Jonathan Snyder, MD
Colon & Rectal Surgery · Cincinnati, OHNPI 1699066449
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (55.6%), food and beverage and gifts — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 64.8% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $2,220 and has fallen 95.5% since, to $100 in 2025.
Across 46 payments — averaging $65.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Medtronic$367
- Axonics, Inc.$238
- TELA Bio, Inc.$203
- Kyowa Kirin, Inc.$120
- Solventum Corporation$41
- plus $86 from 4 others
What the payments were for
- Travel & lodging$1,67056%
- Food & beverage$1,31844%
- Gifts$140%
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 | 7 | $1,946 |
| Medtronic(2 entities) | 17 | $367 |
| Axonics, Inc. | 4 | $238 |
| TELA Bio, Inc. | 11 | $203 |
| Kyowa Kirin, Inc. | 1 | $120 |
| Solventum Corporation | 2 | $41 |
| Integra Lifesciences Corporation | 1 | $26 |
| Teleflex LLC | 1 | $25 |
| Clinical Technology, Inc | 1 | $21 |
| Mallinckrodt Enterprises 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$1,879
- Axonics$103
How this compares
$3,001 in reported general payments places this provider in the 65th percentile of 101 colon & rectal surgery providers in Ohio.
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 |
|---|---|---|
| LoperamideLoperamide Hcl | 15 | $494 |
| Ondansetron Hcl | 11 | $58 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Cincinnati
- Janice RaffertyCincinnati$164K
- Ian PaquetteCincinnati$7K
- John FrankelCincinnati$5K
- Hamza GuendCincinnati$5K
- Carla JustinianoCincinnati$2K
- Vincent ObiasCleveland$124K
- David RosenCleveland$102K
- Jean AshburnCleveland$81K
- Matthew KaladyColumbus$66K
- Anna SpivakCleveland$54K
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.