Carmen Fischer
Pain Medicine · Bakersfield, CANPI 1447284732
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Collegium Pharmaceutical, Inc. at 33.5% of the total. Reporting peaked in 2019 at $783 and has fallen 97.4% since, to $21 in 2023. That places this record below the midpoint for pain medicine clinicians in CA, where the typical reported total is $1,829.
Across 92 payments — averaging $18.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Collegium Pharmaceutical, Inc.$566
- Boston Scientific$234
- Biodelivery Sciences International, Inc.$175
- Scilex Pharmaceuticals Inc.$141
- Daiichi Sankyo Inc.$109
- Medtronic$103
- plus $360 from 13 others
What the payments were for
- Food & beverage$1,689100%
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc. | 29 | $566 |
| Boston Scientific | 12 | $234 |
| Biodelivery Sciences International, Inc. | 8 | $175 |
| Scilex Pharmaceuticals Inc. | 9 | $141 |
| Daiichi Sankyo Inc. | 11 | $109 |
| Medtronic(2 entities) | 6 | $103 |
| Flowonix Medical Incorporated | 1 | $85 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $52 |
| Pfizer | 3 | $41 |
| Abbott | 1 | $34 |
| Redhill Biopharma Inc. | 1 | $24 |
| Johnson & Johnson | 1 | $20 |
| Tersera Therapeutics LLC | 1 | $18 |
| Si-bone, Inc. | 1 | $18 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
| MDD US Operations, LLC | 1 | $15 |
| Merit Medical Systems Inc | 1 | $14 |
| Lilly USA, LLC | 1 | $13 |
| AstraZeneca | 1 | $11 |
How this compares
$1,689 in reported general payments places this provider in the 45th percentile of 840 pain medicine providers in California.
Other pain medicine in Bakersfield
- Jason PopeSanta Rosa$2.1M
- Ramana NaiduLarkspur$1.4M
- Foead GeulaStudio City$1.3M
- Krishnan ChakravarthyTemecula$1.3M
- Kasra AmirdelfanWalnut Creek$783K
- Eric GrigsbyNapa$499K
- Jacqueline WeisbeinNapa$494K
- Gerald SacksSanta Monica$389K
- Samir ShethRoseville$356K
- Einar OttestadStanford$352K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.