Sergio Larach, MD
Colon & Rectal Surgery · Orlando, FLNPI 1790744878
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 59 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 16 manufacturers, the largest accounting for just 17.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,135 and has fallen 72.0% since, to $317 in 2025. That places this record below the midpoint for colon & rectal surgery clinicians in FL, where the typical reported total is $4,865.
Across 59 payments — averaging $62.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$661
- Medtronic$652
- Johnson & Johnson$531
- Axonics, Inc.$430
- THD America, Inc.$403
- Conmed Corporation$253
- plus $770 from 10 others
Across 7 payments — averaging $1401.43 each. An ownership or investment interest held by the physician or an immediate family member.
- Applied Medical Corporation$10K
What the payments were for
- Food & beverage$3,62598%
- Education$752%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 7 | $661 |
| Medtronic(2 entities) | 13 | $652 |
| Johnson & Johnson(2 entities) | 5 | $531 |
| Axonics, Inc. | 9 | $430 |
| THD America, Inc. | 5 | $403 |
| Conmed Corporation | 3 | $253 |
| Pacira Pharmaceuticals Incorporated | 5 | $186 |
| Cumberland Pharmaceuticals, Inc. | 2 | $141 |
| Aimmune Therapeutics, Inc. | 2 | $111 |
| Intercept Pharmaceuticals, Inc. | 1 | $109 |
| Regeneron Healthcare Solutions, Inc. | 1 | $97 |
| TELA Bio, Inc. | 1 | $39 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $33 |
| Innovation Technologies Inc | 1 | $22 |
| Enterra Medical, Inc. | 1 | $17 |
| AbbVie | 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.
- INTERSTIM$484
- Axonics$273
- Da Vinci Surgical System$245
- ECHELON ENDOPATH$150
- AIRSEAL$149
- Caldolor$122
- OCALIVA$109
- EXPAREL$104
- Enseal X1 5mm$103
- Echelon Powered Circular$103
How this compares
$3,700 in reported general payments places this provider in the 45th percentile of 157 colon & rectal 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 |
|---|---|---|
| Hydrocortisone | 18 | $307 |
| Ketorolac Tromethamine | 18 | $298 |
| Ibuprofen | 20 | $113 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Orlando
- Maria MurphyOrlando$138K
- Ahmed AllawiOrlando$62K
- Marco FerraraOrlando$36K
- Teresa Hdebeche-AdamsOrlando$33K
- Antonio CaycedoOrlando$21K
- Norbert Garcia-HenriquezOrlando$15K
- Joseph GallagherOrlando$12K
- Mark SolimanAltamonte Springs$872K
- Eduardo Parra DavilaWest Palm Beach$577K
- Matthew AlbertAltamonte Springs$514K
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.