Ian Soriano, MD
Surgery · San Francisco, CANPI 1285679225
Payments from drug & device makers
What this record shows
This record is dominated by education: $61,310 of the $77,517 with a category attached, or 79.1%. Intuitive Surgical accounts for 89.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $34,632 and has fallen 95.8% since, to $1,448 in 2025. Among surgery clinicians in CA 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 119 payments — averaging $651.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$69K
- Johnson & Johnson$5K
- Covidien LP$821
- Davol Inc.$781
- BD$577
- Asensus Surgical, Inc.$490
- plus $508 from 4 others
What the payments were for
- Consulting fees$5,1437%
- Speaking & faculty fees$9001%
- Travel & lodging$4,3696%
- Food & beverage$5,7877%
- Education$61,31079%
- Gifts$90%
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 | 91 | $69,198 |
| Johnson & Johnson | 2 | $5,143 |
| Covidien LP | 9 | $821 |
| Davol Inc. | 5 | $781 |
| BD | 2 | $577 |
| Asensus Surgical, Inc. | 3 | $490 |
| Levita Magnetics International Corp | 2 | $254 |
| Medtronic | 2 | $119 |
| W. L. Gore & Associates, Inc. | 2 | $111 |
| Medical Microinstruments, Inc. | 1 | $24 |
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$67,934
- Senhance Surgical Robotics System$467
- Signia$382
- Magnetic Surgery$254
- PROGEL$177
- LigaSure$126
- Phasix Mesh$124
- Sonicision$104
How this compares
$77,517 in reported general payments places this provider in the 95th percentile of 2,363 surgery providers in California.
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 Francisco
- Timothy ChuterSan Francisco$8.8M
- Shane BurchSan Francisco$500K
- Charles EichlerSan Francisco$310K
- Michael AlvaradoSan Francisco$201K
- Scott HansenSan Francisco$186K
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
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.