Carlos Say, MD
Geriatric Medicine · Atwater, CANPI 1871594085
Payments from drug & device makers
Across 48 payments — averaging $35.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Daiichi Sankyo Inc.$525
- Gilead$200
- Davol Inc.$185
- Bayer$151
- Lilly USA, LLC$149
- Bristol Myers Squibb$125
- plus $369 from 12 others
What the payments were for
- Consulting fees$52531%
- Food & beverage$1,16068%
- Education$201%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Daiichi Sankyo Inc. | 1 | $525 |
| Gilead(2 entities) | 11 | $200 |
| Davol Inc. | 1 | $185 |
| Bayer | 8 | $151 |
| Lilly USA, LLC | 9 | $149 |
| Bristol Myers Squibb | 1 | $125 |
| ASD Specialty Healthcare, LLC | 1 | $73 |
| Taiho Oncology, Inc. | 4 | $66 |
| Pfizer | 3 | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $35 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Dexcom, Inc. | 1 | $23 |
| Ultragenyx Pharmaceutical Inc. | 1 | $21 |
| AstraZeneca | 1 | $18 |
| Novo Nordisk | 1 | $17 |
| Tandem Diabetes Care, Inc. | 1 | $17 |
| Akebia Therapeutics Inc | 1 | $14 |
| Covidien LP | 1 | $11 |
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
$1,705 in reported general payments places this provider in the 80th percentile of 494 geriatric 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 |
|---|---|---|
| JardianceEmpagliflozin | 54 | $43,249 |
| Telmisartan | 126 | $4,724 |
| Telmisartan-HydrochlorothiazidTelmisartan/Hydrochlorothiazid | 36 | $3,383 |
| Rosuvastatin Calcium | 161 | $2,360 |
| Metformin Hcl ErMetformin Hcl | 77 | $1,087 |
| FenofibrateFenofibrate Nanocrystallized | 18 | $922 |
| Pantoprazole Sodium | 58 | $839 |
| Allopurinol | 55 | $826 |
| Potassium Chloride | 22 | $759 |
| Hydrochlorothiazide | 79 | $705 |
| Tamsulosin Hcl | 39 | $659 |
| Atorvastatin Calcium | 43 | $566 |
| Fenofibrate | 19 | $520 |
| Gabapentin | 16 | $445 |
| Levothyroxine Sodium | 28 | $345 |
Paid to pharmacies, not to this prescriber.
Other geriatric medicine in Atwater
- Paul AisenSan Diego$15.7M
- Kanagaratnam SivalingamLancaster$2.4M
- Wayne ChenLos Angeles$2M
- Robert FeldmanLaguna Hills$1.9M
- Isabel PereiraFountain Valley$1.2M
- Timothy ParenteauOakland$221K
- Oscar ChienSan Gabriel$208K
- Anna ChangSan Francisco$170K
- Anders NybergSan Diego$163K
- Christopher SalemIrvine$113K
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.