Covered recipient · General Payments record
VANCE L SMITH
Allopathic & Osteopathic Physicians Surgery
General Payments · PY2018–2024
$14,702.17
- Reported across 54 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,007.89 | 8 |
| Travel and Lodging | $680.21 | 2 |
| Gift | $8.74 | 1 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| INTUITIVE SURGICAL, INC. | $1,417.05 | 9 |
| CONMED Corporation | $141.95 | 1 |
| Medtronic, Inc. | $137.84 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (11)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| CONMED Corporation | $141.95 | 03/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142401440 | CMS |
| INTUITIVE SURGICAL, INC. | $19.00 | 03/30/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1137167517 | CMS |
| INTUITIVE SURGICAL, INC. | $661.21 | 03/30/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1137211249 | CMS |
| INTUITIVE SURGICAL, INC. | $8.74 | 04/11/2024 | Gift | Undisputed | 01/23/2026 | 1137081351 | CMS |
| INTUITIVE SURGICAL, INC. | $396.88 | 04/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137269696 | CMS |
| INTUITIVE SURGICAL, INC. | $45.61 | 05/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137097173 | CMS |
| INTUITIVE SURGICAL, INC. | $30.16 | 05/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137280700 | CMS |
| INTUITIVE SURGICAL, INC. | $29.57 | 05/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137201308 | CMS |
| INTUITIVE SURGICAL, INC. | $108.33 | 05/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137269794 | CMS |
| INTUITIVE SURGICAL, INC. | $117.55 | 06/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137131602 | CMS |
| Medtronic, Inc. | $137.84 | 12/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119558548 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021, 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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