Andrew Desjardins, MD
Emergency Medicine · San Diego, CANPI 1396713103
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (41.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Heron Therapeutics, Inc. accounts for 99.3% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2022 at $25,798 and has fallen 99.5% since, to $141 in 2024. Among emergency medicine 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 60 payments — averaging $582.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Heron Therapeutics, Inc.$35K
- Inari Medical, Inc.$141
- Abbott$109
- Getinge USA Sales, LLC$12
What the payments were for
- Consulting fees$9,71928%
- Speaking & faculty fees$14,62542%
- Travel & lodging$9,71228%
- Food & beverage$9153%
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 |
|---|---|---|
| Heron Therapeutics, Inc. | 57 | $34,709 |
| Inari Medical, Inc. | 1 | $141 |
| Abbott | 1 | $109 |
| Getinge USA Sales, LLC | 1 | $12 |
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.
- Zynrelef$30,829
- HTX-011$3,000
- FLOWTRIEVER CATHETER, S$141
- CT THROMBECTOMY SYSTEM KIT$141
- Quadra Assura CRT Defibrillator$109
How this compares
$34,971 in reported general payments places this provider in the 95th percentile of 6,006 emergency medicine 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 emergency medicine in San Diego
- Paul PearigenSan Diego$208K
- Christopher CoyneSan Diego$93K
- Bradley BaileySan Diego$35K
- Michael NielsenSan Diego$19K
- Michael BlueLone Pine$915K
- Andrew AccardiEncinitas$383K
- Fredrick Melik-AbrahamianSylmar$354K
- Graham WalkerStanford$309K
- Douglas WhiteOakland$220K
- Richard KozakMission Viejo$203K
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.