Thomas Bouder, MD
Critical Care Medicine · Winchester, VANPI 1043203318
Payments from drug & device makers
What this record shows
This record is dominated by education: $136,750 of the $163,177 with a category attached, or 83.8%. Intuitive Surgical accounts for 90.5% of it on its own, with 17 other manufacturers making up the rest. Among critical care medicine clinicians in VA 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 178 payments — averaging $916.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$148K
- Johnson & Johnson$14K
- Galvanize Therapeutics, Inc$245
- Pulmonx Corporation$146
- Genentech USA, Inc.$138
- Boehringer Ingelheim$100
- plus $470 from 12 others
What the payments were for
- Consulting fees$12,5008%
- Speaking & faculty fees$4,8503%
- Travel & lodging$5,9044%
- Food & beverage$2,9542%
- Education$136,75084%
- Gifts$2200%
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 | 142 | $147,749 |
| Johnson & Johnson | 8 | $14,330 |
| Galvanize Therapeutics, Inc | 3 | $245 |
| Pulmonx Corporation | 3 | $146 |
| Genentech USA, Inc. | 2 | $138 |
| Boehringer Ingelheim | 4 | $100 |
| Covidien LP | 1 | $85 |
| Auris Health, Inc. | 1 | $74 |
| United Therapeutics Corporation | 3 | $71 |
| Abbott | 1 | $51 |
| Sanofi | 2 | $48 |
| GSK | 2 | $36 |
| Baxter Healthcare | 1 | $23 |
| Sunovion Pharmaceuticals Inc. | 1 | $21 |
| Abiomed | 1 | $18 |
| AstraZeneca | 1 | $15 |
| Shire North American Group Inc | 1 | $15 |
| Bayer | 1 | $13 |
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$142,670
- MONARCH$9,264
- Monarch Platform$5,000
- DAVINCI XI$3,000
- ALIYA SYSTEM$119
- Esbriet$116
How this compares
$163,177 in reported general payments places this provider in the 95th percentile of 174 critical care medicine providers in Virginia.
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 critical care medicine in Winchester
- Christian LafalceWinchester$19K
- Oksana ShlobinFalls Church$375K
- Matthew WilliamsAnnandale$235K
- Sami Abdul JawadFalls Church$193K
- Rajiv MalhotraRichmond$187K
- Christopher KingFalls Church$131K
- Rohit GoyalFredericksburg$95K
- Robert ThieleCharlottesville$52K
- Jeff HalesArlington$37K
- Paul MarikNorfolk$23K
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.