Garrett Friedman, MD
Colon & Rectal Surgery · Las Vegas, NVNPI 1316237944
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 94.3% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2021 at $333,038 and has fallen 52.9% since, to $156,902 in 2025.
Across 1,475 payments — averaging $815.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1.1M
- Johnson & Johnson$41K
- Boston Scientific$24K
- Goode Surgical Inc$817
- Lumendi LLC$800
- Noah Medical Corporation$500
- plus $1K from 9 others
What the payments were for
- Consulting fees$48,6744%
- Speaking & faculty fees$355,15030%
- Travel & lodging$136,57111%
- Food & beverage$39,6063%
- Education$622,09252%
- Gifts$2240%
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 | 1,362 | $1,134,209 |
| Johnson & Johnson(2 entities) | 54 | $40,569 |
| Boston Scientific | 39 | $24,400 |
| Goode Surgical Inc | 3 | $817 |
| Lumendi LLC | 1 | $800 |
| Noah Medical Corporation | 1 | $500 |
| Acera Surgical, Inc. | 5 | $292 |
| Histosonics, Inc. | 1 | $205 |
| Foundation Medicine, Inc. | 1 | $148 |
| Conmed Corporation | 2 | $146 |
| Olympus Corporation Of The Americas | 1 | $77 |
| Micro-tech Endoscopy USA, Inc. | 1 | $60 |
| Medtronic(2 entities) | 2 | $55 |
| Arthrex | 1 | $24 |
| Ambu Inc. | 1 | $15 |
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$1,062,521
- DA VINCI SP$54,950
- Monarch Platform$9,036
- Resolution 360 Clip$9,000
- MONARCH$3,541
- EXALT$2,749
- GENERAL - THERAPIES$1,863
- EXALT Model D$1,000
- DILUMEN ENDOLUMENAL INTERVENTIONAL PLATFORM$800
- GALAXY$500
- Restrata Wound Matrix$177
- SpyGlass Discover$160
- FOUNDATIONONE$148
- FOUNDATIONONE HEME$148
- FOUNDATIONONE CDX$148
- FOUNDATIONFOCUS$148
- FOUNDATIONONE LIQUID CDX$148
- SPYGLASS$110
- GENERAL - BILIARY DEVICES$109
- AIRSEAL$103
How this compares
Too few colon & rectal surgery providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 | 90 | $5,468 |
| Neomycin Sulfate | 59 | $251 |
| Metronidazole | 59 | $130 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Las Vegas
- Roger HsiungLas Vegas$44K
- Ren Yu ZhangLas Vegas$8K
- Ketan ThankiLas Vegas$7K
- Calvin LyonsLas Vegas$6K
- Melissa MilesLas Vegas$5K
- Joseph ThorntonLas Vegas$5K
- Lance HornerLas Vegas$5K
- Katherine SpechtLas Vegas$4K
- Stephanie WishnevLas Vegas$829
- Kent SasseReno$44K
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.