Jo-Lawrence Bigcas, MD
Otolaryngology · San Diego, CANPI 1104171503
Payments from drug & device makers
Across 160 payments — averaging $94.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Amgen$1K
- Axogen$1K
- Acera Surgical, Inc.$797
- Stryker$727
- Medtronic$686
- plus $4K from 19 others
What the payments were for
- Consulting fees$1,49410%
- Travel & lodging$1,80412%
- Food & beverage$7,04747%
- Education$4,78032%
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 | 12 | $5,870 |
| Amgen | 1 | $1,494 |
| Axogen | 6 | $1,160 |
| Acera Surgical, Inc. | 14 | $797 |
| Stryker | 10 | $727 |
| Medtronic | 12 | $686 |
| Kls-martin L.p. | 14 | $590 |
| GSK | 16 | $544 |
| Aerin Medical Inc. | 5 | $535 |
| Optinose US, Inc. | 24 | $488 |
| Integra Lifesciences Corporation | 7 | $428 |
| Regeneron Healthcare Solutions, Inc. | 7 | $419 |
| Tactile Systems Technology Inc | 3 | $315 |
| Intersect ENT, Inc. | 5 | $262 |
| Smith+Nephew | 8 | $245 |
| Foundation Medicine, Inc. | 1 | $148 |
| Acclarent, Inc | 4 | $122 |
| Regeneron | 1 | $61 |
| Olympus America Inc. | 2 | $58 |
| Merck | 2 | $51 |
| Polynovo North America LLC | 2 | $37 |
| Johnson & Johnson | 1 | $29 |
| Sanofi | 1 | $27 |
| Hologic Sales And Service, LLC | 1 | $22 |
| Atos Medical Inc | 1 | $12 |
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$5,543
- Tavneos$1,494
- AxoGuard Nerve Protector$978
- AxoGuard Nerve Connector$978
- INTEGRA DUO$306
- VIVAER STYLUS$265
- RHINAER STYLUS$265
- Restrata Wound Matrix$253
- NUCALA$226
- XPRESS LOPROFILE$172
- PROPEL$164
- INTEGRA$159
- CODMAN ISOCOOL AHT$159
- MICROFRANCE$159
- INSTRUMENTS-ORTHOPEDIC$159
- NA$157
- Flexitouch Plus$150
- Entre Plus$150
- FOUNDATIONONE$148
- FOUNDATIONONE HEME$148
How this compares
$15,125 in reported general payments places this provider in the 90th percentile of 1,021 otolaryngology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $203 |
| Pentoxifylline | 17 | $175 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $157 |
| Chlorhexidine Gluconate | 13 | $94 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in San Diego
- Brian WeeksSan Diego$1.6M
- Andrew BerosSan Diego$688K
- Adam DecondeSan Diego$53K
- Randall OwRoseville$4.3M
- Amir MoradiVista$2.6M
- Charles LimbSan Francisco$1.5M
- Paul SchalchChula Vista$573K
- Steven DavisTorrance$544K
- Arnaud BewleySacramento$541K
- Keith BlackwellLos Angeles$349K
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.