Akram Alashari, MD
Surgical Critical Care · Melbourne, FLNPI 1235457458
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 99.7% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2023 at $7,085 and has fallen 56.4% since, to $3,093 in 2025.
Across 46 payments — averaging $272.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$12K
- CSL Behring$20
- Kls-martin L.p.$18
What the payments were for
- Speaking & faculty fees$5004%
- Travel & lodging$4,37335%
- Food & beverage$1,1159%
- Education$6,52052%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 44 | $12,478 |
| CSL Behring | 1 | $20 |
| Kls-martin L.p. | 1 | $18 |
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.
- DAVINCI XI$6,500
- Da Vinci Surgical System$5,142
How this compares
$12,516 in reported general payments places this provider in the 85th percentile of 132 surgical critical care providers in Florida.
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.
Other surgical critical care in Melbourne
- Scott ZenoniMelbourne$22K
- Nir HusDelray Beach$443K
- Alfredo CordovaSarasota$314K
- Joshua CarsonGainesville$52K
- Jose DiazTampa$35K
- Anthony GielowLongwood$29K
- Chadwick SmithOrlando$23K
- Frederick MooreGainesville$20K
- Carl SchulmanMiami$17K
- Chasen CroftGainesville$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.