Francis Essien, MD
Surgery · Wildomar, CANPI 1295741635
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.1% of it on its own, with 31 other manufacturers making up the rest. Reporting peaked in 2022 at $10,688 and has fallen 64.8% since, to $3,759 in 2025.
Across 233 payments — averaging $94.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Medtronic$3K
- Integra Lifesciences Corporation$887
- Zimmer Biomet$726
- Covidien LP$612
- Davol Inc.$549
- plus $2K from 26 others
What the payments were for
- Consulting fees$3702%
- Travel & lodging$3,15514%
- Food & beverage$9,42943%
- Education$9,08841%
- Gifts$220%
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 |
|---|---|---|
| Intuitive Surgical | 73 | $13,484 |
| Medtronic | 62 | $3,401 |
| Integra Lifesciences Corporation | 14 | $887 |
| Zimmer Biomet | 6 | $726 |
| Covidien LP | 6 | $612 |
| Davol Inc. | 13 | $549 |
| Johnson & Johnson | 14 | $461 |
| Applied Medical Resources Corporation | 1 | $370 |
| Cumberland Pharmaceuticals, Inc. | 6 | $277 |
| Medical Device Business Services, Inc. | 2 | $234 |
| Baxter Healthcare | 9 | $186 |
| Lexington Medical, Inc. | 2 | $152 |
| Microline Surgical Inc | 2 | $146 |
| Innocoll Pharmaceuticals Limited | 3 | $112 |
| KCI USA, Inc. | 1 | $76 |
| BD | 2 | $75 |
| Conmed Corporation | 1 | $31 |
| Heron Therapeutics, Inc. | 1 | $30 |
| Acell, Inc. | 2 | $28 |
| Stryker | 1 | $27 |
| Endologix LLC | 1 | $23 |
| Endogastric Solutions, Inc | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $20 |
| Cardiovascular Systems Inc. | 1 | $19 |
| Teleflex LLC | 1 | $18 |
| Molnlycke Health Care US, LLC | 1 | $16 |
| Biom'up France SAS | 1 | $16 |
| TELA Bio, Inc. | 1 | $14 |
| Merck | 1 | $14 |
| Novo Nordisk | 1 | $13 |
| Boston Scientific | 1 | $13 |
| Northgate Technologies, Inc. | 1 | $12 |
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.
- DAVINCI XI$9,000
- Da Vinci Surgical System$3,017
- Signia$732
- Sonicision$571
- AdvantageRib$550
- SURGIMEND$486
- INTEGRA$415
- KII DISSECTING BALLOON$370
- LigaSure$268
- OMNIGRAFT$208
- INTEGRA DERMAL REGENERATION TEMPLATE$208
- Spacemaker$175
- Valleylab$148
- SurgiSleeve$147
- Phasix Mesh$146
- Echelon Flex$136
- ETHICON$136
- MAXTACK$134
- TRANSORB$127
- Caldolor$103
How this compares
$22,065 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $154 |
| Celecoxib | 18 | $72 |
| Tramadol Hcl | 21 | $40 |
| Ibuprofen | 22 | $32 |
Paid to pharmacies, not to this prescriber.
Other surgery in Wildomar
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$1.1M
- John LiphamLos Angeles$942K
- Alexander NedopilLodi$682K
- Barry GardinerSan Ramon$602K
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.