RxDoctor Payments Data

Eric Topol, MD

Cardiovascular Disease · la Jolla, CANPI 1487723714

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (36.6%), ownership interests and speaking fees — rather than concentrated in one kind of arrangement. Dexcom, Inc. accounts for 95.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2023 at $492,714 and has fallen 89.6% since, to $51,335 in 2025. Among cardiovascular disease clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$2,226,784in general payments, 2019–2025

Across 42 payments — averaging $53,019 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Dexcom, Inc.$2.1M
  • Carlsmed, Inc.$51K
  • Illumina, Inc.$48K
  • Genentech USA, Inc.$6K
  • Cue Health Inc.$867
  • Boston Scientific$400
  • plus $238 from 2 others
$20,991in research payments, 2019–2025

Across 8 payments — averaging $2623.91 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Dexcom, Inc.$21K

What the payments were for

  • Consulting fees$815,39137%
  • Speaking & faculty fees$433,39319%
  • Grants$317,37114%
  • Travel & lodging$3,2820%
  • Food & beverage$3,9320%
  • Gifts$1,4480%
  • Entertainment$130%
  • Ownership interest$651,95429%

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
Dexcom, Inc.22$2,120,710
Carlsmed, Inc.3$50,896
Illumina, Inc.9$48,075
Genentech USA, Inc.3$5,598
Cue Health Inc.1$867
Boston Scientific1$400
Asahi Intecc USA, Inc.2$213
Acist Medical Systems, Inc.1$25

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

$2,226,784 in reported general payments places this provider in the 95th percentile of 2,184 cardiovascular disease providers in California.

See all cardiovascular disease providers in California

Medicare billing

Part B allowed, 2024
$6,656
Medicare patients
36
Services billed
43

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.

Other cardiovascular disease in la Jolla

See the full list for California

Where these figures come from

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