Alejandro Gandsas, MD
Surgery · Annapolis, MDNPI 1215987417
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.2%), speaking fees and education — rather than concentrated in one kind of arrangement. Baxter Healthcare accounts for 60.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $20,206 and has fallen 86.4% since, to $2,749 in 2025. Among surgery clinicians in MD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 116 payments — averaging $559.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$39K
- Intuitive Surgical$12K
- Ethicon Endo-surgery Inc.$8K
- Medical Device Business Services, Inc.$4K
- Johnson & Johnson$1K
- Medtronic$446
- plus $899 from 7 others
What the payments were for
- Consulting fees$31,31048%
- Speaking & faculty fees$17,72327%
- Travel & lodging$4,2437%
- Food & beverage$3,1515%
- Education$8,50013%
- Gifts$140%
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 |
|---|---|---|
| Baxter Healthcare | 46 | $39,187 |
| Intuitive Surgical | 25 | $11,536 |
| Ethicon Endo-surgery Inc. | 1 | $8,060 |
| Medical Device Business Services, Inc. | 8 | $3,768 |
| Johnson & Johnson | 16 | $1,044 |
| Medtronic | 8 | $446 |
| Applied Medical Resources Corporation | 1 | $375 |
| Covidien LP | 3 | $236 |
| Teleflex LLC | 2 | $131 |
| Standard Bariatrics, Inc. | 2 | $71 |
| Novo Nordisk | 2 | $45 |
| Asensus Surgical, Inc. | 1 | $22 |
| W. L. Gore & Associates, Inc. | 1 | $20 |
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.
- TISSEEL$30,588
- PERI-STRIPS DRY$26,497
- FLOSEAL$22,520
- HARMONIC Product Family$10,540
- ENSEAL Product Family$10,540
- DAVINCI XI$8,500
- ACTIFUSE$6,120
- COSEAL$6,120
- Da Vinci Surgical System$2,382
- Harmonic$1,240
- Enseal$1,240
- No Related Product$570
- ECHELON ENDOPATH Stapler$402
- Signia$331
- Titan SGS$111
How this compares
$64,940 in reported general payments places this provider in the 95th percentile of 493 surgery providers in Maryland.
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 surgery in Annapolis
- Igor BelyanskyAnnapolis$339K
- Richard LuAnnapolis$116K
- Lorraine TafraAnnapolis$43K
- Lara Dimick SantosAnnapolis$16K
- Dorry SegevBaltimore$1.2M
- Thomas SwopeBaltimore$775K
- Alisa CokerBaltimore$702K
- Adrian ParkHagerstown$355K
- John LedonneBaltimore$329K
- Emad KandilOwings Mills$247K
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.