Alma Bustamante Dayanghirang
Obstetrics & Gynecology · Fresno, CANPI 1902135577
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 55 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Hologic Sales And Service, LLC at 25.1% of the total. Reporting peaked in 2023 at $544 and has fallen 59.5% since, to $220 in 2025.
Across 55 payments — averaging $26.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hologic Sales And Service, LLC$370
- Sumitomo Pharma America, Inc.$156
- Cytyc Surgical Products, LLC$144
- Shield Therapeutics Inc$112
- AbbVie$104
- Exact Sciences$69
- plus $516 from 17 others
What the payments were for
- Food & beverage$1,472100%
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 |
|---|---|---|
| Hologic Sales And Service, LLC | 6 | $370 |
| Sumitomo Pharma America, Inc. | 8 | $156 |
| Cytyc Surgical Products, LLC | 1 | $144 |
| Shield Therapeutics Inc | 5 | $112 |
| AbbVie | 7 | $104 |
| Exact Sciences | 3 | $69 |
| Sage Therapeutics, LLC | 3 | $62 |
| Organon | 3 | $58 |
| Regeneron Healthcare Solutions, Inc. | 2 | $54 |
| BD | 1 | $47 |
| Bayer | 2 | $41 |
| Gilead | 1 | $39 |
| Therapeuticsmd, Inc. | 2 | $31 |
| Daiichi Sankyo Inc. | 2 | $28 |
| Sanofi Pasteur Inc. | 1 | $26 |
| Abbott | 1 | $24 |
| Agile Therapeutics, Inc. | 1 | $21 |
| Johnson & Johnson | 1 | $18 |
| Cranial Technologies, Inc | 1 | $15 |
| Lupin Inc. | 1 | $15 |
| Applied Medical Resources Corporation | 1 | $14 |
| Millicent US Inc | 1 | $13 |
| Boston Scientific | 1 | $11 |
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.
- ACESSA PROVU SYSTEM$294
- NovaSure$126
How this compares
$1,472 in reported general payments places this provider in the 70th percentile of 3,784 obstetrics & gynecology providers in California.
Other obstetrics & gynecology in Fresno
- Kristopher BediFresno$41K
- Steve YuNorthridge$964K
- Samir HageRedlands$640K
- Malcolm MunroLos Angeles$609K
- Michael KrychmanCosta Mesa$547K
- Anita NelsonTorrance$530K
- Jan SegnitzSan Jose$511K
- Risa KaganBerkeley$497K
- Michael GreenOxnard$424K
- Howard SalvaySanta Cruz$421K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.