Joseph Lacy
Neurology · Palo Alto, CANPI 1568570166
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (59.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Biogen at 48.1% of the total. Reporting peaked in 2022 at $29,563 and has fallen 99.6% since, to $118 in 2025. Among neurology 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 167 payments — averaging $515.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$41K
- Sanofi$21K
- EMD Serono, Inc.$11K
- Novartis$7K
- E.r. Squibb & Sons, L.L.C.$4K
- Bristol Myers Squibb$1K
- plus $1K from 4 others
Across 17 payments — averaging $1409.69 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.
- Genentech, Inc.$24K
What the payments were for
- Consulting fees$22,63326%
- Speaking & faculty fees$51,58660%
- Travel & lodging$7,0978%
- Food & beverage$4,7476%
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 |
|---|---|---|
| Biogen | 28 | $41,435 |
| Sanofi | 28 | $21,102 |
| EMD Serono, Inc. | 60 | $11,042 |
| Novartis | 14 | $6,698 |
| E.r. Squibb & Sons, L.L.C. | 2 | $3,706 |
| Bristol Myers Squibb | 6 | $1,065 |
| AbbVie(2 entities) | 20 | $466 |
| AstraZeneca | 5 | $399 |
| Amgen(2 entities) | 3 | $131 |
| Acadia Pharmaceuticals Inc | 1 | $18 |
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
$86,063 in reported general payments places this provider in the 90th percentile of 1,996 neurology providers in California.
Other neurology in Palo Alto
- Lawrence SteinmanPalo Alto$228K
- Andrew BlumenfeldCarlsbad$4.9M
- Khashayar DashtipourLoma Linda$3.3M
- Regina BerkovichWest Hollywood$3M
- Daniel BandariNewport Beach$2.6M
- Perry ShiehLos Angeles$2.4M
- Sandeep ThakkarIrvine$2M
- David LiebeskindLos Angeles$1.9M
- Jack SchimCarlsbad$1.7M
- Parshaw DorrizMission Viejo$1.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.