Paul Wisniewski, DO
Surgical Critical Care · Apple Valley, CANPI 1063674190
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,146 of the $1,526 with a category attached, or 75.1%. Integra Lifesciences Corporation accounts for 69.2% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $524, 6.9 times the $76 reported in 2019. That places this record below the midpoint for surgical critical care clinicians in CA, where the typical reported total is $1,135.
Across 44 payments — averaging $34.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$1K
- BTG International Inc.$76
- Kls-martin L.p.$76
- Stimlabs LLC$58
- Prytime Medical Devices, Inc.$43
- Johnson & Johnson$42
- plus $175 from 8 others
What the payments were for
- Food & beverage$1,14675%
- Education$121%
- Other$36924%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 30 | $1,056 |
| BTG International Inc. | 1 | $76 |
| Kls-martin L.p. | 1 | $76 |
| Stimlabs LLC | 2 | $58 |
| Prytime Medical Devices, Inc. | 1 | $43 |
| Johnson & Johnson | 1 | $42 |
| Zimmer Biomet | 1 | $38 |
| Acell, Inc. | 1 | $29 |
| Organogenesis Inc. | 1 | $26 |
| Intuitive Surgical | 1 | $19 |
| Teleflex LLC | 1 | $19 |
| Smith+Nephew | 1 | $16 |
| AstraZeneca | 1 | $16 |
| Paratek Pharmaceuticals, Inc. | 1 | $12 |
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.
- INTEGRA$413
- CYTAL$159
- MICROMATRIX$147
- INTEGRA DERMAL REGENERATION TEMPLATE$138
- PRIMATRIX$138
How this compares
$1,526 in reported general payments places this provider in the 50th percentile of 141 surgical critical care 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 surgical critical care in Apple Valley
- Aaron StrumwasserLynwood$200K
- Demetrios DemetriadesLos Angeles$192K
- David SpainPalo Alto$117K
- Brian LugoPasadena$61K
- Matthew BloomSan Jose$42K
- Scott CunneenLos Angeles$35K
- Nicholas NissenLos Angeles$26K
- Alan PangFresno$22K
- Amy LiepertSan Diego$22K
- Daniel MarguliesLos Angeles$15K
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.