Aaron Small, MD
Gastroenterology · Aiea, HINPI 1407015399
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (48.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 78.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $5,414 and has fallen 85.3% since, to $795 in 2025. Among gastroenterology clinicians in HI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 137 payments — averaging $142.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$15K
- Olympus America Inc.$941
- Conmed Corporation$696
- AbbVie$577
- Omega Medical Imaging, LLC$560
- Olympus Corporation Of The Americas$508
- plus $861 from 11 others
What the payments were for
- Speaking & faculty fees$9,47048%
- Travel & lodging$4,03821%
- Food & beverage$6,05031%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 47 | $15,415 |
| Olympus America Inc. | 11 | $941 |
| Conmed Corporation | 8 | $696 |
| AbbVie(2 entities) | 38 | $577 |
| Omega Medical Imaging, LLC | 3 | $560 |
| Olympus Corporation Of The Americas | 4 | $508 |
| Ambu Inc. | 2 | $161 |
| Apollo Endosurgery US Inc | 1 | $131 |
| Cook Medical LLC | 1 | $120 |
| Regeneron Healthcare Solutions, Inc. | 6 | $120 |
| Bristol Myers Squibb | 6 | $110 |
| Sanofi | 4 | $93 |
| Medtronic | 2 | $50 |
| AstraZeneca | 1 | $27 |
| Ardelyx, Inc. | 1 | $18 |
| Pfizer | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SPYGLASS$7,430
- AXIOS$2,160
- ORISE$1,937
- RESOLUTION CLIP$562
- GENERAL - BILIARY DEVICES$519
- OER-PRO$457
- Olympus Capital Accessories$457
- Olympus Endoscopic Ultrasound Scopes$457
- OER Pro Accessories$457
- CONMED BILIARY$280
- EndoClot PHS$260
- OverStitch Endoscopic Suturing System$240
- MicroKnife XL$134
- Single Use Biliary Stent V$128
- ECHOTIP INSIGHT$120
- CONMED HEMOSTASIS$115
- Single Use Aspiration Needle NA-U200H$114
- SINGLE USE GRASPING FORCEPS$114
- EVIS EXERA lll COLONOVIDEOSCOPE$104
- EVIS EUS ENDOSCOPIC ULTRASOUND CENTER$104
How this compares
$19,559 in reported general payments places this provider in the 90th percentile of 71 gastroenterology providers in Hawaii.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 152 | $2,136 |
| Omeprazole | 52 | $1,307 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 29 | $434 |
| Ciprofloxacin Hcl | 24 | $82 |
| Levofloxacin | 22 | $79 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Aiea
- Yousif ArahimAiea$11K
- Robert WongAiea$2K
- Darrell LeeAiea$1K
- Tesu LinAiea$771
- Naoky TsaiKailua$587K
- Russell YangHonolulu$244K
- Roland TerHonolulu$37K
- Robert JaoKailua$28K
- Shelini SooklalWailuku$21K
- Daniel ChanEwa Beach$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.