Mark Onaitis, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Diego, CANPI 1841310638
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $141,915 of the $207,207 with a category attached, or 68.5%. 13 manufacturers reported payments, led by Intuitive Surgical at 58.5% of the total. Reporting peaked in 2022 at $55,132 and has fallen 83.4% since, to $9,171 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in CA 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 225 payments — averaging $920.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$121K
- Medtronic$45K
- Covidien LP$30K
- Serpex Medical Inc$9K
- AstraZeneca$1K
- Galvanize Therapeutics, Inc$330
- plus $752 from 7 others
Across 5 payments — averaging $3685.84 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.
- Medtronic$18K
- Transmedics, Inc.$804
What the payments were for
- Consulting fees$141,91568%
- Speaking & faculty fees$40,55020%
- Travel & lodging$12,6676%
- Food & beverage$7,5754%
- Education$4,5002%
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 | 65 | $121,315 |
| Medtronic | 101 | $44,944 |
| Covidien LP | 36 | $29,718 |
| Serpex Medical Inc | 4 | $8,798 |
| AstraZeneca | 4 | $1,350 |
| Galvanize Therapeutics, Inc | 3 | $330 |
| Davol Inc. | 5 | $262 |
| Atricure, Inc. | 1 | $189 |
| Boston Scientific | 1 | $122 |
| E.r. Squibb & Sons, L.L.C. | 1 | $60 |
| Johnson & Johnson | 1 | $47 |
| Edwards Lifesciences | 2 | $42 |
| On Target Laboratories, Inc | 1 | $31 |
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$120,351
- LigaSure$14,190
- Sonicision$5,500
- Signia$3,336
- IMFINZI$1,163
- ALIYA SYSTEM$315
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$189
- Endo GIA$163
- EXALT$122
- PROGEL$122
- ENDO GIA ULTRA$101
How this compares
$207,207 in reported general payments places this provider in the 95th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic 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 |
|---|---|---|
| Gabapentin | 21 | $291 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in San Diego
- James HempSan Diego$244K
- Gert PretoriusSan Diego$110K
- Robert AdamsonSan Diego$82K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Armin KiankhooySaint Helena$941K
- Ara KlijianMurrieta$916K
- Gregory FontanaThousand Oaks$875K
- Gansevoort DunningtonSaint Helena$764K
- Wilson TsaiWalnut Creek$680K
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.