David Nilsson
Internal Medicine · Bakersfield, CANPI 1841227162
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.7% of the total across 245 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 37 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 245 payments — averaging $17.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$649
- Pfizer$501
- GSK$489
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$369
- Amgen$338
- Lilly USA, LLC$243
- plus $2K from 31 others
What the payments were for
- Food & beverage$4,18998%
- Education$1002%
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.
How this compares
$4,289 in reported general payments places this provider in the 90th percentile of 13,581 internal medicine providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 31 | $29,280 |
| JardianceEmpagliflozin | 11 | $6,361 |
| Clindamycin Phosphate | 12 | $1,510 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 51 | $1,151 |
| Amlodipine Besylate | 63 | $630 |
| Levothyroxine Sodium | 74 | $593 |
| Losartan Potassium | 71 | $557 |
| Atorvastatin Calcium | 84 | $507 |
| Tamsulosin Hcl | 25 | $397 |
| Rosuvastatin Calcium | 39 | $385 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 22 | $349 |
| Pantoprazole Sodium | 37 | $334 |
| Amitriptyline Hcl | 19 | $330 |
| Metformin Hcl | 39 | $323 |
| ValacyclovirValacyclovir Hcl | 14 | $305 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $188 | $29,28031 claims |
| Boehringer IngelheimJardiance | $154 | $6,36111 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 13,581 internal medicine providers in California.
Other internal medicine in Bakersfield
- Andrew ChengSouth San Francisco$55.1M
- Tung NgoNewport Beach$4.9M
- Christian EversullStanford$2.9M
- Christian SandrockSacramento$2.1M
- Hatim HusainSan Diego$2M
- Teck LingPalo Alto$1.1M
- Hyong Kimla Jolla$1M
- Rohit Loombala Jolla$965K
- Fred CohenSan Francisco$929K
- Steven EdelmanSan Diego$863K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.