Lauro Roberto
Pediatric Pulmonology · Fresno, CANPI 1194878512
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 534 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 14.4% — the pattern of someone who eats at a lot of different presentations. Among pediatric pulmonology 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 534 payments — averaging $19.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Regeneron Healthcare Solutions, Inc.$1K
- AstraZeneca$985
- Chiesi USA, Inc.$771
- Baxter Healthcare$613
- Novartis$578
- plus $5K from 24 others
What the payments were for
- Food & beverage$10,07196%
- Education$3473%
- Gifts$761%
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 |
|---|---|---|
| AbbVie(2 entities) | 104 | $1,509 |
| Regeneron Healthcare Solutions, Inc. | 55 | $1,477 |
| AstraZeneca | 52 | $985 |
| Chiesi USA, Inc. | 56 | $771 |
| Baxter Healthcare | 28 | $613 |
| Novartis | 9 | $578 |
| Vertex | 22 | $549 |
| Digestive Care, Inc. | 8 | $536 |
| Electromed, Inc. | 35 | $499 |
| Advanced Respiratory, Inc | 29 | $461 |
| Philips North America LLC | 29 | $404 |
| GSK | 25 | $355 |
| Genentech USA, Inc. | 15 | $231 |
| Nestle Healthcare Nutrition Inc. | 9 | $183 |
| Mylan Specialty L.p. | 9 | $172 |
| Amgen | 7 | $163 |
| Inspire Medical Systems, Inc. | 1 | $153 |
| Sanofi | 6 | $120 |
| Pharming Healthcare, Inc. | 5 | $119 |
| Sobi, Inc | 4 | $118 |
| Gilead | 6 | $100 |
| Aimmune Therapeutics, Inc. | 4 | $76 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $70 |
| Fisher & Paykel Healthcare Inc | 4 | $67 |
| Alcresta Therapeutics, Inc. | 2 | $46 |
| Teva Pharmaceuticals USA, Inc. | 3 | $37 |
| Monaghan Medical Corporation | 2 | $34 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $26 |
| Vivus LLC | 1 | $23 |
| Resmed Corp | 1 | $17 |
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
$10,494 in reported general payments places this provider in the 90th percentile of 99 pediatric pulmonology providers in California.
Other pediatric pulmonology in Fresno
- Sande OkeloLos Angeles$146K
- Rakesh BhattacharjeeSan Diego$72K
- Carlos MillaPalo Alto$65K
- Terry RobinsonPalo Alto$23K
- Sudhakar ReddivalamMadera$14K
- Marilynn ChanSan Diego$11K
- John SaitoFountain Valley$8K
- Filomena Hazel VillaMadera$8K
- Richard MossPalo Alto$5K
- David CornfieldPalo Alto$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.