Gary Firestein
Internal Medicine · San Diego, CANPI 1699790808
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $12,075 of the $14,175 with a category attached, or 85.2%. AbbVie accounts for 77.1% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $10,927, 3.6 times the $3,000 reported in 2022. Among internal medicine 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.
Across 15 payments — averaging $945.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$11K
- Modernatx, Inc.$2K
- Jubilant Therapeutics Inc$1K
- Eli Lilly$248
Across 12 payments — averaging $214,085 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.
- Eli Lilly$1.6M
- Janssen Research & Development, LLC$869K
- Gilead$106K
What the payments were for
- Consulting fees$12,07585%
- Speaking & faculty fees$1,0007%
- Travel & lodging$5374%
- Food & beverage$5634%
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 | 10 | $10,927 |
| Modernatx, Inc. | 2 | $2,000 |
| Jubilant Therapeutics Inc | 1 | $1,000 |
| Eli Lilly | 2 | $248 |
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.
- Moderna Covid-19 Vaccine$2,000
How this compares
$14,175 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.
Other internal medicine in San Diego
- Hatim HusainSan Diego$2M
- Steven EdelmanSan Diego$863K
- Christian RamersSan Diego$675K
- Adam ZweigSan Diego$421K
- James BreitmeyerSan Diego$227K
- Andrew ChengSouth San Francisco$55.1M
- Tung NgoNewport Beach$4.9M
- Christian EversullStanford$2.9M
- Christian SandrockSacramento$2.1M
- Teck LingPalo Alto$1.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.