Jonathan Romanyshyn, MD
Surgery · Fresno, CANPI 1942450069
Payments from drug & device makers
Across 85 payments — averaging $215.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$11K
- Polynovo North America LLC$4K
- Smith+Nephew$536
- Urgo Medical North America, LLC$526
- Davol Inc.$307
- KCI USA, Inc.$300
- plus $1K from 10 others
What the payments were for
- Consulting fees$3,00016%
- Travel & lodging$1,2597%
- Food & beverage$4,07122%
- Education$10,00055%
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 | $11,118 |
| Polynovo North America LLC | 13 | $4,363 |
| Smith+Nephew | 20 | $536 |
| Urgo Medical North America, LLC | 17 | $526 |
| Davol Inc. | 4 | $307 |
| KCI USA, Inc. | 4 | $300 |
| Johnson & Johnson | 2 | $275 |
| Solventum Corporation | 3 | $264 |
| Avita Medical Americas, LLC | 5 | $189 |
| Mimedx Group, Inc. | 1 | $166 |
| Convatec Inc. | 2 | $133 |
| Integra Lifesciences Corporation | 1 | $83 |
| Surgenex LLC | 1 | $23 |
| Vericel Corporation | 1 | $19 |
| Medline Industries LP | 1 | $15 |
| Bard Peripheral Vascular, Inc. | 1 | $11 |
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$10,910
- Novosorb BTM$3,898
- V.A.C. VERAFLO$225
- LINX Reflux Management System$145
- ARISTA$134
- RENASYS GO v2 HOME$132
- RENASYS TOUCH$132
- Enseal$131
- ECHELON ENDOPATH$131
- SURGICEL NU-KNIT$131
- STRAVIX PL$119
- PREVENA$116
- ACTIV.A.C.$111
- V.A.C. DERMATAC$111
- PROMOGRAN PRISMA$111
- V.A.C. VERAFLO CLEANSE CHOICE$109
- NATURABILAM W/INVISICTFPOKIT70MM$106
- ESTEEM$106
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$104
How this compares
$18,330 in reported general payments places this provider in the 85th percentile of 2,363 surgery 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.
Other surgery in Fresno
- Siew-Ming LeeFresno$1.3M
- Kelvin HigaFresno$469K
- Timothy ChuterSan Francisco$8.9M
- Peter StockSan Francisco$6.5M
- Santiago HorganSan Diego$2.8M
- Kenneth DeckLaguna Hills$2.4M
- Daniel RiskinSan Jose$2.2M
- Michael DemeureNewport Beach$1.7M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
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.