Alex Ky-Miyasaka, MD
Surgery · New York, NYNPI 1154398568
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $11,961 of the $17,289 with a category attached, or 69.2%. Boston Scientific accounts for 75.9% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $13,491, more than ten times the $537 reported in 2019. Among surgery clinicians in NY 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 48 payments — averaging $360.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$13K
- Intuitive Surgical$2K
- Axonics, Inc.$909
- Medtronic$451
- TEI Biosciences Inc$198
- Guard Medical Inc.$156
- plus $238 from 4 others
Across 216 payments — averaging $39.67 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Bausch Health US, LLC$9K
Across 4 payments — averaging $6250.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Valencia Technologies Corporation$25K
What the payments were for
- Consulting fees$11,96169%
- Travel & lodging$2,53115%
- Food & beverage$2,76816%
- Gifts$280%
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 | 7 | $13,121 |
| Intuitive Surgical | 13 | $2,215 |
| Axonics, Inc. | 10 | $909 |
| Medtronic(2 entities) | 8 | $451 |
| TEI Biosciences Inc | 2 | $198 |
| Guard Medical Inc. | 1 | $156 |
| Acell, Inc. | 1 | $91 |
| Merck | 4 | $69 |
| Integra Lifesciences Corporation | 1 | $49 |
| THD America, Inc. | 1 | $29 |
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.
- Axonics$12,751
- Da Vinci Surgical System$1,924
- Bulkamid$672
- Axonics r-SNM System$532
- INTERSTIM$286
- Solyx SIS System$167
- NPseal$156
- NPSEAL LARGE$156
- NPSEAL MEDIUM$156
- SURGIMEND$103
How this compares
$17,289 in reported general payments places this provider in the 90th percentile of 1,596 surgery providers in New York.
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 |
|---|---|---|
| Mesalamine | 22 | $8,140 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 18 | $1,115 |
| Hydrocortisone | 32 | $306 |
| Procto-Med HcHydrocortisone | 36 | $302 |
| Oxycodone Hcl | 13 | $28 |
Paid to pharmacies, not to this prescriber.
Other surgery in New York
- Cheguevara AfanehNew York$1.4M
- Flavio Malcher Martins de OliveiraNew York$695K
- Yuri NovitskyNew York$548K
- Rasa ZarnegarNew York$478K
- Tanuja DamaniNew York$459K
- Rache SimmonsNew York$371K
- Marina KurianNew York$328K
- Megan JenkinsNew York$290K
- Brian JacobNew York$225K
- Robin BlackstoneNew York$174K
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.