Epifanio Anzaldo, MD
Maternal & Fetal Medicine · Orange, CANPI 1962508630
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.5% 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. 29 manufacturers reported payments, led by AbbVie at 30.6% of the total. Among maternal & fetal 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 174 payments — averaging $23.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Biogen$315
- Daiichi Sankyo Inc.$294
- Mayne Pharma Commercial LLC$293
- Mimedx Group, Inc.$225
- Vertical Pharmaceuticals, LLC$176
- plus $2K from 23 others
What the payments were for
- Consulting fees$2255%
- Food & beverage$3,89795%
- Education$10%
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 |
|---|---|---|
| AbbVie(2 entities) | 51 | $1,263 |
| Biogen | 9 | $315 |
| Daiichi Sankyo Inc. | 18 | $294 |
| Mayne Pharma Commercial LLC | 13 | $293 |
| Mimedx Group, Inc. | 1 | $225 |
| Vertical Pharmaceuticals, LLC | 12 | $176 |
| Hologic Sales And Service, LLC | 10 | $174 |
| Evofem Biosciences, Inc. | 11 | $172 |
| Caldera Medical, Inc | 2 | $155 |
| Ascend Therapeutics US, LLC | 6 | $141 |
| Exeltis, USA Inc. | 7 | $139 |
| Roche Diagnostics Corporation | 5 | $110 |
| Astellas Pharma US Inc | 3 | $82 |
| Therapeuticsmd, Inc. | 4 | $71 |
| Avion Pharmaceuticals | 5 | $68 |
| Minerva Surgical, Inc | 1 | $60 |
| Organon | 2 | $58 |
| Myovant Sciences Inc. | 2 | $52 |
| Baxter Healthcare | 1 | $45 |
| Aspira Women's Health Inc | 2 | $42 |
| Sanofi Pasteur Inc. | 1 | $25 |
| AstraZeneca | 1 | $24 |
| Pfizer | 1 | $24 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Shield Therapeutics Inc | 1 | $22 |
| Mission Pharmacal Company | 1 | $22 |
| Exact Sciences | 1 | $18 |
| Meditrina | 1 | $15 |
| Agile Therapeutics, Inc. | 1 | $15 |
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
$4,123 in reported general payments places this provider in the 90th percentile of 178 maternal & fetal medicine 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 |
|---|---|---|
| DottiEstradiol | 18 | $1,268 |
| Estradiol (Twice Weekly)Estradiol | 13 | $876 |
| ProgesteroneProgesterone, Micronized | 47 | $798 |
Paid to pharmacies, not to this prescriber.
Other maternal & fetal medicine in Orange
- Afshan HameedOrange$9K
- Richard BurwickWest Covina$274K
- Shahram DaneshmandSan Diego$43K
- Greggory DevorePasadena$33K
- Neil SilvermanLos Angeles$20K
- David LagrewLaguna Hills$13K
- Chia-Ling Nhan-ChangSan Diego$13K
- Lawrence PlattLos Angeles$11K
- Martha TesfalulSan Francisco$8K
- Neel IyerLong Beach$7K
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.