Anna Spivak, DO
Colon & Rectal Surgery · Cleveland, OHNPI 1801216106
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (45.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 94.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $31,460, more than ten times the $216 reported in 2019. Among colon & rectal surgery clinicians in OH 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 188 payments — averaging $288.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$51K
- Intuitive Surgical$1K
- Aroa Biosurgery Incorporated$264
- Baxter Healthcare$166
- Dilon Technologies, Inc.$159
- Innovation Technologies Inc$157
- plus $798 from 9 others
What the payments were for
- Consulting fees$11,70022%
- Speaking & faculty fees$24,85046%
- Travel & lodging$10,45519%
- Food & beverage$6,18211%
- Education$1,0002%
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 |
|---|---|---|
| Medtronic | 165 | $51,282 |
| Intuitive Surgical | 6 | $1,362 |
| Aroa Biosurgery Incorporated | 2 | $264 |
| Baxter Healthcare | 2 | $166 |
| Dilon Technologies, Inc. | 1 | $159 |
| Innovation Technologies Inc | 1 | $157 |
| AbbVie(2 entities) | 2 | $148 |
| Johnson & Johnson | 2 | $144 |
| Boston Scientific | 1 | $132 |
| Sanofi | 1 | $129 |
| RTI Surgical, Inc | 1 | $126 |
| Conmed Corporation | 1 | $63 |
| Integra Lifesciences Corporation | 1 | $22 |
| Edwards Lifesciences | 1 | $20 |
| THD America, 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.
- INTERSTIM$38,053
- Da Vinci Surgical System$1,197
- INTELLIS ADAPTIVESTIM$212
- HemoBlast Bellows$159
- Irrisept$157
- STRATTICE$133
- RESOLUTION CLIP$132
- CEREZYME$129
- CERDELGA$129
- BIODESIGN$126
- SURGICEL NU-KNIT$123
- TISSEEL$118
- GI Genius$111
How this compares
$54,187 in reported general payments places this provider in the 95th percentile of 101 colon & rectal surgery providers in Ohio.
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 |
|---|---|---|
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 11 | $263 |
| Neomycin Sulfate | 14 | $52 |
| Tramadol Hcl | 11 | $14 |
| Metronidazole | 14 | $12 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Cleveland
- Vincent ObiasCleveland$124K
- David RosenCleveland$102K
- Jean AshburnCleveland$81K
- Scott SteeleCleveland$28K
- Michael LiuCleveland$18K
- Conor DelaneyCleveland$16K
- Stefan HolubarCleveland$12K
- David DietzCleveland$11K
- Haniee ChungCleveland$11K
- Hermann KesslerCleveland$10K
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.