RxDoctor Payments Data

Lisa Shives, MD

Sleep Medicine · San Diego, CANPI 1740322825

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $1,369,103 of the $1,372,111 with a category attached, or 99.8%. SNAP Diagnostics LLC accounts for 98.8% of it on its own, with 3 other manufacturers making up the rest. Among sleep medicine 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.

$1,372,111in general payments, 2019–2025

Across 25 payments — averaging $54,884 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • SNAP Diagnostics LLC$1.4M
  • Jazz Pharmaceuticals Inc.$15K
  • Harmony Biosciences LLC$2K
  • Avadel CNS Pharmaceuticals, LLC$150

What the payments were for

  • Consulting fees$1,3500%
  • Speaking & faculty fees$1,369,103100%
  • Travel & lodging$1,2060%
  • Food & beverage$3820%
  • Education$700%

General payments by program year

19
20
21
22
23
24
25

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.

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

$1,372,111 in reported general payments places this provider in the 95th percentile of 200 sleep medicine providers in California.

See all sleep medicine providers in California

Medicare billing

Part B allowed, 2024
$7,436
Medicare patients
14
Services billed
57

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

DrugClaimsCost to plans & patients
VyvanseLisdexamfetamine Dimesylate12$4,957
Dextroamphetamine Sulfate13$2,385
Eszopiclone35$640
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine22$487
Modafinil11$349
Zolpidem Tartrate13$46

Paid to pharmacies, not to this prescriber.

Other sleep medicine in San Diego

See the full list for California

Where these figures come from

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