Anthony Portale
Pediatrics · San Francisco, CANPI 1861433989
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (56.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Kyowa Kirin, Inc. accounts for 61.0% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $96,154, more than ten times the $8,807 reported in 2019. Among pediatrics 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 367 payments — averaging $963.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kyowa Kirin, Inc.$216K
- Ultragenyx Pharmaceutical Inc.$125K
- Biomarin Pharmaceutical Inc.$6K
- Akebia Therapeutics Inc$5K
- Kyowa Kirin Services Ltd$2K
Across 83 payments — averaging $10,585 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.
- Ultragenyx Pharmaceutical Inc.$879K
What the payments were for
- Consulting fees$106,58730%
- Speaking & faculty fees$199,90357%
- Travel & lodging$41,23912%
- Food & beverage$5,9032%
- Education$600%
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 |
|---|---|---|
| Kyowa Kirin, Inc. | 240 | $215,897 |
| Ultragenyx Pharmaceutical Inc. | 124 | $125,492 |
| Biomarin Pharmaceutical Inc. | 1 | $5,980 |
| Akebia Therapeutics Inc | 1 | $4,572 |
| Kyowa Kirin Services Ltd | 1 | $1,750 |
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.
How this compares
$353,692 in reported general payments places this provider in the 95th percentile of 5,539 pediatrics providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 20 | $75 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in San Francisco
- Tonya ChaffeeSan Francisco$359K
- David KesslerSan Francisco$335K
- Jonathan StroberSan Francisco$164K
- Anna MoscickiSan Francisco$88K
- Philip RosenthalSan Francisco$82K
- Yvette WildSan Francisco$75K
- Ilona FriedenSan Francisco$62K
- Farzana PerwadSan Francisco$30K
- Melvin HeymanSan Francisco$25K
- Mary LeshSan Francisco$21K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.