RxDoctor Payments Data

Jason Toranto, MD

Plastic Surgery · San Diego, CANPI 1144435389

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $45,263 of the $73,306 with a category attached, or 61.7%. Smith+Nephew accounts for 82.5% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2024 at $32,565 and has fallen 94.2% since, to $1,878 in 2025. Among plastic 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.

$73,306in general payments, 2019–2025

Across 125 payments — averaging $586.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$60K
  • Kls-martin L.p.$5K
  • Synthes GmbH$4K
  • Kerecis Limited$2K
  • Integra Lifesciences Corporation$542
  • Elevate Surgical Co$148
  • plus $355 from 6 others

What the payments were for

  • Consulting fees$9,94014%
  • Speaking & faculty fees$45,26362%
  • Travel & lodging$12,77517%
  • Food & beverage$4,7697%
  • Gifts$170%
  • Other$5421%

General payments by program year

19
20
21
22
23
24
25

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.

How this compares

$73,306 in reported general payments places this provider in the 95th percentile of 780 plastic surgery providers in California.

See all plastic surgery providers in California

Medicare billing

Part B allowed, 2024
$1,188,234
Medicare patients
56
Services billed
2,412

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 plastic surgery in San Diego

See the full list for California

Where these figures come from

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