James Michail, MD
Geriatric Medicine · Granada Hills, CANPI 1760879217
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 45 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations.
Across 45 payments — averaging $31.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka Pharmaceutical Development & Commercialization, Inc.$235
- Amgen$173
- Otsuka America Pharmaceutical, Inc.$168
- Angiodynamics, Inc.$160
- Cardiovascular Systems Inc.$133
- Radius Health, Inc.$59
- plus $503 from 16 others
What the payments were for
- Food & beverage$1,431100%
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 |
|---|---|---|
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 3 | $235 |
| Amgen | 6 | $173 |
| Otsuka America Pharmaceutical, Inc. | 8 | $168 |
| Angiodynamics, Inc. | 1 | $160 |
| Cardiovascular Systems Inc. | 1 | $133 |
| Radius Health, Inc. | 2 | $59 |
| Intuitive Surgical | 1 | $56 |
| AbbVie(2 entities) | 3 | $53 |
| Sun Pharmaceutical Industries Inc. | 2 | $41 |
| Pfizer | 2 | $40 |
| GSK | 2 | $39 |
| Novartis | 2 | $38 |
| Acadia Pharmaceuticals Inc | 2 | $32 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $32 |
| Neurocrine Biosciences, Inc. | 1 | $31 |
| Viatris Specialty LLC | 1 | $27 |
| AstraZeneca | 1 | $24 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Sunovion Pharmaceuticals Inc. | 1 | $19 |
| Dexcom, Inc. | 1 | $18 |
| Urovant Sciences Inc | 1 | $17 |
| Bayer | 1 | $16 |
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
$1,431 in reported general payments places this provider in the 80th percentile of 494 geriatric medicine 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 | 1,247 | $449,877 |
| EntrestoSacubitril/Valsartan | 276 | $120,469 |
| LibraxChlordiazepoxide/Clidinium Br | 15 | $67,638 |
| JanuviaSitagliptin Phosphate | 144 | $47,435 |
| JardianceEmpagliflozin | 108 | $44,869 |
| RexultiBrexpiprazole | 46 | $44,775 |
| XareltoRivaroxaban | 88 | $40,917 |
| Zileuton ErZileuton | 24 | $31,367 |
| TradjentaLinagliptin | 65 | $24,910 |
| FarxigaDapagliflozin Propanediol | 46 | $22,360 |
| LinzessLinaclotide | 27 | $21,865 |
| Atorvastatin Calcium | 1,482 | $21,861 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 34 | $17,239 |
| NuedextaDextromethorphan Hbr/Quinidine | 11 | $16,428 |
| Potassium Chloride | 456 | $14,593 |
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 |
|---|---|---|
| PfizerEliquis, Retacrit | $40 | $457,6321,265 claims |
| NovartisEntresto | $38 | $120,469276 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $168 | $44,77546 claims |
| AbbVieLinzess, Creon, Lumigan | $53 | $44,698102 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $39 | $37,183103 claims |
| AstraZenecaFarxiga | $24 | $22,36046 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 80th percentile of 494 geriatric medicine providers in California.
Other geriatric medicine in Granada Hills
- Robert FeldmanLaguna Hills$1.2M
- Oscar ChienSan Gabriel$208K
- Anders NybergSan Diego$160K
- Paul AisenSan Diego$70K
- Wayne ChenLos Angeles$40K
- Vincent HoLancaster$32K
- Kathryn SewellSan Francisco$26K
- Stephen HenryPasadena$25K
- Chaewon SongGarden Grove$21K
- Douglas ZhangSan Leandro$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.