Cynthia Chaghouri
Physician Assistant · San Francisco, CANPI 1124337910
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.8% of the total across 174 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Pfizer at 24.3% of the total. Reporting peaked in 2024 at $2,106 and has fallen 58.6% since, to $872 in 2025. Among physician assistant 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 174 payments — averaging $47.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$2K
- AbbVie$1K
- Merz North America, Inc.$1K
- E.r. Squibb & Sons, L.L.C.$817
- LEO Pharma Inc.$391
- Sanofi$362
- plus $2K from 12 others
What the payments were for
- Consulting fees$4135%
- Food & beverage$7,83495%
- Education$150%
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 |
|---|---|---|
| Pfizer | 60 | $2,005 |
| AbbVie(2 entities) | 47 | $1,416 |
| Merz North America, Inc. | 23 | $1,411 |
| E.r. Squibb & Sons, L.L.C. | 7 | $817 |
| LEO Pharma Inc. | 3 | $391 |
| Sanofi | 5 | $362 |
| Galderma Laboratories, L.p. | 8 | $329 |
| Incyte Corporation | 3 | $326 |
| Lilly USA, LLC | 2 | $235 |
| Sun Pharmaceutical Industries Inc. | 4 | $234 |
| Dermavant Sciences, Inc. | 1 | $195 |
| Revance Therapeutics, Inc. | 1 | $137 |
| Journey Medical Corporation | 1 | $125 |
| UCB, Inc. | 3 | $86 |
| VYNE Pharmaceuticals Inc. | 2 | $84 |
| Solta Medical, A Division Of Bausch Health US, LLC | 2 | $48 |
| Novartis | 1 | $47 |
| Regeneron Healthcare Solutions, Inc. | 1 | $14 |
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
$8,262 in reported general payments places this provider in the 95th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Spironolactone | 15 | $219 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Francisco
- Clarence ChuSan Francisco$29K
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Andrea FoxStanford$172K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.