Patrick Domkowski, MD
Surgery · Sebastian, FLNPI 1366423022
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (41.7%), education and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Intuitive Surgical at 50.1% of the total. Reporting peaked in 2020 at $9,617 and has fallen 95.1% since, to $476 in 2025.
Across 51 payments — averaging $227.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Baxter Healthcare$5K
- Medtronic$385
- Johnson & Johnson$128
- Phathom Pharmaceuticals, Inc.$125
- Conmed Corporation$71
- plus $186 from 7 others
What the payments were for
- Consulting fees$4,84542%
- Travel & lodging$1,0569%
- Food & beverage$1,57914%
- Education$4,13236%
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 | 33 | $5,814 |
| Baxter Healthcare | 2 | $4,903 |
| Medtronic | 4 | $385 |
| Johnson & Johnson | 1 | $128 |
| Phathom Pharmaceuticals, Inc. | 1 | $125 |
| Conmed Corporation | 1 | $71 |
| Heron Therapeutics, Inc. | 2 | $55 |
| Olympus America Inc. | 2 | $33 |
| Southern Edge Orthopaedics, Inc. | 1 | $30 |
| Vertex | 1 | $28 |
| KCI USA, Inc. | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $18 |
| Boston Scientific | 1 | $4 |
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$4,959
- FLOSEAL$4,845
- No Related Product$4,845
- TISSEEL$4,845
- ECHELON ENDOPATH$128
- VOQUEZNA$125
How this compares
$11,612 in reported general payments places this provider in the 75th percentile of 1,569 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 |
|---|---|---|
| Sucralfate | 26 | $1,983 |
| Omeprazole | 29 | $456 |
| Pantoprazole Sodium | 35 | $261 |
| Ondansetron Hcl | 12 | $248 |
| Famotidine | 17 | $219 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $210 |
| Oxycodone Hcl | 24 | $183 |
| Metronidazole | 11 | $122 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $115 |
| Alprazolam | 11 | $54 |
Paid to pharmacies, not to this prescriber.
Other surgery in Sebastian
- Jason RadeckeSebastian$88K
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
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.