Garish Alexander, MD
Surgery · Mansfield, TXNPI 1902007917
Payments from drug & device makers
What this record shows
This record is dominated by education: $136,150 of the $184,180 with a category attached, or 73.9%. Intuitive Surgical accounts for 91.0% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2022 at $85,881 and has fallen 68.3% since, to $27,213 in 2025. Among 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 308 payments — averaging $597.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$168K
- AbbVie$6K
- Davol Inc.$4K
- Stryker$4K
- Johnson & Johnson$777
- Covidien LP$184
- plus $513 from 14 others
What the payments were for
- Speaking & faculty fees$4,0002%
- Travel & lodging$27,15215%
- Food & beverage$16,8789%
- Education$136,15074%
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 | 179 | $167,628 |
| AbbVie(2 entities) | 41 | $6,383 |
| Davol Inc. | 29 | $4,397 |
| Stryker | 19 | $4,299 |
| Johnson & Johnson | 15 | $777 |
| Covidien LP | 3 | $184 |
| Haemonetics Corporation | 1 | $90 |
| TELA Bio, Inc. | 4 | $64 |
| Endogastric Solutions, Inc | 1 | $55 |
| Heron Therapeutics, Inc. | 4 | $51 |
| Pacira Pharmaceuticals Incorporated | 2 | $49 |
| Medtronic | 2 | $37 |
| Kerecis Limited | 1 | $31 |
| Fisher & Paykel Healthcare Inc | 1 | $28 |
| Kowa Pharmaceuticals America, Inc. | 1 | $23 |
| Acell, Inc. | 1 | $20 |
| Phathom Pharmaceuticals, Inc. | 1 | $20 |
| Baxter Healthcare | 1 | $18 |
| Olympus America Inc. | 1 | $15 |
| Medical Device Business Services, Inc. | 1 | $12 |
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$166,037
- NATRELLE SALINE-FILLED BREAST IMPLANTS$7,112
- REVOLVE$3,556
- STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS$2,050
- SPY-PHI SYSTEM$1,549
- INFRAVISION IMAGING SYSTEM$1,188
- 1588 HD 3 CHIP CAMERA$1,163
- ALLODERM$902
- Phasix Mesh$744
- STRATTICE$700
- SPY TECHNOLOGY$577
- DA VINCI SP$500
- LINX Reflux Management System$382
- PHASIX$379
- AIM$319
- 1588$293
- BD MAX$278
- 1788$151
- PINPOINT$150
- ACCOLADE$143
How this compares
$184,180 in reported general payments places this provider in the 95th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 34 | $126 |
| Naproxen | 42 | $104 |
Paid to pharmacies, not to this prescriber.
Other surgery in Mansfield
- Jeremy ParcellsMansfield$217K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
- Erik WilsonBellaire$610K
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.