James Goad, MD
Surgery · Loxahatchee, FLNPI 1861562183
Payments from drug & device makers
What this record shows
This record is dominated by education: $32,011 of the $38,956 with a category attached, or 82.2%. Intuitive Surgical accounts for 93.2% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2022 at $16,626 and has fallen 84.4% since, to $2,596 in 2025. Among surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 73 payments — averaging $533.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$36K
- Acera Surgical, Inc.$234
- Integra Lifesciences Corporation$194
- Innovation Technologies Inc$188
- Inari Medical, Inc.$181
- Kerecis Limited$177
- plus $2K from 18 others
What the payments were for
- Speaking & faculty fees$1,0003%
- Travel & lodging$6862%
- Food & beverage$5,26014%
- Education$32,01182%
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 | 33 | $36,301 |
| Acera Surgical, Inc. | 2 | $234 |
| Integra Lifesciences Corporation | 6 | $194 |
| Innovation Technologies Inc | 1 | $188 |
| Inari Medical, Inc. | 1 | $181 |
| Kerecis Limited | 2 | $177 |
| Davol Inc. | 2 | $175 |
| LSI Solutions Inc | 3 | $174 |
| Vertex | 2 | $161 |
| Sanara Medtech Inc. | 1 | $153 |
| Stryker | 3 | $148 |
| Pacira Pharmaceuticals Incorporated | 3 | $135 |
| TELA Bio, Inc. | 1 | $134 |
| Boston Scientific | 1 | $130 |
| Organogenesis Inc. | 1 | $130 |
| Cook Medical LLC | 1 | $114 |
| Conmed Corporation | 2 | $54 |
| Merck | 2 | $40 |
| Medtronic | 1 | $36 |
| Braintree Laboratories, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $22 |
| Shire North American Group Inc | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Teleflex LLC | 1 | $14 |
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$35,972
- Kerecis Omega3 Marigen$627
- INTEGRA$321
- Irrisept$188
- FLOWTRIEVER CATHETER, S$181
- CT THROMBECTOMY SYSTEM KIT$181
- Kerecis Omega3 SurgiClose$157
- Restrata Wound Matrix$153
- CellerateRx$153
- OviTex 2S$134
- SpyGlass Discover$130
- PURAPLY WOUND MATRIX$130
- JOURNAVX$125
- EXPAREL$124
- Iovera$124
- ARISTA$120
- Zenith$114
- INTEGRA DERMAL REGENERATION TEMPLATE$107
- PRIMATRIX$107
How this compares
$38,956 in reported general payments places this provider in the 90th percentile of 1,569 surgery providers in Florida.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 68 | $246 |
| Tramadol Hcl | 14 | $17 |
Paid to pharmacies, not to this prescriber.
Other surgery in Loxahatchee
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
- Natan ZundelNorth Miami Beach$596K
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.