Christopher Garces, MD
Surgery · Saginaw, MINPI 1285703744
Payments from drug & device makers
Across 40 payments — averaging $227.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tosoh Bioscience, Inc.$3K
- Axogen$2K
- Intuitive Surgical$1K
- Zimmer Biomet$1K
- Hologic Inc$425
- Tactile Systems Technology Inc$249
- plus $242 from 5 others
What the payments were for
- Consulting fees$4255%
- Travel & lodging$3,59339%
- Food & beverage$1,73219%
- Gifts$3,36837%
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 |
|---|---|---|
| Tosoh Bioscience, Inc. | 2 | $3,368 |
| Axogen | 10 | $2,128 |
| Intuitive Surgical | 7 | $1,378 |
| Zimmer Biomet | 9 | $1,328 |
| Hologic Inc | 1 | $425 |
| Tactile Systems Technology Inc | 5 | $249 |
| Hologic Sales And Service, LLC | 2 | $161 |
| Davol Inc. | 1 | $27 |
| Medtronic | 1 | $27 |
| Bard Peripheral Vascular, Inc. | 1 | $16 |
| Biocompatibles, Inc. | 1 | $11 |
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.
- AXOGUARD$3,419
- 25-OH Vitamin D ST AIA-Pack$3,368
- AXOGUARD HA+ NERVE PROTECTOR$1,709
- AxoGuard Nerve Cap$1,709
- CEA, ST, AIA-PACK$1,684
- PIPETTE TIP, 600II,1800$1,684
- PA, ST AIA-PACK$1,684
- PA, AIA-PACK Calibrator Set$1,684
- Da Vinci Surgical System$1,239
- RibFix Blu$950
- Localizer$146
- Flexitouch Plus$120
- Nimbl$120
- AdvantageRib$113
How this compares
$9,118 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $326 |
Paid to pharmacies, not to this prescriber.
Other surgery in Saginaw
- Maher GhanemSaginaw$88K
- Ozanan MeirelesLansing$2.3M
- Amer AfanehDetroit$872K
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$467K
- Marwan AbouljoudDetroit$446K
- Jon SchramZeeland$397K
- Bellal JosephDetroit$348K
- Robert LyonsYpsilanti$309K
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.