Thomas Roshek
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.9%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Intuitive Surgical at 35.4% of the total. 2025 is the largest year on record at $16,095, 2.3 times the $7,035 reported in 2019. Among surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 181 payments — averaging $163.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Johnson & Johnson$9K
- Medtronic$6K
- W. L. Gore & Associates, Inc.$3K
- Covidien LP$1K
- Medical Device Business Services, Inc.$430
- plus $163 from 4 others
What the payments were for
- Consulting fees$6,58022%
- Travel & lodging$11,53539%
- Food & beverage$6,73323%
- Education$4,83316%
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 | 53 | $10,496 |
| Johnson & Johnson(2 entities) | 15 | $8,695 |
| Medtronic | 67 | $6,093 |
| W. L. Gore & Associates, Inc. | 24 | $2,728 |
| Covidien LP | 13 | $1,077 |
| Medical Device Business Services, Inc. | 4 | $430 |
| Tepha Inc | 1 | $87 |
| Endo Pharmaceuticals Inc. | 2 | $34 |
| Apollo Endosurgery US Inc | 1 | $23 |
| Olympus America Inc. | 1 | $19 |
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$6,085
- DAVINCI XI$3,250
- Signia$2,292
- LigaSure$2,260
- BIO-A Tissue Reinforcement$1,182
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$681
- iDrive$296
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$281
- LINX Reflux Management System$261
- Sonicision$192
- ECHELON ENDOPATH$109
- Harmonic$109
- VISTASEAL$109
How this compares
$29,681 in reported general payments places this provider in the 90th percentile of 1,830 surgery providers in Texas.
Other surgery in Plano
- Dean CionePlano$322K
- Julianne SantarosaPlano$303K
- Michael HarkinsTomball$2.7M
- Douglas StoddardAustin$1.4M
- Steven FassAustin$989K
- Vineet ChoudhryAustin$851K
- Andy HawthorneRound Rock$843K
- Nancy MarquezAustin$700K
- Sachin KukrejaDallas$640K
- Alejandro EsquivelAustin$631K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.