Julie Steele, MD
Anatomic Pathology & Clinical Pathology · la Jolla, CANPI 1053384461
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $70,035 of the $91,084 with a category attached, or 76.9%. AstraZeneca accounts for 62.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $23,641 and has fallen 53.7% since, to $10,938 in 2025. Among anatomic pathology & clinical pathology 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 104 payments — averaging $875.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$57K
- Genentech USA, Inc.$24K
- Merck$9K
- AbbVie$450
- Gen-probe, Inc.$125
- Blueprint Medicines Corporation$123
- plus $127 from 3 others
What the payments were for
- Consulting fees$3,5984%
- Speaking & faculty fees$70,03577%
- Travel & lodging$15,05017%
- Food & beverage$2,4013%
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 |
|---|---|---|
| AstraZeneca | 55 | $56,813 |
| Genentech USA, Inc. | 32 | $24,306 |
| Merck | 11 | $9,141 |
| AbbVie | 1 | $450 |
| Gen-probe, Inc. | 1 | $125 |
| Blueprint Medicines Corporation | 1 | $123 |
| Incyte Corporation | 1 | $85 |
| AVEO Pharmaceuticals, Inc. | 1 | $27 |
| Dendreon Pharmaceuticals LLC | 1 | $14 |
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.
- Enhertu$37,164
- KEYTRUDA$9,095
- GENIUS AI DETECTION$125
- GAVRETO$123
How this compares
$91,084 in reported general payments places this provider in the 95th percentile of 814 anatomic pathology & clinical pathology providers in California.
See all anatomic pathology & clinical pathology 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 anatomic pathology & clinical pathology in la Jolla
- Miriam Blochla Jolla$252K
- Lori Iaconisla Jolla$33K
- Serge AlexanianLos Angeles$3.2M
- Brian ConeLos Angeles$519K
- John BlausteinSanta Barbara$464K
- Henry TsaiHuntington Beach$414K
- Stewart ComerSanta Barbara$313K
- Eric VailWest Hollywood$298K
- Hua ShanStanford$295K
- Michael LewisLos Angeles$220K
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.