RxDoctor Payments Data

Luis Martinez, MD

Adult Medicine · Fresno, CANPI 1134423684

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 103 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 21 manufacturers, the largest accounting for just 19.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $512 and has fallen 70.9% since, to $149 in 2025.

$1,689in general payments, 2019–2025

Across 103 payments — averaging $16.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$323
  • Johnson & Johnson$277
  • GSK$183
  • AstraZeneca$147
  • Merck$137
  • Novo Nordisk$127
  • plus $495 from 15 others

What the payments were for

  • Food & beverage$1,689100%

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

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

$1,689 in reported general payments places this provider in the 80th percentile of 221 adult medicine providers in California.

See all adult medicine providers in California

Medicare billing

Part B allowed, 2024
$145,860
Medicare patients
318
Services billed
1,757

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
JanuviaSitagliptin Phosphate47$57,930
OzempicSemaglutide40$55,706
Xigduo XrDapaglifloz Propaned/Metformin32$36,700
EliquisApixaban29$32,832
FarxigaDapagliflozin Propanediol24$32,499
MounjaroTirzepatide26$30,117
JardianceEmpagliflozin19$27,437
Trelegy ElliptaFluticasone/Umeclidin/Vilanter22$25,493
CreonLipase/Protease/Amylase15$18,707
MyrbetriqMirabegron14$16,667
XareltoRivaroxaban16$15,247
VascepaIcosapent Ethyl23$14,114
Breo ElliptaFluticasone/Vilanterol24$11,779
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog24$9,883
Humalog Kwikpen U-100Insulin Lispro26$8,730

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.

CompanyPaid to this providerPart D cost of their drugs
MerckJanuvia$137$57,93047 claims
Novo NordiskOzempic$127$55,70640 claims
GSKTrelegy Ellipta, Breo Ellipta$183$37,27246 claims
AstraZenecaFarxiga, Symbicort$147$36,88836 claims
PfizerEliquis$39$32,83229 claims
Lilly USA, LLCMounjaro$51$30,11726 claims
Boehringer IngelheimJardiance$23$27,43719 claims
AbbVieCreon$323$18,70715 claims
Johnson & JohnsonXarelto$277$15,24716 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 80th percentile of 221 adult medicine providers in California.

Other adult medicine in Fresno

See the full list for California

Where these figures come from

Is this you, or does something look wrong? →