Jay Cheek, MD
Surgery · San Antonio, TXNPI 1487848594
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,377 of the $1,941 with a category attached, or 70.9%. 15 manufacturers reported payments, led by Intuitive Surgical at 57.2% of the total. Reporting peaked in 2023 at $1,235 and has fallen 96.4% since, to $45 in 2025. That places this record below the midpoint for surgery clinicians in TX, where the typical reported total is $2,700.
Across 41 payments — averaging $47.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- Davol Inc.$223
- CSL Behring$215
- Innovation Technologies Inc$81
- Johnson & Johnson$61
- Smith+Nephew$38
- plus $214 from 9 others
What the payments were for
- Travel & lodging$54828%
- Food & beverage$1,37771%
- Gifts$161%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 9 | $1,109 |
| Davol Inc. | 4 | $223 |
| CSL Behring | 12 | $215 |
| Innovation Technologies Inc | 1 | $81 |
| Johnson & Johnson | 2 | $61 |
| Smith+Nephew | 2 | $38 |
| Heron Therapeutics, Inc. | 2 | $37 |
| Stryker | 1 | $30 |
| Conmed Corporation | 1 | $30 |
| TELA Bio, Inc. | 2 | $29 |
| Baxter Healthcare | 1 | $28 |
| Innocoll Pharmaceuticals Limited | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Bolder Surgical LLC | 1 | $10 |
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
$1,941 in reported general payments places this provider in the 40th percentile of 1,830 surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $248 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Antonio
- Richard PetersonSan Antonio$323K
- Joseph KaramSan Antonio$293K
- John PilcherSan Antonio$214K
- John MeterskySan Antonio$158K
- Kent van SickleSan Antonio$143K
- Richard EnglehardtSan Antonio$107K
- Guillermo Portillo RamilaSan Antonio$102K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
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.