Joseph Carmichael, MD
Colon & Rectal Surgery · Orange, CANPI 1427175827
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $85,544 of the $99,120 with a category attached, or 86.3%. Medical Device Business Services, Inc. accounts for 81.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $74,796 and has fallen 99.6% since, to $328 in 2024. Among colon & rectal 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.
Across 87 payments — averaging $1139.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$80K
- Johnson & Johnson$13K
- Covidien LP$5K
- Innovation Technologies Inc$226
- Medtronic$193
- Coloplast$130
- plus $38 from 2 others
Across 183 payments — averaging $437.23 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Takeda Pharmaceuticals U.S.A., Inc.$73K
- Bausch Health US, LLC$7K
What the payments were for
- Consulting fees$85,54486%
- Speaking & faculty fees$4,9005%
- Travel & lodging$5,9916%
- Food & beverage$2,5553%
- Education$1300%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 65 | $80,307 |
| Johnson & Johnson(2 entities) | 6 | $13,125 |
| Covidien LP | 8 | $5,100 |
| Innovation Technologies Inc | 2 | $226 |
| Medtronic | 2 | $193 |
| Coloplast | 2 | $130 |
| Cook Medical LLC | 1 | $22 |
| Acell, Inc. | 1 | $16 |
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.
- ECHELON FLEX Stapler$75,576
- STRATAFIX$47,048
- CONTOUR$43,978
- ENSEAL Product Family$31,490
- Sonicision$4,900
- HARMONIC Product Family$3,071
- Echelon Flex$2,940
- N/A$2,695
- ETHICON ENDO-SURGERY Curved Intraluminal Stapler$980
- EVICEL Fibrin Sealant (Human)$350
- Echelon Powered Circular$140
- Irrisept$135
- INTERSTIM$113
- RESTORELLE$100
How this compares
$99,120 in reported general payments places this provider in the 95th percentile of 176 colon & rectal 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 colon & rectal surgery in Orange
- Valery VilchezOrange$18K
- Anita GregoryOrange$12K
- Skandan ShanmuganOrange$8K
- Sang LeeLos Angeles$2.4M
- Pamela LeeSan Diego$544K
- Elizabeth RaskinSacramento$126K
- Shohrat AnnaberdyevRoseville$101K
- Alessio PigazziLos Angeles$100K
- Phillip FleshnerWest Hollywood$95K
- Zuri MurrellBeverly Hills$86K
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.