Elvira Klause, MD
Surgery · Laguna Hills, CANPI 1518904580
Payments from drug & device makers
Across 29 payments — averaging $21.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kowa Pharmaceuticals America, Inc.$140
- Innocoll Pharmaceuticals Limited$94
- Davol Inc.$67
- Distalmotion US$60
- Medtronic$47
- Intuitive Surgical$47
- plus $181 from 8 others
What the payments were for
- Food & beverage$636100%
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 |
|---|---|---|
| Kowa Pharmaceuticals America, Inc. | 6 | $140 |
| Innocoll Pharmaceuticals Limited | 5 | $94 |
| Davol Inc. | 2 | $67 |
| Distalmotion US | 2 | $60 |
| Medtronic(2 entities) | 2 | $47 |
| Intuitive Surgical | 2 | $47 |
| Biotissue Holdings Inc. | 1 | $35 |
| Smith+Nephew | 2 | $29 |
| Redhill Biopharma Inc. | 2 | $28 |
| Vertex | 1 | $26 |
| Acell, Inc. | 1 | $18 |
| Baudax Bio Inc. | 1 | $17 |
| Collegium Pharmaceutical, Inc. | 1 | $17 |
| Si-bone, Inc. | 1 | $12 |
How this compares
$636 in reported general payments places this provider in the 35th percentile of 2,363 surgery 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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 35 | $280 |
Paid to pharmacies, not to this prescriber.
Other surgery in Laguna Hills
- Kenneth DeckLaguna Hills$2.4M
- Timothy ChuterSan Francisco$8.9M
- Peter StockSan Francisco$6.5M
- Santiago HorganSan Diego$2.8M
- Daniel RiskinSan Jose$2.2M
- Michael DemeureNewport Beach$1.7M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
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.