Julia Zakhaleva, MD
Colon & Rectal Surgery · Hamden, CTNPI 1154574606
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (52.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Medtronic at 55.9% of the total. Reporting peaked in 2021 at $813 and has fallen 89.6% since, to $84 in 2025.
Across 13 payments — averaging $119.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$871
- Intuitive Surgical$476
- Boston Scientific$65
- Teleflex LLC$39
- Johnson & Johnson$36
- Baxter Healthcare$36
- plus $33 from 2 others
What the payments were for
- Consulting fees$81352%
- Travel & lodging$44328%
- Food & beverage$30019%
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 |
|---|---|---|
| Medtronic | 2 | $871 |
| Intuitive Surgical | 3 | $476 |
| Boston Scientific | 3 | $65 |
| Teleflex LLC | 1 | $39 |
| Johnson & Johnson | 1 | $36 |
| Baxter Healthcare | 1 | $36 |
| THD America, Inc. | 1 | $19 |
| KCI USA, Inc. | 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.
- VersaOne$813
- Da Vinci Surgical System$443
How this compares
$1,556 in reported general payments places this provider in the 55th percentile of 48 colon & rectal surgery providers in Connecticut.
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 |
|---|---|---|
| Hydrocortisone | 55 | $2,336 |
| Procto-Med HcHydrocortisone | 14 | $109 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Hamden
- John AversaHamden$2K
- John MonsonDanbury$182K
- George YavorekNew Haven$45K
- Nicole SaurFairfield$36K
- Haddon PantelNew Haven$22K
- Ryan BendlNorwalk$12K
- Marc CasasantaDanbury$11K
- Anne MongiuNew Haven$10K
- Christine BartusNew Britain$9K
- Sergio Casillas-RomeroNorwich$8K
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.