Joshua Karas, MD
Colon & Rectal Surgery · Orlando, FLNPI 1457515066
Payments from drug & device makers
Across 49 payments — averaging $137.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- THD America, Inc.$3K
- Intuitive Surgical$1K
- Medtronic$732
- Guard Medical Inc.$308
- Smith+Nephew$288
- Medical Device Business Services, Inc.$207
- plus $1K from 12 others
What the payments were for
- Travel & lodging$1,67025%
- Food & beverage$4,07960%
- Education$1,00015%
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 |
|---|---|---|
| THD America, Inc. | 13 | $2,793 |
| Intuitive Surgical | 5 | $1,300 |
| Medtronic(2 entities) | 6 | $732 |
| Guard Medical Inc. | 2 | $308 |
| Smith+Nephew | 3 | $288 |
| Medical Device Business Services, Inc. | 2 | $207 |
| TELA Bio, Inc. | 3 | $169 |
| Acell, Inc. | 2 | $150 |
| Bard Access Systems, Inc. | 2 | $140 |
| Convatec Inc. | 1 | $138 |
| RTI Surgical, Inc | 1 | $135 |
| Conmed Corporation | 2 | $123 |
| Cumberland Pharmaceuticals, Inc. | 1 | $122 |
| Axonics, Inc. | 2 | $58 |
| W. L. Gore & Associates, Inc. | 1 | $29 |
| Johnson & Johnson | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $20 |
| Heron Therapeutics, 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.
- Da Vinci Surgical System$1,110
- INTERSTIM$355
- NPseal$308
- NPSEAL LARGE$308
- NPSEAL MEDIUM$308
- Signia$168
- N/A$146
- NATURA$138
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$135
- BIODESIGN$135
- PROGEL$124
- AQUAMANTYS$123
- Caldolor$122
- PICO$119
- RENASYS TOUCH$119
- VISTASEAL$107
How this compares
$6,750 in reported general payments places this provider in the 50th percentile of 157 colon & rectal surgery providers in Florida.
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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 23 | $1,559 |
| Hydrocortisone | 42 | $752 |
| Neomycin Sulfate | 14 | $62 |
| Ondansetron Hcl | 11 | $22 |
| Metronidazole | 13 | $13 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Orlando
- Maria MurphyOrlando$160K
- Ahmed AllawiOrlando$62K
- Teresa Hdebeche-AdamsOrlando$39K
- Marco FerraraOrlando$36K
- Andrea FerraraOrlando$31K
- Antonio CaycedoOrlando$21K
- Norbert Garcia-HenriquezOrlando$15K
- Sergio LarachOrlando$14K
- Mark SolimanAltamonte Springs$887K
- Avraham BelizonBoca Raton$642K
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.