RxDoctor Payments Data

Brian Palafox, MD

General Surgery · Orange, CANPI 1568424422

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (45.1%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 44 manufacturers reported payments, led by Edwards Lifesciences at 34.8% of the total. Among general surgery 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.

$40,455in general payments, 2019–2025

Across 357 payments — averaging $113.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Edwards Lifesciences$14K
  • Atricure, Inc.$4K
  • Abiomed$3K
  • Intuitive Surgical$3K
  • Avanos Medical$2K
  • Baxter Healthcare$2K
  • plus $12K from 38 others

What the payments were for

  • Consulting fees$7,22218%
  • Speaking & faculty fees$2,2956%
  • Travel & lodging$12,68531%
  • Food & beverage$18,25345%

General payments by program year

19
20
21
22
23
24
25

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.

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

$40,455 in reported general payments places this provider in the 95th percentile of 167 general surgery providers in California.

See all general surgery providers in California

Medicare billing

Part B allowed, 2024
$113,255
Medicare patients
124
Services billed
316

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 general surgery in Orange

See the full list for California

Where these figures come from

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