Shauna Lorenzo-Rivero, MD
Colon & Rectal Surgery · Ashland, KYNPI 1336169804
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Intuitive Surgical at 28.9% of the total. Reporting peaked in 2023 at $261 and has fallen 81.4% since, to $49 in 2024. That places this record below the midpoint for colon & rectal surgery clinicians in KY, where the typical reported total is $5,699.
Across 19 payments — averaging $23.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$127
- AbbVie$84
- QOL Medical, LLC$52
- Merck$38
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$37
- Ferring Pharmaceuticals Inc.$32
- plus $69 from 4 others
What the payments were for
- Food & beverage$440100%
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 | 2 | $127 |
| AbbVie | 5 | $84 |
| QOL Medical, LLC | 2 | $52 |
| Merck | 2 | $38 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $37 |
| Ferring Pharmaceuticals Inc. | 2 | $32 |
| Prytime Medical Devices, Inc. | 1 | $19 |
| Medtronic | 1 | $17 |
| Johnson & Johnson | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $16 |
How this compares
$440 in reported general payments places this provider in the 10th percentile of 28 colon & rectal surgery providers in Kentucky.
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 |
|---|---|---|
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 15 | $203 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 13 | $184 |
| Tramadol Hcl | 34 | $43 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Ashland
- Alfred CohenLexington$76K
- Jennifer ReaLexington$29K
- Bruce BelinLexington$19K
- Nechol AllenLouisville$18K
- John DvorakLexington$13K
- Jeffrey JordenLouisville$13K
- Jitesh PatelLexington$12K
- Charles PappLexington$9K
- David SvetichLexington$8K
- Frank RutiglianoLexington$7K
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.