Andrew Biegner, CRNA
Nurse Anesthetist, Certified Registered · San Diego, CANPI 1588650048
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (37.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Pacira Pharmaceuticals Incorporated accounts for 99.8% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $35,647, 2.2 times the $16,314 reported in 2021. Among nurse anesthetist, certified registered clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 201 payments — averaging $403.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$81K
- Avanos Medical$144
- Si-bone, Inc.$21
What the payments were for
- Consulting fees$30,28937%
- Speaking & faculty fees$28,68035%
- Travel & lodging$19,47024%
- Food & beverage$2,6593%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 196 | $80,933 |
| Avanos Medical | 4 | $144 |
| Si-bone, Inc. | 1 | $21 |
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.
- Iovera$44,278
- EXPAREL$21,142
- IOVERA SYSTEM$12,657
- Zilretta$3,781
- GENERATOR$101
How this compares
$81,098 in reported general payments places this provider in the 95th percentile of 1,311 nurse anesthetist, certified registered providers in California.
See all nurse anesthetist, certified registered 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 nurse anesthetist, certified registered in San Diego
- Mark GohlSan Diego$6K
- Kimberly SandbergSan Diego$3K
- Danielle HarrisSan Diego$2K
- Michael MarinoLos Angeles$127K
- Kari ColeLos Angeles$62K
- Jacob MasonLong Beach$49K
- Melissa RoupoliHarbor City$20K
- Cheryl CarrIrvine$6K
- Min Hee KimIrvine$5K
- Lori BorghiStanford$4K
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.