Sean Meshkin, DO
Surgical Critical Care · Fresno, CANPI 1790162600
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (57.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 90.2% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2023 at $8,805 and has fallen 97.0% since, to $264 in 2025.
Across 38 payments — averaging $251.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Zimmer Biomet$521
- Johnson & Johnson$123
- Organogenesis Inc.$99
- Kls-martin L.p.$84
- Medtronic$48
- plus $68 from 3 others
What the payments were for
- Travel & lodging$2,32124%
- Food & beverage$1,73718%
- Education$5,50057%
- Gifts$160%
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 | 20 | $8,633 |
| Zimmer Biomet | 5 | $521 |
| Johnson & Johnson | 1 | $123 |
| Organogenesis Inc. | 3 | $99 |
| Kls-martin L.p. | 5 | $84 |
| Medtronic | 1 | $48 |
| Globus Medical | 1 | $34 |
| Atricure, Inc. | 1 | $17 |
| Smith+Nephew | 1 | $17 |
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$5,500
- Da Vinci Surgical System$2,194
- DA VINCI SP$463
- RIBFIX TITAN$148
- AdvantageRib$137
- MATRIXRIB$123
- XCM Biologic Tissue Matrix$123
How this compares
$9,575 in reported general payments places this provider in the 80th 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 Fresno
- Alan PangFresno$22K
- Jordan LiliensteinFresno$5K
- David JeffcoachFresno$4K
- 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
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.