Joshua Perese, MD
Emergency Medicine · Loma Linda, CANPI 1427686237
Payments from drug & device makers
What this record shows
This record is dominated by grants: $10,000 of the $14,201 with a category attached, or 70.4%. Medtronic accounts for 77.5% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2023 at $11,066 and has fallen 86.0% since, to $1,546 in 2025. Among emergency 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 66 payments — averaging $215.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$11K
- SPR Therapeutics, Inc$1K
- Boston Scientific$760
- Vertos Medical, Inc.$431
- Si-bone, Inc.$209
- Nevro Corp.$190
- plus $525 from 7 others
What the payments were for
- Grants$10,00070%
- Travel & lodging$5144%
- Food & beverage$3,68726%
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 |
|---|---|---|
| Medtronic | 19 | $11,007 |
| SPR Therapeutics, Inc | 12 | $1,080 |
| Boston Scientific | 16 | $760 |
| Vertos Medical, Inc. | 4 | $431 |
| Si-bone, Inc. | 2 | $209 |
| Nevro Corp. | 2 | $190 |
| Relievant Medsystems, Inc. | 1 | $141 |
| Spinal Simplicity, LLC | 1 | $109 |
| Saluda Medical Americas, Inc. | 3 | $105 |
| Painteq LLC | 3 | $55 |
| Stratus Medical, LLC | 1 | $51 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $48 |
| Avanos Medical | 1 | $16 |
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.
- SYNCHROMEDII$10,000
- SPRINT PNS System$798
- Intracept$677
- mild Device Kit$368
- WaveWriter Alpha Prime 16$289
- INTELLIS ADAPTIVESTIM$262
- VANTA ADAPTIVESTIM$209
- Senza$141
- HA MINUTEMAN G3-R$109
How this compares
$14,201 in reported general payments places this provider in the 95th percentile of 6,006 emergency medicine 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 emergency medicine in Loma Linda
- Fairuz Despujos HarfoucheLoma Linda$19K
- Michael BlueLone Pine$915K
- Andrew AccardiEncinitas$383K
- Fredrick Melik-AbrahamianSylmar$354K
- Graham WalkerStanford$309K
- Douglas WhiteOakland$220K
- Paul PearigenSan Diego$208K
- Richard KozakMission Viejo$203K
- Oron FrenkelSan Francisco$201K
- Matthew KaplanMission Viejo$195K
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.