RxDoctor Payments Data

Dina Ibrahim, MD

Hematology & Oncology · Fresno, CANPI 1780625376

Payments from drug & device makers

$148,616in general payments, 2019–2025

Across 518 payments — averaging $286.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$139K
  • Novartis$1K
  • Lilly USA, LLC$647
  • E.r. Squibb & Sons, L.L.C.$572
  • AstraZeneca$570
  • Exelixis Inc.$456
  • plus $7K from 54 others

What the payments were for

  • Food & beverage$10,24894%
  • Education$6026%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Pfizer66$138,698
Novartis50$1,107
Lilly USA, LLC13$647
E.r. Squibb & Sons, L.L.C.68$572
AstraZeneca(2 entities)22$570
Exelixis Inc.20$456
Daiichi Sankyo Inc.24$442
Johnson & Johnson19$426
GSK22$396
Sanofi9$367
Astellas Pharma US Inc15$315
Takeda Pharmaceuticals U.S.A., Inc.19$314
Merck11$294
Eisai Inc.12$279
Boehringer Ingelheim8$272
Genentech USA, Inc.11$261
AbbVie10$246
Bristol Myers Squibb11$202
Medtronic(2 entities)3$194
Sobi, Inc7$168
Seagen Inc.2$152
AVEO Pharmaceuticals, Inc.5$139
Regeneron Healthcare Solutions, Inc.5$138
Tersera Therapeutics LLC6$124
Gilead(2 entities)7$111
Stemline Therapeutics Inc.4$108
Springworks Therapeutics, Inc.4$104
Puma Biotechnology, Inc.4$104
Pharmaessentia USA Corporation4$91
Array Biopharma Inc4$90
Ipsen Biopharmaceuticals, Inc4$85
Agios Pharmaceuticals, Inc.3$82
Caris MPI, Inc.3$81
Amgen3$69
Beigene USA, Inc.4$66
Tactile Systems Technology Inc2$66
Octapharma USA, Inc.1$63
Incyte Corporation3$60
Bayer2$49
Karyopharm Therapeutics Inc.2$48
Tempus AI, Inc2$42
Mirati Therapeutics, Inc.2$38
Myriad Genetic Laboratories, Inc.1$37
Amneal Pharmaceuticals LLC2$34
Pharmacosmos Therapeutics Inc.1$32
Syndax Pharmaceuticals, Inc.1$31
Iovance Biotherapeutics, Inc.1$27
Deciphera Pharmaceuticals Inc.1$26
Rigel Pharmaceuticals, Inc.1$26
Servier Pharmaceuticals LLC1$23
Geron Corporation1$23
Shield Therapeutics Inc1$23
Biomarin Pharmaceutical Inc.1$23
Sun Pharmaceutical Industries Inc.1$22
Dova Pharmaceuticals1$21
Recordati_rare_diseases_inc.1$19
ADC Therapeutics America, Inc.1$18
Portola Pharmaceuticals, LLC1$18
Immunogen, Inc.1$17
Accord Healthcare, Inc.1$16

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

$148,616 in reported general payments places this provider in the 75th percentile of 1,363 hematology & oncology providers in California.

See all hematology & oncology providers in California

Medicare billing

Part B allowed, 2024
$604,065
Medicare patients
537
Services billed
36,047

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

DrugClaimsCost to plans & patients
VerzenioAbemaciclib41$535,304
OrserduElacestrant Hcl16$358,122
IbrancePalbociclib21$324,193
BrukinsaZanubrutinib12$184,112
AlecensaAlectinib Hcl11$178,863
CalquenceAcalabrutinib Maleate12$167,880
Imatinib Mesylate11$52,841
EliquisApixaban39$24,685
Exemestane34$8,279
Anastrozole268$6,786
Tamoxifen Citrate60$1,656
Hydroxyurea33$947
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen24$722
Megestrol Acetate18$685
Dexamethasone49$473

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.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCVerzenio$647$535,30441 claims
Stemline Therapeutics Inc.Orserdu$108$358,12216 claims
PfizerIbrance, Eliquis$138,698$348,87860 claims
Beigene USA, Inc.Brukinsa$66$184,11212 claims
Genentech USA, Inc.Alecensa$261$178,86311 claims
AstraZenecaCalquence$570$167,88012 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 75th percentile of 1,363 hematology & oncology providers in California.

Other hematology & oncology in Fresno

See the full list for California

Where these figures come from

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