Lisa Trosino, MD
Emergency Medicine · Santa Barbara, CANPI 1811937618
Payments from drug & device makers
Across 1 payment — averaging $147.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$147
What the payments were for
- Food & beverage$147100%
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.
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 |
|---|---|---|
| Integra Lifesciences Corporation | 1 | $147 |
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.
- OMNIGRAFT$147
- PRIMATRIX$147
- MEDIHONEY$147
- TCC-EZ$147
- AMNIOEXCEL$147
How this compares
$147 in reported general payments places this provider in the 75th percentile of 6,006 emergency 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 |
|---|---|---|
| Doxycycline Hyclate | 100 | $1,397 |
| Betamethasone Valerate | 41 | $1,305 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 54 | $1,248 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 31 | $307 |
| Mupirocin | 22 | $259 |
| Ciprofloxacin Hcl | 23 | $196 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $95 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Santa Barbara
- Jeffrey OvercashChula Vista$31.8M
- Todd SimmonsEscondido$19.9M
- Michael WatersChula Vista$13.3M
- Barry HellerLong Beach$11.5M
- Gregory HachigianSacramento$10.9M
- Masaru OshitaSacramento$7.9M
- Brian BearieSan Bernardino$6.5M
- Julie KasarjianRiverside$4.9M
- Anna Ryabets-LienhardLos Angeles$3M
- Justin YanuckDowney$2.7M
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.