	Phlebology	Oregon, OH	$41.43
85	Stephen M. Barr, MD	Preventive Medicine, Undersea and Hyperbaric Medicine	Oklahoma City, OK	$41.17
86	Cindy Pavicic, B.S., D.P.M.	Podiatrist, Foot & Ankle Surgery	Southfield, MI	$41.16
87	Lindsey Lance Castagna, ACNP	Nurse Practitioner, Acute Care	Hendersonville, NC	$40.75
88	Diego Hernandez, M.D.	Surgery, Vascular Surgery	Bloomfield Hills, MI	$40.71
89	Saira Imtiaz Baloch, MD	Family Medicine	Allen, TX	$40.37
90	Laura Marie Newman, DPM	Podiatrist, Foot & Ankle Surgery	Delray Beach, FL	$40.30
91	Johan Emanuel Escribano, M.D	Surgery, Vascular Surgery	Fort Myers, FL	$40.30
92	Rebecca Ellen Woodbury, FNP-C	Nurse Practitioner, Family	Lenoir, NC	$40.27
93	Matthew Amiebi Daka, M.D	Internal Medicine, Interventional Cardiology	Fayetteville, NC	$40.21
94	Timothy J. Sloan, PA-C	Physician Assistant, Medical	Okemos, MI	$40.05
95	Jamilia Lashawn Broussard, MSN RN FNP-BC WCC	Nurse Practitioner, Family	Ardmore, OK	$40.02
96	Wade Wei Kang, M.D	Surgery, Vascular Surgery	Kalamazoo, MI	$39.83
97	Danielle Barber, PA	Physician Assistant	Lansing, MI	$39.74
98	William Jeffrey Weily, DPM	Podiatrist	Charlotte, NC	$39.59
99	John W. Chang, MD	Surgery	Coral Gables, FL	$39.42
100	Jon Christian Allmon, MD	Surgery, Vascular Surgery	Jacksonville, FL	$39.38

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records