Justin Clark, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (56.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 74.0% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2021 at $16,546 and has fallen 96.3% since, to $616 in 2025. Among surgery clinicians in AK 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 128 payments — averaging $185.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$18K
- W. L. Gore & Associates, Inc.$3K
- Medical Device Business Services, Inc.$2K
- Johnson & Johnson$401
- Novo Nordisk$266
- Covidien LP$230
- plus $484 from 5 others
What the payments were for
- Travel & lodging$3,76316%
- Food & beverage$6,56628%
- Education$13,35156%
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 | 53 | $17,524 |
| W. L. Gore & Associates, Inc. | 46 | $3,145 |
| Medical Device Business Services, Inc. | 9 | $1,628 |
| Johnson & Johnson | 6 | $401 |
| Novo Nordisk | 3 | $266 |
| Covidien LP | 3 | $230 |
| Davol Inc. | 2 | $130 |
| Medtronic | 3 | $117 |
| Daiichi Sankyo Inc. | 1 | $114 |
| KCI USA, Inc. | 1 | $105 |
| Lilly USA, LLC | 1 | $18 |
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$15,462
- ECHELON FLEX Stapler$1,329
- EVICEL Fibrin Sealant (Human)$1,329
- GORE ENFORM Preperitoneal Biomaterial$260
- GORE SYNECOR Biomaterial$230
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$202
- SEAMGUARD Staple Line Reinforcement$130
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$125
- Wegovy$125
- Saxenda$125
- INJECTAFER$114
- BD MAX$109
- BIO-A Tissue Reinforcement$109
- ECHELON ENDOPATH Stapler$108
- VAC VERAFLO$105
- SEAMGUARD$104
How this compares
$23,679 in reported general payments places this provider in the 95th percentile of 68 surgery providers in Alaska.
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 surgery in Jber
- Graham BaluhJber$5K
- John MuffolettoAnchorage$55K
- David WrigleyAnchorage$20K
- Harrison BurmanKetchikan$18K
- Gregory HoughEagle River$18K
- Gregory LisseAnchorage$17K
- David KingSoldotna$17K
- Victoria MurdockAnchorage$16K
- Nicholas BahlWasilla$16K
- Jason LattinSoldotna$15K
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.