Jefferson Birchall
Family Medicine · Escondido, CANPI 1386612190
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $101,800 of the $126,414 with a category attached, or 80.5%. AbbVie accounts for 92.8% of it on its own, with 4 other manufacturers making up the rest. Among family medicine 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 429 payments — averaging $294.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$117K
- Merz North America, Inc.$8K
- Galderma Laboratories, L.p.$861
- Lumenis BE Inc$259
- Solta Medical, A Division Of Bausch Health US, LLC$19
Across 5 payments — averaging $262.71 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- UCB SA$1K
What the payments were for
- Consulting fees$2,0702%
- Speaking & faculty fees$101,80081%
- Travel & lodging$7,6136%
- Food & beverage$14,89612%
- Education$350%
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 |
|---|---|---|
| AbbVie(2 entities) | 343 | $117,335 |
| Merz North America, Inc. | 54 | $7,939 |
| Galderma Laboratories, L.p. | 30 | $861 |
| Lumenis BE Inc | 1 | $259 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $19 |
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.
- BOTOX$50,620
- BOTOX COSMETIC$5,605
- XEOMIN$4,059
- KYBELLA$1,950
- M22$259
How this compares
$126,414 in reported general payments places this provider in the 95th percentile of 10,533 family medicine providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cephalexin | 17 | $157 |
| ValacyclovirValacyclovir Hcl | 16 | $76 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Escondido
- Sherly SoleimanEncino$1.2M
- Pamela KushnerLos Angeles$1.2M
- Sujata NarayanStanford$1.2M
- Jeffrey UngerChino$906K
- Alexander RivkinLos Angeles$866K
- Scott HowellLos Angeles$793K
- Derrick ButlerLos Angeles$692K
- Sandra CalmanMontara$589K
- Anthony JonesOakland$377K
- Amira AyadBakersfield$360K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.