Pamela Lee, MD
Colon & Rectal Surgery · San Diego, CANPI 1356665657
Payments from drug & device makers
What this record shows
This record is dominated by education: $345,408 of the $543,663 with a category attached, or 63.5%. Intuitive Surgical accounts for 99.3% of it on its own, with 17 other manufacturers making up the rest. 2025 is the largest year on record at $151,539, 4.3 times the $35,541 reported in 2019. Among colon & rectal 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 588 payments — averaging $924.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$540K
- Davol Inc.$944
- Aroa Biosurgery Incorporated$685
- Kerecis Limited$516
- Shionogi Inc$305
- Conmed Corporation$262
- plus $1K from 12 others
What the payments were for
- Speaking & faculty fees$162,80030%
- Travel & lodging$14,3033%
- Food & beverage$21,1034%
- Education$345,40864%
- Gifts$490%
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 | 505 | $539,686 |
| Davol Inc. | 12 | $944 |
| Aroa Biosurgery Incorporated | 11 | $685 |
| Kerecis Limited | 2 | $516 |
| Shionogi Inc | 23 | $305 |
| Conmed Corporation | 2 | $262 |
| Medtronic(2 entities) | 4 | $216 |
| Edwards Lifesciences | 1 | $197 |
| Viiv Healthcare Company | 4 | $180 |
| Acera Surgical, Inc. | 2 | $175 |
| Paratek Pharmaceuticals, Inc. | 8 | $145 |
| THD America, Inc. | 2 | $133 |
| Melinta Therapeutics, LLC | 5 | $81 |
| Mylan Specialty L.p. | 2 | $40 |
| W. L. Gore & Associates, Inc. | 1 | $37 |
| AbbVie | 2 | $25 |
| Axonics, Inc. | 1 | $23 |
| Coloplast | 1 | $13 |
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$499,866
- DA VINCI SP$33,100
- Kerecis Omega3 SurgiClose$1,186
- Kerecis Omega3 Marigen$880
- Kerecis Omega3 GraftGuide$516
- Phasix Mesh$267
- AIRSEAL$262
- PHASIX$225
- SAPIEN 3 Ultra RESILIA$197
- Restrata Wound Matrix$162
- APRETUDE$111
- INTERSTIM$104
How this compares
$543,663 in reported general payments places this provider in the 95th percentile of 176 colon & rectal 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 |
|---|---|---|
| Neomycin Sulfate | 27 | $82 |
| Metronidazole | 28 | $59 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in San Diego
- Samuel EisensteinSan Diego$34K
- Mathew IshoSan Diego$19K
- Sang LeeLos Angeles$2.4M
- Elizabeth RaskinSacramento$126K
- Shohrat AnnaberdyevRoseville$101K
- Alessio PigazziLos Angeles$100K
- Joseph CarmichaelOrange$99K
- Phillip FleshnerWest Hollywood$95K
- Zuri MurrellBeverly Hills$86K
- Lorenc MalellariBakersfield$78K
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.