Christelle Miot, MD
Allergy & Immunology · Loma Linda, CANPI 1487150736
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 9 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $524, 3.0 times the $177 reported in 2023. That places this record below the midpoint for allergy & immunology clinicians in CA, where the typical reported total is $2,148.
Across 15 payments — averaging $58.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Blueprint Medicines Corporation$152
- Pharming Healthcare, Inc.$143
- GSK$133
- Sanofi US Services Inc.$125
- AstraZeneca$125
- Biocryst US Sales Co., LLC$80
- plus $114 from 3 others
What the payments were for
- Food & beverage$872100%
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 |
|---|---|---|
| Blueprint Medicines Corporation | 2 | $152 |
| Pharming Healthcare, Inc. | 2 | $143 |
| GSK | 2 | $133 |
| Sanofi US Services Inc. | 1 | $125 |
| AstraZeneca | 1 | $125 |
| Biocryst US Sales Co., LLC | 2 | $80 |
| Regeneron Healthcare Solutions, Inc. | 3 | $64 |
| Sanofi | 1 | $28 |
| Cycle Pharmaceuticals Inc | 1 | $22 |
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
$872 in reported general payments places this provider in the 35th percentile of 426 allergy & immunology 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 |
|---|---|---|
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 17 | $45,384 |
| Azelastine Hcl | 53 | $1,328 |
| Ipratropium Bromide | 11 | $465 |
| Fluticasone Propionate | 17 | $340 |
| Pantoprazole Sodium | 13 | $125 |
Paid to pharmacies, not to this prescriber.
Other allergy & immunology in Loma Linda
- Raffi TachdjianSanta Monica$3.7M
- Bob GengSan Diego$3.3M
- Vinay MehtaLaguna Niguel$1.3M
- Andrew WhiteSan Diego$752K
- Marc RiedlSan Diego$725K
- Katharine WoessnerSan Diego$581K
- Brian Modenala Jolla$453K
- Heena Shah PatelUpland$428K
- Jacob OffenbergerGranada Hills$419K
- Myron LiebhaberSanta Barbara$354K
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.