Justin Yanuck
Emergency Medicine · Downey, CANPI 1235592478
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by CSL Behring at 23.9% of the total. Reporting peaked in 2020 at $243 and has fallen 86.2% since, to $34 in 2024. Among emergency medicine 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 23 payments — averaging $32.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CSL Behring$179
- Medtronic$179
- Nevro Corp.$161
- Boston Scientific$130
- Redhill Biopharma Inc.$54
- Takeda Pharmaceuticals U.S.A., Inc.$24
- plus $21 from 1 others
Across 215 payments — averaging $12,579 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.
- Amgen$706K
- Pfizer$623K
- Modernatx, Inc.$523K
- Eli Lilly$299K
- Astrazeneca UK Limited$232K
- Janssen Research & Development, LLC$86K
- plus $236K from 5 others
What the payments were for
- Food & beverage$749100%
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 |
|---|---|---|
| CSL Behring | 7 | $179 |
| Medtronic | 4 | $179 |
| Nevro Corp. | 2 | $161 |
| Boston Scientific | 5 | $130 |
| Redhill Biopharma Inc. | 3 | $54 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| Sanofi | 1 | $21 |
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
$749 in reported general payments places this provider in the 90th percentile of 6,006 emergency medicine providers in California.
Other emergency medicine in Downey
- 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
- John LiboonPoway$188K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.