Laura Russo Herrera, MD
Internal Medicine · Visalia, CANPI 1487838660
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 340 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 31 manufacturers reported payments, led by Novo Nordisk at 24.6% of the total. Reporting peaked in 2021 at $1,107 and has fallen 68.7% since, to $347 in 2025. Among internal 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 340 payments — averaging $15.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Lilly USA, LLC$987
- AbbVie$461
- Boehringer Ingelheim$418
- GSK$319
- Amgen$245
- plus $1K from 25 others
What the payments were for
- Food & beverage$5,03798%
- Education$922%
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 |
|---|---|---|
| Novo Nordisk | 129 | $1,263 |
| Lilly USA, LLC | 62 | $987 |
| AbbVie(2 entities) | 26 | $461 |
| Boehringer Ingelheim | 21 | $418 |
| GSK | 24 | $319 |
| Amgen | 12 | $245 |
| Mannkind Corporation | 10 | $193 |
| Abbott | 9 | $144 |
| AstraZeneca(2 entities) | 6 | $139 |
| Heron Therapeutics, Inc. | 1 | $122 |
| Astellas Pharma US Inc | 2 | $102 |
| Pfizer | 4 | $92 |
| Bayer | 4 | $86 |
| Kyowa Kirin, Inc. | 4 | $81 |
| Johnson & Johnson | 4 | $67 |
| Antares Pharma, Inc. | 3 | $55 |
| Ironwood Pharmaceuticals, Inc | 3 | $44 |
| Halozyme Inc | 2 | $36 |
| Sanofi Pasteur Inc. | 1 | $33 |
| Merck | 2 | $33 |
| Exact Sciences | 1 | $23 |
| RGH Enterprises LLC | 1 | $23 |
| Corcept Therapeutics | 1 | $23 |
| Seqirus USA Inc | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Tandem Diabetes Care, Inc. | 1 | $19 |
| Vistapharm, Inc. | 1 | $18 |
| Dexcom, Inc. | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Mylan Specialty L.p. | 1 | $15 |
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
$5,129 in reported general payments places this provider in the 90th percentile of 13,581 internal 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 109 | $121,075 |
| EliquisApixaban | 77 | $108,205 |
| Xultophy 100-3.6Insulin Degludec/Liraglutide | 45 | $69,205 |
| MounjaroTirzepatide | 37 | $47,824 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 47 | $46,242 |
| JanuviaSitagliptin Phosphate | 38 | $40,080 |
| RybelsusSemaglutide | 24 | $39,045 |
| FarxigaDapagliflozin Propanediol | 42 | $32,031 |
| EntrestoSacubitril/Valsartan | 30 | $28,832 |
| JardianceEmpagliflozin | 32 | $28,734 |
| TradjentaLinagliptin | 26 | $24,720 |
| Repatha SureclickEvolocumab | 28 | $23,926 |
| MyrbetriqMirabegron | 28 | $22,286 |
| CreonLipase/Protease/Amylase | 16 | $20,636 |
| XareltoRivaroxaban | 24 | $19,345 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic, Xultophy 100-3.6, Rybelsus | $1,263 | $229,325178 claims |
| PfizerEliquis | $92 | $108,20577 claims |
| Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat | $418 | $66,52975 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $319 | $62,15384 claims |
| Lilly USA, LLCMounjaro, Trulicity | $987 | $57,55850 claims |
| MerckJanuvia, Belsomra | $33 | $54,59772 claims |
| AbbVieCreon, Linzess | $461 | $36,06837 claims |
| AstraZenecaFarxiga | $139 | $32,03142 claims |
| Astellas Pharma US IncMyrbetriq | $102 | $22,28628 claims |
| Johnson & JohnsonXarelto | $67 | $19,34524 claims |
| Currax Pharmaceuticals LLCContrave | $15 | $14,22519 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 13,581 internal medicine providers in California.
Other internal medicine in Visalia
- Andrew ChengSouth San Francisco$55.1M
- Tung NgoNewport Beach$4.9M
- Christian EversullStanford$2.9M
- Christian SandrockSacramento$2.1M
- Hatim HusainSan Diego$2M
- Teck LingPalo Alto$1.1M
- Hyong Kimla Jolla$1M
- Rohit Loombala Jolla$965K
- Fred CohenSan Francisco$929K
- Steven EdelmanSan Diego$863K
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.