Rene Parungao, MD
Surgery · McHenry, ILNPI 1942231667
Payments from drug & device makers
What this record shows
This record is dominated by education: $17,000 of the $21,875 with a category attached, or 77.7%. Intuitive Surgical accounts for 87.9% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2022 at $18,652 and has fallen 94.9% since, to $959 in 2025. Among surgery clinicians in IL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 139 payments — averaging $157.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$19K
- Organogenesis Inc.$703
- Smith+Nephew$288
- Kerecis Limited$260
- Aroa Biosurgery Incorporated$175
- Paratek Pharmaceuticals, Inc.$175
- plus $1K from 20 others
What the payments were for
- Travel & lodging$1,8989%
- Food & beverage$2,97614%
- Education$17,00078%
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 | 45 | $19,233 |
| Organogenesis Inc. | 27 | $703 |
| Smith+Nephew | 10 | $288 |
| Kerecis Limited | 8 | $260 |
| Aroa Biosurgery Incorporated | 2 | $175 |
| Paratek Pharmaceuticals, Inc. | 12 | $175 |
| Mimedx Group, Inc. | 6 | $138 |
| Integra Lifesciences Corporation | 5 | $112 |
| Osiris Therapeutics Inc. | 1 | $108 |
| Angiodynamics, Inc. | 2 | $93 |
| Biocomposites Inc | 1 | $64 |
| Molnlycke Health Care US, LLC | 2 | $63 |
| Misonix Inc | 1 | $60 |
| Mozarc Medical US LLC | 2 | $59 |
| Tactile Systems Technology Inc | 2 | $50 |
| Globus Medical | 1 | $45 |
| Cashflow Solutions, LLC | 2 | $43 |
| Urgo Medical North America, LLC | 2 | $41 |
| Avita Medical Americas, LLC | 1 | $25 |
| AbbVie | 1 | $25 |
| Bsn Medical Inc | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $22 |
| Vertex | 1 | $22 |
| Advanced Oxygen Therapy Inc. | 1 | $17 |
| Solventum Corporation | 1 | $17 |
| Reddress USA, Inc. | 1 | $14 |
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.
- DAVINCI XI$17,000
- Da Vinci Surgical System$1,931
- Kerecis Omega3 SurgiClose$449
- Kerecis Omega3 GraftGuide$150
- Kerecis Omega3 Marigen$150
- PuraPly$124
- GRAFIX PL$121
- Oasis$121
- STRAVIX MESH$121
- Stravix$108
- Grafix$108
- GrafixPL$108
How this compares
$21,875 in reported general payments places this provider in the 90th percentile of 1,180 surgery providers in Illinois.
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 |
|---|---|---|
| Ammonium Lactate | 38 | $684 |
| Gentamicin Sulfate | 15 | $590 |
| Doxycycline Hyclate | 19 | $196 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $108 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $101 |
| Mupirocin | 15 | $80 |
| Triamcinolone Acetonide | 18 | $78 |
| Lorazepam | 11 | $10 |
Paid to pharmacies, not to this prescriber.
Other surgery in McHenry
- Jaishankar RamanBurr Ridge$1.6M
- Reza GamagamiNew Lenox$1.2M
- Francesco BiancoChicago$1M
- Mark KeldahlChicago$765K
- Barry RosenBarrington$443K
- Douglas JonesChampaign$425K
- Rami LutfiChicago$411K
- Paul VanaDowners Grove$368K
- Erik BorncampNew Lenox$364K
- Michael UjikiEvanston$276K
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.