Irlna Tantchou, MD
Colon & Rectal Surgery · Springdale, ARNPI 1386070027
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (33.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 88.8% of it on its own, with 27 other manufacturers making up the rest. Reporting peaked in 2023 at $23,285 and has fallen 55.5% since, to $10,351 in 2025.
Across 193 payments — averaging $249.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$43K
- Medtronic$3K
- RTI Surgical, Inc$702
- Axonics, Inc.$495
- Integra Lifesciences Corporation$240
- Activ Surgical, Inc.$122
- plus $591 from 22 others
What the payments were for
- Consulting fees$7021%
- Speaking & faculty fees$13,00027%
- Travel & lodging$9,86820%
- Food & beverage$8,55018%
- Education$16,03533%
- Gifts$640%
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.
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$36,416
- DA VINCI SP$5,300
- Signia$1,239
- INTERSTIM$999
- BIODESIGN$702
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$152
- ACell$136
- SURGIMEND$136
- Axonics r-SNM System$135
- ActivSight$122
- Axonics$112
How this compares
Too few colon & rectal surgery providers in Arkansasto 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 |
|---|---|---|
| SutabSod Sulf/Pot Chloride/Mag Sulf | 18 | $2,961 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $423 |
| Neomycin Sulfate | 28 | $147 |
| Metronidazole | 33 | $109 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $75 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Springdale
- Hollis RogersSpringdale$7K
- Jamie CannonLittle Rock$704K
- Lance BurnsLittle Rock$27K
- Lee RaleyLittle Rock$6K
- Jonathan LaryeaLittle Rock$4K
- Jason MizellLittle Rock$4K
- Patrick SzetoLittle Rock$1K
- Kurtis VinsantLittle Rock$767
- Gabriel PealLittle Rock$468
- Sandra Garcia OsogobioLittle Rock$67
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.