James Pagano
Santa Ana, CANPI 1396742672
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 176 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 24 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,160 and has fallen 56.8% since, to $501 in 2022.
Across 176 payments — averaging $18.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$663
- Amgen$533
- Novartis$297
- Medtronic$287
- Esperion Therapeutics, Inc.$234
- Pfizer$188
- plus $987 from 18 others
What the payments were for
- Food & beverage$3,177100%
- Education$110%
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 |
|---|---|---|
| Johnson & Johnson | 43 | $663 |
| Amgen | 26 | $533 |
| Novartis | 15 | $297 |
| Medtronic(2 entities) | 13 | $287 |
| Esperion Therapeutics, Inc. | 14 | $234 |
| Pfizer | 12 | $188 |
| Merck | 13 | $184 |
| Boehringer Ingelheim | 6 | $147 |
| Sanofi-aventis U.S. LLC | 6 | $102 |
| Regeneron Healthcare Solutions, Inc. | 5 | $89 |
| Abbott | 3 | $79 |
| E.r. Squibb & Sons, L.L.C. | 5 | $78 |
| Otsuka America Pharmaceutical, Inc. | 2 | $47 |
| Novo Nordisk | 2 | $41 |
| AstraZeneca | 2 | $31 |
| Impulse Dynamics (USA) Inc. | 1 | $28 |
| Kowa Pharmaceuticals America, Inc. | 1 | $26 |
| Kestra Medical Technology Services, Inc. | 1 | $26 |
| Astellas Pharma US Inc | 1 | $24 |
| Biotronik Inc. | 1 | $24 |
| Sun Pharmaceutical Industries Inc. | 1 | $19 |
| Boston Scientific | 1 | $16 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
| Bardy Diagnostics, Inc. | 1 | $11 |
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.