Alexis Gil, APRN
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (54.6%), food and beverage and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Intuitive Surgical at 42.1% of the total. Reporting peaked in 2024 at $2,555 and has fallen 64.4% since, to $909 in 2025. Among family clinicians in FL 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 86 payments — averaging $62.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Medical Device Business Services, Inc.$2K
- Johnson & Johnson$290
- Lexicon Pharmaceuticals, Inc.$145
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$98
- Inspire Medical Systems, Inc.$96
- plus $809 from 19 others
What the payments were for
- Travel & lodging$2,93655%
- Food & beverage$2,30643%
- Education$1373%
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 | 17 | $2,263 |
| Medical Device Business Services, Inc. | 7 | $1,678 |
| Johnson & Johnson(2 entities) | 13 | $290 |
| Lexicon Pharmaceuticals, Inc. | 5 | $145 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $98 |
| Inspire Medical Systems, Inc. | 2 | $96 |
| Merck | 5 | $92 |
| Novartis | 4 | $81 |
| Davol Inc. | 2 | $81 |
| Pfizer | 4 | $79 |
| Biotronik Inc. | 2 | $71 |
| Novo Nordisk | 4 | $63 |
| Medtronic | 2 | $48 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $47 |
| Boston Scientific | 2 | $36 |
| Hologic Sales And Service, LLC | 2 | $31 |
| Alnylam Pharmaceuticals Inc. | 1 | $29 |
| Kestra Medical Technology Services, Inc. | 1 | $25 |
| Axonics, Inc. | 1 | $22 |
| Baxter Healthcare | 1 | $19 |
| Irhythm Technologies, Inc. | 1 | $19 |
| Philips North America LLC | 1 | $18 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Dexcom, Inc. | 1 | $15 |
| ZOLL Circulation 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.
- Da Vinci Surgical System$1,877
- VISTASEAL$282
How this compares
$5,380 in reported general payments places this provider in the 90th percentile of 14,618 family 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Omeprazole | 18 | $202 |
Paid to pharmacies, not to this prescriber.
Other family in Doral
- Lewis HarringtonTampa$954K
- Danielle PharesFt Lauderdale$713K
- Donna OrtizOrlando$417K
- Patrick SzarazMiami$327K
- Deena RodneyMaitland$323K
- Yamila MelendezMiami$212K
- Holly BoydLand O Lakes$200K
- Rachael BuschLoxahatchee$189K
- Victor Tatis de la NuezMiramar$161K
- Ronda CrewsJax Bch$155K
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.