Robert Marema
Surgery · St. Augustine, FLNPI 1164439717
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $115,058 of the $154,106 with a category attached, or 74.7%. Asensus Surgical, Inc. accounts for 74.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $100,404 and has fallen 89.3% since, to $10,752 in 2025. Among surgery clinicians in FL 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 153 payments — averaging $1007.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Asensus Surgical, Inc.$115K
- Baxter Healthcare$16K
- Intuitive Surgical$13K
- Johnson & Johnson$8K
- Ethicon Endo-surgery Inc.$1K
- Medical Device Business Services, Inc.$865
- plus $237 from 10 others
What the payments were for
- Consulting fees$115,05875%
- Speaking & faculty fees$16,29011%
- Travel & lodging$10,5327%
- Food & beverage$4,8183%
- Education$7,4085%
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 |
|---|---|---|
| Asensus Surgical, Inc. | 75 | $114,921 |
| Baxter Healthcare | 16 | $15,994 |
| Intuitive Surgical | 37 | $13,044 |
| Johnson & Johnson(2 entities) | 9 | $7,823 |
| Ethicon Endo-surgery Inc. | 2 | $1,223 |
| Medical Device Business Services, Inc. | 2 | $865 |
| Novo Nordisk | 3 | $59 |
| Reprise Biomedical, Inc. | 1 | $45 |
| KARL Storz Endoscopy-america | 1 | $32 |
| Acera Surgical, Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Boston Scientific | 1 | $14 |
| Davol Inc. | 1 | $14 |
| Merit Medical Systems Inc | 1 | $13 |
| Heron Therapeutics, Inc. | 1 | $9 |
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.
- Senhance Surgical Robotics System$113,783
- PERI-STRIPS DRY$15,021
- FLOSEAL$9,796
- TISSEEL$9,796
- ECHELON FLEX Stapler$7,654
- HARMONIC Product Family$7,654
- ENDOPATH XCEL Trocar Portfolio$7,654
- DAVINCI XI$7,000
- Da Vinci Surgical System$5,313
- Echelon Flex$560
How this compares
$154,106 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $99 |
| Tramadol Hcl | 14 | $30 |
Paid to pharmacies, not to this prescriber.
Other surgery in St. Augustine
- 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
- Natan ZundelNorth Miami Beach$596K
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.