Laurence Sands, MD
Colon & Rectal Surgery · Miami, FLNPI 1609832922
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (42.6%), education and consulting fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 78.6% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2022 at $21,632 and has fallen 99.9% since, to $20 in 2025.
Across 79 payments — averaging $593.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$37K
- Takeda Pharmaceuticals U.S.A., Inc.$3K
- Baudax Bio Inc.$3K
- Covidien LP$1K
- Medtronic$1K
- Johnson & Johnson$523
- plus $919 from 9 others
What the payments were for
- Consulting fees$8,48318%
- Speaking & faculty fees$20,00043%
- Travel & lodging$3,1747%
- Food & beverage$3,2407%
- Education$12,00026%
- Gifts$140%
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 | 42 | $36,848 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $3,195 |
| Baudax Bio Inc. | 6 | $2,936 |
| Covidien LP | 2 | $1,388 |
| Medtronic | 1 | $1,100 |
| Johnson & Johnson | 10 | $523 |
| Innovation Technologies Inc | 2 | $223 |
| Fujifilm Healthcare Americas Corporation | 6 | $154 |
| Sanara Medtech Inc. | 1 | $139 |
| Celularity Inc. | 1 | $109 |
| Mallinckrodt Enterprises LLC | 1 | $107 |
| Cook Medical LLC | 1 | $107 |
| Eisai Inc. | 2 | $37 |
| Trevena, Inc. | 1 | $23 |
| Access Pro Medical, LLC | 1 | $20 |
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$30,251
- DA VINCI SP$6,000
- ANJESO$2,800
- LigaSure$575
- Echelon Circular$239
- Irrisept$182
- CellerateRx$139
- MONOCRYL$127
- OFIRMEV$107
- Cook Medical Surgery$107
- HARMONIC Product Family$101
- Enseal X1 5mm$101
- STRATAFIX$101
- EVICEL Fibrin Sealant (Human)$101
- Surgicel Powder$101
How this compares
$46,910 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 11 | $1,903 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 38 | $485 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 13 | $239 |
| Metronidazole | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Miami
- Henry LujanMiami$378K
- Luis HernandezMiami$220K
- Gustavo PlasenciaMiami$46K
- Marianna ZeichenMiami$44K
- Andrea MadiedoMiami$38K
- Eduardo KrajewskiMiami$29K
- Marcos SzomsteinMiami$22K
- Gustavo RubioMiami$14K
- Mark SolimanAltamonte Springs$872K
- Eduardo Parra DavilaWest Palm Beach$577K
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.