Robert Acho, DO
Surgery · Rochester Hills, MINPI 1932631314
Payments from drug & device makers
What this record shows
This record is dominated by education: $41,520 of the $55,539 with a category attached, or 74.8%. Intuitive Surgical accounts for 94.7% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $32,030, 9.5 times the $3,367 reported in 2019. Among surgery clinicians in MI 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 147 payments — averaging $377.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$53K
- Davol Inc.$2K
- Johnson & Johnson$384
- W. L. Gore & Associates, Inc.$274
- Covidien LP$226
- C. R. Bard, Inc. & Subsidiaries$177
- plus $351 from 5 others
What the payments were for
- Speaking & faculty fees$2,5005%
- Travel & lodging$4,6268%
- Food & beverage$6,88412%
- Education$41,52075%
- Gifts$90%
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 | 112 | $52,599 |
| Davol Inc. | 16 | $1,529 |
| Johnson & Johnson(2 entities) | 6 | $384 |
| W. L. Gore & Associates, Inc. | 2 | $274 |
| Covidien LP | 1 | $226 |
| C. R. Bard, Inc. & Subsidiaries | 3 | $177 |
| Integra Lifesciences Corporation | 3 | $175 |
| Medtronic | 1 | $123 |
| Convatec Inc. | 1 | $20 |
| CSL Behring | 1 | $20 |
| Innocoll Pharmaceuticals Limited | 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.
- Da Vinci Surgical System$49,180
- DAVINCI XI$1,500
- PHASIX$1,223
- ProGrip$226
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$186
- MONOCRYL$125
- Echelon Flex$125
- Signia$123
- XARELTO$115
How this compares
$55,539 in reported general payments places this provider in the 95th percentile of 1,081 surgery providers in Michigan.
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 |
|---|---|---|
| Methocarbamol | 16 | $53 |
| Oxycodone Hcl | 25 | $21 |
| Ibuprofen | 17 | $20 |
Paid to pharmacies, not to this prescriber.
Other surgery in Rochester Hills
- Bruce McIntoshRochester Hills$435K
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
- Anthony IaccoBeverly Hills$114K
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.