Dominick Vitale
Surgery · San Antonio, TXNPI 1700142742
Payments from drug & device makers
What this record shows
This record is dominated by education: $16,000 of the $25,637 with a category attached, or 62.4%. Intuitive Surgical accounts for 73.7% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2022 at $12,883 and has fallen 83.5% since, to $2,128 in 2025.
Across 90 payments — averaging $284.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$19K
- TELA Bio, Inc.$4K
- Davol Inc.$2K
- Integra Lifesciences Corporation$368
- RTI Surgical, Inc$146
- Solventum Corporation$125
- plus $552 from 12 others
What the payments were for
- Travel & lodging$6,33525%
- Food & beverage$3,30213%
- Education$16,00062%
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 | 44 | $18,896 |
| TELA Bio, Inc. | 11 | $3,602 |
| Davol Inc. | 13 | $1,948 |
| Integra Lifesciences Corporation | 5 | $368 |
| RTI Surgical, Inc | 1 | $146 |
| Solventum Corporation | 2 | $125 |
| Organogenesis Inc. | 1 | $123 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $118 |
| Conmed Corporation | 2 | $116 |
| Biotissue Holdings Inc. | 2 | $47 |
| Innovation Technologies Inc | 1 | $34 |
| Dilon Technologies, Inc. | 1 | $23 |
| Medtronic | 1 | $18 |
| Convatec Inc. | 1 | $18 |
| Acera Surgical, Inc. | 1 | $18 |
| Si-bone, Inc. | 1 | $16 |
| Smith+Nephew | 1 | $15 |
| Kerecis Limited | 1 | $5 |
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.
- DAVINCI XI$16,000
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$3,361
- Da Vinci Surgical System$1,782
- Phasix Mesh$1,646
- INTEGRA$432
- CORTIVA ALLOGRAFT DERMIS$146
- INTEGRA DERMAL REGENERATION TEMPLATE$144
- PRIMATRIX$144
- PuraPly$123
- PREVENA$103
- OviTex 2S$102
How this compares
$25,637 in reported general payments places this provider in the 85th percentile of 1,830 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.
Other surgery in San Antonio
- Richard PetersonSan Antonio$323K
- Joseph KaramSan Antonio$293K
- John PilcherSan Antonio$214K
- John MeterskySan Antonio$158K
- Kent van SickleSan Antonio$143K
- Richard EnglehardtSan Antonio$107K
- Guillermo Portillo RamilaSan Antonio$102K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
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.