Jeannette Lager, MD
Obstetrics & Gynecology · San Francisco, CANPI 1992926620
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (36.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 87.7% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $2,914, 4.1 times the $709 reported in 2019. Among obstetrics & gynecology 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 57 payments — averaging $159.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Hologic Sales And Service, LLC$708
- Baxter Healthcare$133
- Johnson & Johnson$131
- AbbVie$110
- Meditrina$18
- plus $17 from 1 others
What the payments were for
- Speaking & faculty fees$2,50028%
- Travel & lodging$2,23925%
- Food & beverage$3,30136%
- Education$1,03011%
- Gifts$100%
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 |
|---|---|---|
| Intuitive Surgical | 45 | $7,963 |
| Hologic Sales And Service, LLC | 7 | $708 |
| Baxter Healthcare | 1 | $133 |
| Johnson & Johnson | 1 | $131 |
| AbbVie | 1 | $110 |
| Meditrina | 1 | $18 |
| Pfizer | 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.
- Da Vinci Surgical System$6,090
- DAVINCI XI$1,000
- ACESSA PROVU SYSTEM$518
- MYOSURE TISSUE REMOVAL DEVICE$147
- TISSEEL$133
- Harmonic$131
- DERMABOND$131
- STRATAFIX$131
- Orilissa$110
How this compares
$9,081 in reported general payments places this provider in the 95th percentile of 3,784 obstetrics & gynecology 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.
Other obstetrics & gynecology in San Francisco
- Maida TaylorSan Francisco$279K
- Mona OradySan Francisco$224K
- Mitchell RosenSan Francisco$67K
- Leslie KardosSan Francisco$31K
- Steve YuNorthridge$964K
- Samir HageRedlands$640K
- Malcolm MunroLos Angeles$609K
- Michael KrychmanCosta Mesa$547K
- Anita NelsonTorrance$530K
- Jan SegnitzSan Jose$511K
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.