Satish Kesavaramanujam, MD
Surgery · Visalia, CANPI 1609969005
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 71.0% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2020 at $10,184 and has fallen 92.9% since, to $725 in 2025.
Across 105 payments — averaging $194.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Covidien LP$2K
- Davol Inc.$1K
- TELA Bio, Inc.$1K
- C. R. Bard, Inc. & Subsidiaries$369
- Medical Device Business Services, Inc.$274
- plus $788 from 15 others
What the payments were for
- Travel & lodging$6,32831%
- Food & beverage$5,54527%
- Education$8,50842%
- Gifts$140%
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 | 31 | $14,474 |
| Covidien LP | 12 | $1,740 |
| Davol Inc. | 19 | $1,493 |
| TELA Bio, Inc. | 13 | $1,255 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $369 |
| Medical Device Business Services, Inc. | 3 | $274 |
| Johnson & Johnson | 3 | $213 |
| Organogenesis Inc. | 2 | $133 |
| Vertex | 4 | $85 |
| BD | 3 | $83 |
| Boston Scientific | 1 | $37 |
| Integra Lifesciences Corporation | 2 | $35 |
| Kls-martin L.p. | 2 | $33 |
| AbbVie | 1 | $27 |
| Baxter Healthcare | 1 | $25 |
| Livanova USA, Inc. | 1 | $23 |
| Innocoll Pharmaceuticals Limited | 1 | $21 |
| AstraZeneca | 1 | $20 |
| Conmed Corporation | 1 | $19 |
| Osiris Therapeutics Inc. | 1 | $19 |
| Mimedx Group, Inc. | 1 | $15 |
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$13,737
- PHASIX$1,077
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$885
- Sonicision$842
- Phasix Mesh$400
- ProGrip$388
- Harmonic$276
- OviTex 2S$165
- Signia$154
- Echelon Flex$147
- ECHELON ENDOPATH$147
- iDrive$144
- Mega Power$125
- Mega Soft$125
- Mega Vac$125
- Ultra Vac$125
- PuraPly$107
How this compares
$20,394 in reported general payments places this provider in the 85th percentile of 2,363 surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 63 | $167 |
| Pantoprazole Sodium | 14 | $84 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 21 | $59 |
| Ondansetron Hcl | 19 | $50 |
Paid to pharmacies, not to this prescriber.
Other surgery in Visalia
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$1.1M
- John LiphamLos Angeles$942K
- Alexander NedopilLodi$682K
- Barry GardinerSan Ramon$602K
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.