Lisa Gulish, PA
Medical · Saint Helena, CANPI 1184111551
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.7% of the total across 184 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 25 manufacturers reported payments, led by Biotronik Inc. at 45.2% of the total. Reporting peaked in 2022 at $3,369 and has fallen 60.1% since, to $1,345 in 2025. Among medical 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 184 payments — averaging $57.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biotronik Inc.$5K
- Medtronic$2K
- Atricure, Inc.$637
- Abbott$617
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$567
- Boston Scientific$544
- plus $2K from 19 others
What the payments were for
- Consulting fees$7888%
- Speaking & faculty fees$1752%
- Food & beverage$9,52491%
- Education$120%
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 |
|---|---|---|
| Biotronik Inc. | 60 | $4,748 |
| Medtronic | 20 | $1,774 |
| Atricure, Inc. | 5 | $637 |
| Abbott | 10 | $617 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 10 | $567 |
| Boston Scientific | 26 | $544 |
| E.r. Squibb & Sons, L.L.C. | 14 | $235 |
| Cardiofocus, Inc. | 3 | $172 |
| Actelion Pharmaceuticals US, Inc. | 2 | $164 |
| Pfizer | 9 | $162 |
| Bardy Diagnostics, Inc. | 6 | $146 |
| Impulse Dynamics (USA) Inc. | 1 | $141 |
| Chiesi USA, Inc. | 1 | $122 |
| Bayer | 1 | $119 |
| Baxter Healthcare | 3 | $68 |
| Kls-martin L.p. | 3 | $43 |
| Irhythm Technologies, Inc. | 2 | $43 |
| Edwards Lifesciences | 1 | $39 |
| Kestra Medical Technology Services, Inc. | 1 | $37 |
| Merck | 1 | $24 |
| BD | 1 | $21 |
| Cordis US CORP. | 1 | $21 |
| Angiodynamics, Inc. | 1 | $19 |
| Olympus America Inc. | 1 | $19 |
| Bard Peripheral Vascular, Inc. | 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.
- Acticor 7 VR-T DX$1,714
- BioMonitor$554
- Micra$399
- AMVIA EDGE$394
- Edora 8 DR-T$375
- SYNERGY ABLATION SYSTEM$371
- LifeVest$344
- OPTIMIZER$282
- Rivacor$238
- Solia$238
- Edora$238
- Acticor$238
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$236
- AURORA EV-ICD MRI SURESCAN$165
- Accent Pacemaker$151
- UPTRAVI$142
- OPSUMIT$142
- Sentus$140
- Orsiro Mission$139
- HeartLight System$126
How this compares
$10,500 in reported general payments places this provider in the 90th percentile of 2,087 medical 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 |
|---|---|---|
| EliquisApixaban | 275 | $280,694 |
| XareltoRivaroxaban | 74 | $72,419 |
| MultaqDronedarone Hcl | 32 | $51,619 |
| EntrestoSacubitril/Valsartan | 14 | $4,883 |
| Metoprolol Succinate | 373 | $4,274 |
| Propafenone Hcl | 127 | $4,070 |
| Amiodarone Hcl | 117 | $4,059 |
| Flecainide Acetate | 65 | $2,362 |
| Mexiletine Hcl | 11 | $1,313 |
| Nadolol | 16 | $1,139 |
| Verapamil SrVerapamil Hcl | 12 | $998 |
| Losartan Potassium | 98 | $927 |
| Potassium Chloride | 64 | $668 |
| Valsartan | 13 | $409 |
| Carvedilol | 24 | $317 |
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 |
|---|---|---|
| PfizerEliquis | $162 | $280,694275 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 2,087 medical providers in California.
Other medical in Saint Helena
- Nicola LowreyOrange$655K
- Justin LoveLoma Linda$553K
- Alison GracomIrvine$467K
- Jeffrey BonnaudLos Angeles$314K
- Ana TorresLaguna Beach$229K
- Heather ParlettRedlands$168K
- David DoriguzziLancaster$166K
- Deirdre MoxleyFullerton$149K
- Linda RankLadera Ranch$105K
- Cheryl KyinnSan Diego$103K
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.