Jorge Ruiz Rivera
Pediatrics · Tulare, CANPI 1124173794
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.3% of the total across 95 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 23.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $913, 7.7 times the $118 reported in 2019. Among pediatrics clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 95 payments — averaging $21.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Verrica Pharmaceuticals Inc.$480
- Merck$255
- Regeneron Healthcare Solutions, Inc.$232
- Supernus Pharmaceuticals, Inc.$211
- Sanofi Pasteur Inc.$157
- Gilead$145
- plus $605 from 16 others
What the payments were for
- Food & beverage$1,96794%
- Education$1196%
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 |
|---|---|---|
| Verrica Pharmaceuticals Inc. | 36 | $480 |
| Merck | 14 | $255 |
| Regeneron Healthcare Solutions, Inc. | 8 | $232 |
| Supernus Pharmaceuticals, Inc. | 5 | $211 |
| Sanofi Pasteur Inc. | 3 | $157 |
| Gilead | 2 | $145 |
| Sobi, Inc | 5 | $121 |
| Phadia US Inc. | 2 | $120 |
| Cranial Technologies, Inc | 4 | $65 |
| Incyte Corporation | 2 | $50 |
| AstraZeneca | 2 | $36 |
| Organon | 1 | $34 |
| GSK | 2 | $28 |
| Collegium Pharmaceutical, Inc. | 1 | $22 |
| Qiagen, LLC | 1 | $20 |
| Genentech USA, Inc. | 1 | $20 |
| Pfizer | 1 | $18 |
| Metacel Pharmaceuticals LLC | 1 | $16 |
| Hologic Sales And Service, LLC | 1 | $15 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Amgen | 1 | $13 |
| Dexcom, Inc. | 1 | $13 |
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
$2,086 in reported general payments places this provider in the 90th percentile of 5,539 pediatrics providers in California.
Other pediatrics in Tulare
- Laurene MascolaLos Angeles$451K
- Tonya ChaffeeSan Francisco$359K
- Anthony PortaleSan Francisco$354K
- David KesslerSan Francisco$335K
- Lawrence SherRolling Hills Estates$297K
- Steven BlackOakland$228K
- Jonathan StroberSan Francisco$164K
- Hasmukh AminBakersfield$140K
- Colleen KraftNewport Beach$122K
- Lela BachrachOakland$119K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.