Andrew Posselt, MD
Internal Medicine · San Francisco, CANPI 1235193616
Payments from drug & device makers
Across 49 payments — averaging $5643.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vertex$231K
- Novo Nordisk AS$40K
- Intuitive Surgical$4K
- Medtronic$613
- Novo Nordisk US Research & Development, Inc.$181
What the payments were for
- Consulting fees$26,53058%
- Travel & lodging$16,31236%
- Food & beverage$1,5023%
- Education$1,2553%
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 |
|---|---|---|
| Vertex | 3 | $231,316 |
| Novo Nordisk AS | 10 | $39,959 |
| Intuitive Surgical | 25 | $4,445 |
| Medtronic | 7 | $613 |
| Novo Nordisk US Research & Development, Inc. | 4 | $181 |
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.
- Da Vinci Surgical System$3,217
- DAVINCI XI$1,000
- ProGrip$143
- LigaSure$132
- Signia$101
How this compares
$276,515 in reported general payments places this provider in the 95th percentile of 13,581 internal 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Valganciclovir Hcl | 13 | $1,497 |
| Entecavir | 17 | $253 |
| Prednisone | 17 | $127 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $89 |
| Pantoprazole Sodium | 15 | $81 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in San Francisco
- Rahul AggarwalSan Francisco$24M
- Thomas MartinSan Francisco$13.7M
- Peter HuntSan Francisco$9.8M
- Diane HavlirSan Francisco$8.4M
- Sandy WongSan Francisco$6.6M
- Nina ShahSan Francisco$5.4M
- Katy TsaiSan Francisco$3.8M
- Riley BoveSan Francisco$3.6M
- Jacob LalezariSan Francisco$3.3M
- Flavio VincentiSan Francisco$2.9M
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.