Annabelle Fonseca, MD
Surgical Oncology · Birmingham, ALNPI 1073765269
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.0%), education and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 67.6% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2019 at $6,661 and has fallen 63.3% since, to $2,445 in 2024. Among surgical oncology clinicians in AL 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 75 payments — averaging $132.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$7K
- Medical Device Business Services, Inc.$2K
- Intera Oncology, Inc$390
- Eisai Inc.$85
- Johnson & Johnson$80
- Olympus America Inc.$67
- plus $464 from 17 others
What the payments were for
- Travel & lodging$4,16442%
- Food & beverage$1,74718%
- Education$4,00040%
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 | 27 | $6,697 |
| Medical Device Business Services, Inc. | 13 | $2,128 |
| Intera Oncology, Inc | 2 | $390 |
| Eisai Inc. | 4 | $85 |
| Johnson & Johnson(2 entities) | 4 | $80 |
| Olympus America Inc. | 1 | $67 |
| Novartis | 3 | $63 |
| Incyte Corporation | 2 | $56 |
| AstraZeneca | 3 | $51 |
| Dendreon Pharmaceuticals LLC | 2 | $49 |
| Genentech USA, Inc. | 2 | $34 |
| Regeneron Healthcare Solutions, Inc. | 1 | $25 |
| Daiichi Sankyo Inc. | 1 | $25 |
| Lilly USA, LLC | 1 | $19 |
| Pharmacosmos Therapeutics Inc. | 1 | $18 |
| Taiho Oncology, Inc. | 1 | $18 |
| Octapharma USA, Inc. | 1 | $17 |
| Medtronic | 1 | $17 |
| Sobi, Inc | 1 | $16 |
| Bayer | 1 | $16 |
| Genmab U.S., Inc. | 1 | $15 |
| Avanos Medical | 1 | $14 |
| Seagen Inc. | 1 | $13 |
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$5,248
- HARMONIC Product Family$1,996
- ECHELON FLEX Stapler$1,037
- DAVINCI XI$1,000
- ECHELON ENDOPATH Stapler$959
- Intera 3000 Implantable Pump$223
- INTERA$167
How this compares
$9,911 in reported general payments places this provider in the 90th percentile of 26 surgical oncology providers in Alabama.
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 |
|---|---|---|
| Oxycodone Hcl | 16 | $157 |
Paid to pharmacies, not to this prescriber.
Other surgical oncology in Birmingham
- Sophie DreamBirmingham$39K
- John RoseBirmingham$3K
- Kristy BromanBirmingham$1K
- Lily GutnikBirmingham$856
- Hannah WoriaxBirmingham$652
- Brenessa LindemanBirmingham$524
- Kimberly KopeckyBirmingham$399
- Aparajita SpencerBirmingham$325
- Thomas WangBirmingham$245
- Catherine ParkerBirmingham$171
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.