Alfredo Carbonell, DO
Surgery · Richmond, VANPI 1154409464
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.7%), speaking fees and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Johnson & Johnson at 34.7% of the total. Reporting peaked in 2019 at $41,355 and has fallen 99.4% since, to $260 in 2025. Among surgery clinicians in VA 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 86 payments — averaging $731.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$22K
- W. L. Gore & Associates, Inc.$18K
- Intuitive Surgical$18K
- Medical Device Business Services, Inc.$4K
- Medtronic$1K
- Ambu Inc.$177
- plus $472 from 6 others
Across 10 payments — averaging $6314.10 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.
- W. L. Gore & Associates, Inc.$48K
- Medtronic$16K
What the payments were for
- Consulting fees$26,84043%
- Speaking & faculty fees$16,29526%
- Travel & lodging$5781%
- Food & beverage$3,1595%
- Education$16,00025%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 12 | $21,795 |
| W. L. Gore & Associates, Inc. | 23 | $18,318 |
| Intuitive Surgical | 33 | $17,573 |
| Medical Device Business Services, Inc. | 2 | $3,500 |
| Medtronic | 4 | $1,039 |
| Ambu Inc. | 3 | $177 |
| Endogastric Solutions, Inc | 2 | $127 |
| Enterra Medical, Inc. | 1 | $126 |
| Acell, Inc. | 1 | $124 |
| Imbed Biosciences Inc. | 3 | $38 |
| Stryker | 1 | $34 |
| Innocoll Pharmaceuticals Limited | 1 | $22 |
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.
- STRATAFIX$25,250
- VICRYL$20,000
- Da Vinci Surgical System$17,154
- SYNECOR Biomaterial$14,207
- MONOCRYL$8,000
- PDS II (polydioxanone) Suture$8,000
- DERMABOND Portfolio$3,500
- BIO-A Tissue Reinforcement$2,795
- LIGACLIP$1,750
- LIGAMAX$1,750
- ENDOLOOP Ligature$1,000
- Dextile$1,000
- ENDOLOOP$750
- GORE ENFORM Preperitoneal Biomaterial$462
- GORE ENFORM Biomaterial$278
- GORE SYNECOR Biomaterial$247
- GORE SYNECOR Preperitoneal Biomaterial$162
- ESOPHYX$100
How this compares
$62,872 in reported general payments places this provider in the 95th percentile of 675 surgery providers in Virginia.
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 |
|---|---|---|
| Ibuprofen | 34 | $53 |
| Methocarbamol | 20 | $34 |
Paid to pharmacies, not to this prescriber.
Other surgery in Richmond
- Raymond MakhoulRichmond$1.5M
- Kandace McGuireRichmond$82K
- Ralph LaymanRichmond$62K
- Stephanie GoldbergRichmond$33K
- Guilherme Rocha CamposRichmond$32K
- Marlon LevyRichmond$18K
- Carly AllredRichmond$18K
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
- David WeintrittAlexandria$555K
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.