Manuel Garcia-Toca, MD
Vascular Surgery · Stanford, CANPI 1437377280
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,588 of the $6,214 with a category attached, or 89.9%. 19 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 31.4% of the total. 2025 is the largest year on record at $2,179, 5.2 times the $422 reported in 2019.
Across 74 payments — averaging $83.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$2K
- Bolton Medical Inc$943
- Shockwave Medical, Inc$844
- Inari Medical, Inc.$509
- Medtronic$355
- Penumbra, Inc.$248
- plus $1K from 13 others
Across 51 payments — averaging $1516.22 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Abbott$46K
- Boston Scientific$24K
- Humacyte Global, Inc.$8K
What the payments were for
- Grants$240%
- Travel & lodging$5359%
- Food & beverage$5,58890%
- Education$671%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 20 | $1,954 |
| Bolton Medical Inc | 8 | $943 |
| Shockwave Medical, Inc | 7 | $844 |
| Inari Medical, Inc. | 4 | $509 |
| Medtronic(2 entities) | 7 | $355 |
| Penumbra, Inc. | 3 | $248 |
| Cook Medical LLC | 4 | $236 |
| Viz.ai, Inc. | 1 | $183 |
| Abbott | 1 | $182 |
| Humacyte Global, Inc. | 2 | $144 |
| Silk Road Medical, Inc. | 1 | $126 |
| Philips North America LLC | 2 | $106 |
| ETS Wound Care LLC | 3 | $77 |
| Boston Scientific | 1 | $72 |
| Atricure, Inc. | 1 | $61 |
| Bard Peripheral Vascular, Inc. | 3 | $60 |
| BD | 2 | $51 |
| Smith+Nephew | 3 | $46 |
| Cashflow Solutions, LLC | 1 | $15 |
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.
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$821
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$580
- FLOWTRIEVER CATHETER, S$423
- CT THROMBECTOMY SYSTEM KIT$423
- Grafts$296
- Relay Grafts$260
- C3 Delivery System$187
- Viz.AI LVO$183
- JETI$182
- GORE VIABAHN VBX Balloon Expandable Endo$172
- GORE VIABAHN Endoprosthesis$168
- ENDURANT IIS$159
- Indigo System$149
- GORE TAG Conformable Thoracic Endoprosthesis$138
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$137
- ENHANCE Transcarotid Peripheral Access Kit$126
- ENROUTE Transcarotid Stent$126
- ENROUTE Transcarotid Neuroprotection System$126
- ENROUTE .014 Guidewire$126
- Relay Plus$117
How this compares
$6,214 in reported general payments places this provider in the 60th percentile of 519 vascular 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 |
|---|---|---|
| Atorvastatin Calcium | 12 | $46 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Stanford
- Ehab SorialStanford$67K
- Oliver AalamiStanford$31K
- Son DuongFountain Valley$503K
- Venita ChandraPalo Alto$488K
- Sukgu HanLos Angeles$477K
- Leigh Ann ObanionFresno$469K
- Trevor DerderianRancho Mirage$359K
- Karthikeshwar KasirajanPalo Alto$349K
- Johnathon RolloLos Angeles$337K
- Melissa LojaFairfield$272K
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.