Diego Marines Copado, MD
Colon & Rectal Surgery · Houston, TXNPI 1588891659
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (31.9%), education and speaking fees — rather than concentrated in one kind of arrangement. 34 manufacturers reported payments, led by Intuitive Surgical at 48.6% of the total. 2025 is the largest year on record at $177,567, more than ten times the $5,790 reported in 2019. Among colon & rectal surgery clinicians in TX 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 724 payments — averaging $638.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$224K
- Medical Device Business Services, Inc.$82K
- Johnson & Johnson$71K
- Davol Inc.$61K
- Ethicon Endo-surgery Inc.$15K
- Conmed Corporation$4K
- plus $6K from 28 others
What the payments were for
- Consulting fees$147,26232%
- Speaking & faculty fees$84,00018%
- Travel & lodging$72,29616%
- Food & beverage$21,9795%
- Education$136,28530%
- Gifts$400%
- Entertainment$1190%
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 | 313 | $224,345 |
| Medical Device Business Services, Inc. | 117 | $82,207 |
| Johnson & Johnson(2 entities) | 124 | $70,531 |
| Davol Inc. | 88 | $60,643 |
| Ethicon Endo-surgery Inc. | 2 | $14,850 |
| Conmed Corporation | 9 | $3,513 |
| New Wave Endo-surgical Corp. | 1 | $1,816 |
| Medtronic(2 entities) | 22 | $897 |
| Applied Medical Resources Corporation | 3 | $758 |
| Covidien LP | 1 | $325 |
| BD | 2 | $301 |
| Baxter Healthcare | 7 | $295 |
| Axonics, Inc. | 2 | $273 |
| Mimedx Group, Inc. | 2 | $196 |
| Pacira Pharmaceuticals Incorporated | 2 | $145 |
| Novo Nordisk | 7 | $142 |
| W. L. Gore & Associates, Inc. | 1 | $142 |
| Merit Medical Systems Inc | 1 | $120 |
| Argentum Medical | 4 | $119 |
| Romark Laboratories, LC | 1 | $59 |
| Medinc Of Texas | 1 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $32 |
| Acell, Inc. | 1 | $24 |
| Enterra Medical, Inc. | 1 | $23 |
| Aroa Biosurgery Incorporated | 1 | $22 |
| Stryker | 1 | $21 |
| KCI USA, Inc. | 1 | $20 |
| Laborie Medical Technologies Corp. | 1 | $19 |
| Lilly USA, LLC | 1 | $19 |
| Kerecis Limited | 1 | $19 |
| TELA Bio, Inc. | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $17 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Coopersurgical, Inc. | 1 | $17 |
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$206,302
- Echelon Circular$80,125
- Harmonic$58,209
- Enseal$19,798
- STRATAFIX$18,263
- DA VINCI SP$12,150
- ARISTA$10,926
- MONOCRYL$9,000
- PDS$9,000
- VICRYL$9,000
- ECHELON ENDOPATH$6,286
- DERMABOND$6,143
- Enseal X1$3,350
- DAVINCI XI$3,000
- ARISTA AH FLEXITIP$1,683
- ENSEAL Product Family$1,289
- Echelon Flex$826
- EVICEL Fibrin Sealant (Human)$822
- ECHELON FLEX Stapler$822
- HARMONIC Product Family$822
How this compares
$461,981 in reported general payments places this provider in the 95th percentile of 200 colon & rectal surgery providers in Texas.
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 | 68 | $3,967 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $108 |
| Neomycin Sulfate | 42 | $76 |
| Metronidazole | 43 | $45 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Houston
- Erik AskenasyHouston$142K
- Eric HaasHouston$140K
- Theodoros VoloyiannisHouston$100K
- Scott McKnightHouston$73K
- Tsuyoshi KonishiHouston$68K
- Jean-Paul LefaveHouston$47K
- George ChangHouston$31K
- Michael SnyderHouston$24K
- Marianne CusickHouston$22K
- Joshua CourseyHouston$13K
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.