Alyssa Brzenski, MD
Anesthesiology · San Diego, CANPI 1740470673
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,010 of the $1,537 with a category attached, or 65.7%. 6 manufacturers reported payments, led by Merck at 51.1% of the total. Reporting peaked in 2019 at $920 and has fallen 86.8% since, to $122 in 2025. Among anesthesiology clinicians in CA 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 15 payments — averaging $102.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$785
- Fisher & Paykel Healthcare Inc$251
- Acacia Pharma Inc$149
- Chiesi USA, Inc.$135
- Heron Therapeutics, Inc.$122
- BD$95
Across 38 payments — averaging $1399.89 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$53K
What the payments were for
- Travel & lodging$52734%
- Food & beverage$1,01066%
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 |
|---|---|---|
| Merck | 7 | $785 |
| Fisher & Paykel Healthcare Inc | 2 | $251 |
| Acacia Pharma Inc | 1 | $149 |
| Chiesi USA, Inc. | 3 | $135 |
| Heron Therapeutics, Inc. | 1 | $122 |
| BD | 1 | $95 |
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.
- FISHER & PAYKEL HEALTHCARE$1,255
- BRIDION$625
- BARHEMSYS$149
- APONVIE$122
How this compares
$1,537 in reported general payments places this provider in the 90th percentile of 5,717 anesthesiology providers in California.
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 anesthesiology in San Diego
- Alexander RoherSan Diego$282K
- Daniel LeeSan Diego$96K
- Rodney GabrielSan Diego$38K
- Jack JengSouth San Francisco$1.3M
- Roger PhillipsChico$434K
- David DeyhimyLaguna Hills$344K
- Maxime CannessonLos Angeles$336K
- Moody MakarLos Angeles$252K
- Jonathan JahrLos Angeles$223K
- Amir ShbeebLong Beach$216K
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.