Biruk Almaz, MD
Colon & Rectal Surgery · New Albany, INNPI 1780116293
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (34.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Intuitive Surgical at 59.9% of the total. Reporting peaked in 2023 at $2,931 and has fallen 54.0% since, to $1,349 in 2025.
Across 37 payments — averaging $145.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Integra Lifesciences Corporation$872
- Stryker$339
- Medtronic$242
- Axonics, Inc.$201
- TELA Bio, Inc.$148
- plus $349 from 5 others
What the payments were for
- Travel & lodging$1,80934%
- Food & beverage$1,83634%
- Education$1,00019%
- Gifts$90%
- Other$71613%
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 | 13 | $3,217 |
| Integra Lifesciences Corporation | 4 | $872 |
| Stryker | 4 | $339 |
| Medtronic | 6 | $242 |
| Axonics, Inc. | 3 | $201 |
| TELA Bio, Inc. | 1 | $148 |
| Heron Therapeutics, Inc. | 1 | $127 |
| Exact Sciences | 1 | $111 |
| Vertex | 2 | $55 |
| Pacira Pharmaceuticals Incorporated | 1 | $34 |
| Braintree Laboratories, Inc. | 1 | $23 |
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$2,071
- DAVINCI XI$1,000
- MICROMATRIX$501
- INTEGRA$470
- SPY-PHI SYSTEM$304
- CYTAL$215
- INTEGRA DERMAL REGENERATION TEMPLATE$157
- PRIMATRIX$157
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$148
- Axonics$137
- Zynrelef$127
- Cologuard Collection Kit$111
- Signia$105
How this compares
$5,369 in reported general payments places this provider in the 75th percentile of 54 colon & rectal surgery providers in Indiana.
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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 70 | $4,302 |
| ErythromycinErythromycin Base | 21 | $1,160 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 62 | $608 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 33 | $338 |
| Ondansetron Hcl | 14 | $206 |
| Oxycodone Hcl | 41 | $181 |
| Neomycin Sulfate | 27 | $149 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $70 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in New Albany
- Shekar NarayananIndianapolis$67K
- Imran AhmadMunster$32K
- Edward Delle DonneSouth Bend$22K
- Joshua WalletFort Wayne$14K
- Santiago ArruffatEvansville$14K
- William OhMooresville$13K
- Heather MathesonEvansville$13K
- Kelly KlinkerFort Wayne$12K
- Dipen MaunMooresville$12K
- Sanjay MohantyIndianapolis$11K
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.