James Aicardi, PA
Surgical · San Francisco, CANPI 1528557568
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Alphatec Spine, Inc accounts for 64.7% of it on its own, with 4 other manufacturers making up the rest. Among surgical 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 156 payments — averaging $56.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$6K
- Intrinsic Therapeutics$3K
- Carlsmed, Inc.$62
- Johnson & Johnson$36
- Zimmer Biomet$14
What the payments were for
- Consulting fees$3,00034%
- Travel & lodging$94811%
- Food & beverage$4,86055%
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 |
|---|---|---|
| Alphatec Spine, Inc | 143 | $5,695 |
| Intrinsic Therapeutics | 10 | $3,000 |
| Carlsmed, Inc. | 1 | $62 |
| Johnson & Johnson | 1 | $36 |
| Zimmer Biomet | 1 | $14 |
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
$8,807 in reported general payments places this provider in the 95th percentile of 729 surgical 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 |
|---|---|---|
| FioricetButalb/Acetaminophen/Caffeine | 15 | $6,811 |
| Celecoxib | 123 | $3,968 |
| Gabapentin | 299 | $2,991 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 143 | $1,625 |
| Diclofenac Sodium | 72 | $780 |
| Cyclobenzaprine Hcl | 127 | $561 |
| Tramadol Hcl | 151 | $556 |
| Methylprednisolone | 80 | $424 |
| Tizanidine Hcl | 31 | $268 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $174 |
| Diazepam | 36 | $39 |
| Oxycodone Hcl | 12 | $39 |
| Meloxicam | 13 | $34 |
Paid to pharmacies, not to this prescriber.
Other surgical in San Francisco
- Audie LeeSan Francisco$21K
- Anja StrehlowSan Francisco$5K
- Lauren AmicoVista$989K
- Cheyanne MallasWest Hollywood$199K
- Laura PietrzakMarina del Rey$63K
- Jane HartiganSanta Rosa$27K
- Kenny NgoPalo Alto$25K
- Crispin MarRancho Santa Margarita$23K
- Robert FrostRancho Santa Margarita$22K
- Gregory BrunetSanta Barbara$20K
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.