Carl Pesta, DO
Surgery · Mount Clemens, MINPI 1114983913
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Apollo Endosurgery US Inc at 36.4% of the total. Reporting peaked in 2023 at $24,728 and has fallen 74.0% since, to $6,437 in 2025. Among surgery clinicians in MI 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 279 payments — averaging $303.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Apollo Endosurgery US Inc$31K
- Intuitive Surgical$17K
- Medtronic$10K
- W. L. Gore & Associates, Inc.$9K
- Reshape Lifesciences Inc.$8K
- Boston Scientific$4K
- plus $5K from 22 others
Across 5 payments — averaging $3426.00 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.
- Apollo Endosurgery US Inc$17K
What the payments were for
- Consulting fees$41,24549%
- Speaking & faculty fees$9,22511%
- Travel & lodging$10,78413%
- Food & beverage$13,72016%
- Education$9,04011%
- Gifts$240%
- Entertainment$6621%
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 |
|---|---|---|
| Apollo Endosurgery US Inc | 42 | $30,853 |
| Intuitive Surgical | 70 | $17,434 |
| Medtronic | 20 | $9,503 |
| W. L. Gore & Associates, Inc. | 23 | $9,353 |
| Reshape Lifesciences Inc. | 21 | $8,108 |
| Boston Scientific | 12 | $3,962 |
| Stryker | 7 | $1,117 |
| AbbVie(2 entities) | 37 | $939 |
| Senseonics, Incorporated | 2 | $800 |
| Aroa Biosurgery Incorporated | 6 | $527 |
| Johnson & Johnson | 6 | $396 |
| Teleflex LLC | 2 | $281 |
| Integra Lifesciences Corporation | 3 | $203 |
| Novo Nordisk | 3 | $160 |
| Acera Surgical, Inc. | 1 | $149 |
| Zimmer Biomet | 1 | $146 |
| Kls-martin L.p. | 1 | $144 |
| Endo Pharmaceuticals Inc. | 6 | $115 |
| Endolumik, Inc. | 1 | $100 |
| Endogastric Solutions, Inc | 1 | $75 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $66 |
| Bard Access Systems, Inc. | 2 | $59 |
| Heron Therapeutics, Inc. | 2 | $49 |
| BD | 1 | $48 |
| CSL Behring | 2 | $40 |
| Shire North American Group Inc | 2 | $35 |
| Acacia Pharma Inc | 1 | $22 |
| Merck | 1 | $16 |
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.
- ORBERA Intragastric Balloon System$23,442
- Da Vinci Surgical System$16,126
- Orbera$9,973
- SEAMGUARD Staple Line Reinforcement$5,425
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$2,660
- 1588$830
- OverStitch Endoscopic Suturing System$829
- Eversense$800
- Signia$517
- INTEGRA$473
- Product in Development$440
- SEAMGUARD$289
- Surgicel Powder$229
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$186
- INTEGRA DERMAL REGENERATION TEMPLATE$158
- PRIMATRIX$158
- LigaSure$151
- 1788$150
- Restrata Wound Matrix$149
- Omni Max$146
How this compares
$84,700 in reported general payments places this provider in the 95th percentile of 1,081 surgery providers in Michigan.
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 | 23 | $151 |
Paid to pharmacies, not to this prescriber.
Other surgery in Mount Clemens
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$435K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
- Anthony IaccoBeverly Hills$114K
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.