Cosme Manzarbeitia, MD
Surgery · Parkland, FLNPI 1487614079
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $12,000 of the $16,494 with a category attached, or 72.8%. Paragonix Technologies, Inc. accounts for 73.0% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $12,864, 5.9 times the $2,172 reported in 2019.
Across 47 payments — averaging $350.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragonix Technologies, Inc.$12K
- Biocompatibles, Inc.$1K
- Transmedics, Inc.$949
- Organox Ltd$823
- Gilead$563
- AbbVie$229
- plus $844 from 10 others
What the payments were for
- Consulting fees$12,00073%
- Travel & lodging$2,40215%
- Food & beverage$1,97412%
- Education$1181%
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 |
|---|---|---|
| Paragonix Technologies, Inc. | 4 | $12,042 |
| Biocompatibles, Inc. | 8 | $1,045 |
| Transmedics, Inc. | 1 | $949 |
| Organox Ltd | 2 | $823 |
| Gilead | 11 | $563 |
| AbbVie | 3 | $229 |
| Dova Pharmaceuticals | 3 | $161 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $142 |
| Astellas Pharma US Inc | 2 | $118 |
| Medtronic(2 entities) | 2 | $108 |
| Veloxis Pharmaceuticals, Inc. | 2 | $100 |
| Fujifilm Wako Diagnostics U.S.A. Corporation | 2 | $70 |
| Octapharma USA, Inc. | 2 | $56 |
| Stryker | 1 | $50 |
| Johnson & Johnson | 1 | $22 |
| Tetraphase Pharmaceuticals, Inc. | 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.
- ORGAN CARE SYSTEM$949
- METRA$789
- THERASPHERE-BIO$622
- Epclusa$247
- Vemlidy$245
- DOPTELET$124
- Mavyret$120
- XIFAXAN$118
How this compares
$16,494 in reported general payments places this provider in the 80th percentile of 1,569 surgery providers in Florida.
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.
Other surgery in Parkland
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
- Natan ZundelNorth Miami Beach$596K
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.