Tsuyoshi Konishi, MD
Colon & Rectal Surgery · Houston, TXNPI 1033740683
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.7%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Medtronic at 51.7% of the total. 2025 is the largest year on record at $23,724, 5.9 times the $4,012 reported in 2021. Among colon & rectal 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 44 payments — averaging $1549.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$35K
- Intuitive Surgical$20K
- Medical Device Business Services, Inc.$9K
- Bayer$2K
- Johnson & Johnson$1K
- Baxter Healthcare$92
- plus $42 from 1 others
What the payments were for
- Consulting fees$31,82847%
- Speaking & faculty fees$3,8396%
- Travel & lodging$31,55446%
- Food & beverage$9431%
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 |
|---|---|---|
| Medtronic | 16 | $35,264 |
| Intuitive Surgical | 13 | $20,075 |
| Medical Device Business Services, Inc. | 2 | $9,468 |
| Bayer | 5 | $2,060 |
| Johnson & Johnson | 6 | $1,163 |
| Baxter Healthcare | 1 | $92 |
| Olympus Corporation Of The Americas | 1 | $42 |
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$19,875
- LigaSure$14,379
- Echelon Circular$9,400
- Harmonic$9,400
- Nexavar$1,893
- Signia$140
How this compares
$68,163 in reported general payments places this provider in the 90th percentile of 200 colon & rectal surgery providers in Texas.
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 colon & rectal surgery in Houston
- Diego Marines CopadoHouston$462K
- Erik AskenasyHouston$142K
- Eric HaasHouston$140K
- Theodoros VoloyiannisHouston$100K
- Scott McKnightHouston$73K
- Jean-Paul LefaveHouston$47K
- George ChangHouston$31K
- Michael SnyderHouston$24K
- Marianne CusickHouston$22K
- Joshua CourseyHouston$13K
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.