Gregory Francisco, MD
Clinical Cardiac Electrophysiology · San Diego, CANPI 1447222831
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $16,500 of the $27,451 with a category attached, or 60.1%. Medical Device Business Services, Inc. accounts for 62.2% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2023 at $11,262 and has fallen 73.8% since, to $2,946 in 2025. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in CA, where the typical reported total is $26,911.
Across 238 payments — averaging $115.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$17K
- Abbott$5K
- Medtronic$2K
- Biosense Webster, Inc.$1K
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$758
- Boston Scientific$596
- plus $1K from 10 others
What the payments were for
- Consulting fees$16,50060%
- Travel & lodging$3,78914%
- Food & beverage$7,13426%
- Education$280%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 18 | $17,077 |
| Abbott | 67 | $5,150 |
| Medtronic(2 entities) | 24 | $1,516 |
| Biosense Webster, Inc. | 51 | $1,295 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 43 | $758 |
| Boston Scientific | 12 | $596 |
| Biotronik Inc. | 7 | $329 |
| Edwards Lifesciences | 2 | $224 |
| Johnson & Johnson | 2 | $146 |
| Abiomed | 1 | $137 |
| Terumo Medical Corporation | 2 | $69 |
| Chiesi USA, Inc. | 3 | $47 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $38 |
| Amgen | 2 | $37 |
| AstraZeneca | 1 | $17 |
| Philips North America LLC | 1 | $17 |
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.
- Carto 3$17,374
- AVEIR$2,951
- Micra$470
- ENSITE$200
- SAPIEN 3 Ultra RESILIA$197
- COREVALVE EVOLUT R$163
- AMPLATZER Occluders$152
- WATCHMAN FLX$134
- XARELTO$130
- RhythmVIEW Work Stations$128
- Watchman$123
- Mitra Clip system$121
- EnSite Precision Cardiac Mapping System$110
How this compares
$27,451 in reported general payments places this provider in the 50th percentile of 290 clinical cardiac electrophysiology providers in California.
See all clinical cardiac electrophysiology 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 |
|---|---|---|
| EliquisApixaban | 307 | $393,615 |
| XareltoRivaroxaban | 88 | $123,433 |
| Flecainide Acetate | 95 | $5,194 |
| Metoprolol Succinate | 185 | $3,114 |
| Bumetanide | 45 | $1,479 |
| Rosuvastatin Calcium | 22 | $1,014 |
| Amiodarone Hcl | 67 | $880 |
| SotalolSotalol Hcl | 37 | $873 |
| Atorvastatin Calcium | 88 | $865 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 23 | $747 |
| Ezetimibe | 20 | $680 |
| Carvedilol | 51 | $460 |
| Atenolol | 38 | $429 |
| Lisinopril | 46 | $401 |
| Losartan Potassium | 40 | $363 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonXarelto | $146 | $123,43388 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 290 clinical cardiac electrophysiology providers in California.
Other clinical cardiac electrophysiology in San Diego
- Jonathan HsuSan Diego$1.2M
- Ulrika Birgersdotter-GreenSan Diego$384K
- Charles AthillSan Diego$196K
- Gregory FeldSan Diego$157K
- Frederick HanSan Diego$144K
- Farshad Raissi ShabariSan Diego$103K
- Shephal DoshiSanta Monica$2.1M
- Leslie SaxonLos Angeles$1.1M
- Rahul BhardwajLoma Linda$935K
- Nicholas Olsonla Jolla$801K
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.