Elena Sinitsyna
Nurse Practitioner · San Diego, CANPI 1124740816
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 115 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 33 manufacturers, the largest accounting for just 7.9% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner 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 115 payments — averaging $23.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$216
- Edwards Lifesciences$215
- Bayer$186
- Johnson & Johnson$184
- Alnylam Pharmaceuticals Inc.$179
- Actelion Pharmaceuticals US, Inc.$164
- plus $2K from 27 others
What the payments were for
- Food & beverage$2,67698%
- Education$652%
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 |
|---|---|---|
| Merck | 8 | $216 |
| Edwards Lifesciences | 2 | $215 |
| Bayer | 13 | $186 |
| Johnson & Johnson | 11 | $184 |
| Alnylam Pharmaceuticals Inc. | 9 | $179 |
| Actelion Pharmaceuticals US, Inc. | 2 | $164 |
| AstraZeneca | 6 | $158 |
| Irhythm Technologies, Inc. | 2 | $121 |
| Boston Scientific | 5 | $120 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $110 |
| Abbott | 1 | $98 |
| Kiniksa Pharmaceuticals International, PLC | 5 | $92 |
| E.r. Squibb & Sons, L.L.C. | 6 | $91 |
| Scpharmaceuticals Inc. | 4 | $91 |
| Bard Peripheral Vascular, Inc. | 3 | $73 |
| Stryker | 3 | $73 |
| Inari Medical, Inc. | 3 | $68 |
| Novartis | 3 | $60 |
| Esperion Therapeutics, Inc. | 3 | $48 |
| Amgen | 3 | $47 |
| Kiniksa Pharmaceuticals, Ltd. | 3 | $47 |
| Novo Nordisk | 2 | $40 |
| Heartflow, Inc. | 1 | $36 |
| Recor Medical Inc | 2 | $33 |
| BD | 1 | $29 |
| Daiichi Sankyo Inc. | 1 | $26 |
| Abiomed | 1 | $26 |
| Amryt Pharma Holdings Ltd | 1 | $23 |
| Boehringer Ingelheim | 1 | $23 |
| Chiesi USA, Inc. | 1 | $23 |
| Lexicon Pharmaceuticals, Inc. | 1 | $17 |
| Pfizer | 1 | $16 |
| Surmodics, Inc. | 1 | $7 |
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.
- SAPIEN 3 Ultra RESILIA$188
- UPTRAVI$145
- OPSUMIT$145
- Zio monitor$104
- ZIO XT Patch$104
How this compares
$2,741 in reported general payments places this provider in the 90th percentile of 6,779 nurse practitioner providers in California.
Other nurse practitioner in San Diego
- Angelina CollinsSan Diego$356K
- Madison ShreeveSan Diego$310K
- Arlene OrtegaSan Diego$135K
- Stacey RossSan Diego$43K
- Timothy LazarekSan Diego$37K
- Melanie McGillowaySan Diego$33K
- Jeremy FlowersSan Diego$26K
- Rhonda HewittStanford$917K
- Linda TrinhIrvine$884K
- Denise SinagaNorthridge$728K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.