Miguel Burch, MD
Surgery · Los Angeles, CANPI 1215915707
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $74,384 of the $101,918 with a category attached, or 73.0%. 14 manufacturers reported payments, led by Stryker at 58.7% of the total. Reporting peaked in 2023 at $31,133 and has fallen 63.2% since, to $11,462 in 2025. Among 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 166 payments — averaging $613.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$60K
- Intuitive Surgical$17K
- Medtronic$11K
- AstraZeneca$7K
- Johnson & Johnson$4K
- Applied Medical Resources Corporation$1K
- plus $2K from 8 others
Across 29 payments — averaging $6500.09 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.
- Ethicon Endo-surgery Inc.$147K
- Intuitive Surgical Operations, Inc.$41K
What the payments were for
- Consulting fees$74,38473%
- Speaking & faculty fees$4,1504%
- Travel & lodging$9,1619%
- Food & beverage$5,8416%
- Education$8,3838%
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 |
|---|---|---|
| Stryker | 37 | $59,859 |
| Intuitive Surgical | 82 | $16,917 |
| Medtronic | 20 | $10,946 |
| AstraZeneca | 4 | $6,544 |
| Johnson & Johnson(2 entities) | 4 | $4,423 |
| Applied Medical Resources Corporation | 4 | $1,350 |
| Medical Device Business Services, Inc. | 7 | $1,142 |
| Davol Inc. | 1 | $311 |
| Penumbra, Inc. | 1 | $145 |
| Pinnacle Biologics, Inc | 2 | $119 |
| Z-medica, LLC | 1 | $71 |
| GT Metabolic Solutions Inc | 1 | $39 |
| Vioptix Inc | 1 | $35 |
| KARL Storz Endoscopy-america | 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.
- 1688$30,116
- SPY-PHI SYSTEM$25,027
- Da Vinci Surgical System$12,718
- NA$9,000
- IMFINZI$6,444
- 1788$2,949
- DA VINCI SP$2,150
- 1588 HD 3 CHIP CAMERA$1,891
- FIOS ADVANCED$600
- KII FIOS$600
- ALEXIS CONTAINED EXTRACTION SYSTEM$600
- AUGMENT INJECTABLE$500
- AXSOS$500
- VARIAX$500
- HOFFMANN$500
- GAMMA$500
- STAPLING$450
- Signia$400
- Phasix Mesh$311
- LigaSure$175
How this compares
$101,918 in reported general payments places this provider in the 95th percentile of 2,363 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.
Other surgery in Los Angeles
- John LiphamLos Angeles$942K
- Caitlin HoughtonLos Angeles$569K
- Nikolai BildzukewiczLos Angeles$319K
- Namir KatkhoudaLos Angeles$187K
- Jonathan SalutaLos Angeles$150K
- Raul RosenthalLos Angeles$147K
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
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.