Julio Garcia-Aguilar, MD
Colon & Rectal Surgery · Duarte, CANPI 1730143124
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $15,750 of the $25,415 with a category attached, or 62.0%. Intuitive Surgical accounts for 74.5% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2021 at $16,274 and has fallen 98.2% since, to $291 in 2025. Among colon & rectal surgery clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 16 payments — averaging $1588.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$19K
- Medical Device Business Services, Inc.$5K
- Regeneron$918
- Intera Oncology, Inc$151
What the payments were for
- Consulting fees$6,31825%
- Speaking & faculty fees$15,75062%
- Food & beverage$8473%
- Education$2,50010%
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 | 12 | $18,946 |
| Medical Device Business Services, Inc. | 2 | $5,400 |
| Regeneron | 1 | $918 |
| Intera Oncology, Inc | 1 | $151 |
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$18,733
- LIGAMAX$5,400
- Echelon Flex$3,024
- Harmonic$3,024
- Endopath$3,024
- ECHELON FLEX Stapler$2,376
- HARMONIC Product Family$2,376
- ENDOPATH Electrosurgery Probe Plus II System$2,376
- INTERA$151
How this compares
$25,415 in reported general payments places this provider in the 90th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Neomycin Sulfate | 21 | $67 |
| Metronidazole | 25 | $22 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Duarte
- Andreas KaiserDuarte$17K
- Sang LeeLos Angeles$2.4M
- Pamela LeeSan Diego$544K
- Elizabeth RaskinSacramento$126K
- Shohrat AnnaberdyevRoseville$101K
- Alessio PigazziLos Angeles$100K
- Joseph CarmichaelOrange$99K
- Phillip FleshnerWest Hollywood$95K
- Zuri MurrellBeverly Hills$86K
- Lorenc MalellariBakersfield$78K
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.