Marina Alper
Pediatrics · Fresno, CANPI 1609817337
Payments from drug & device makers
Across 170 payments — averaging $45.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$4K
- GSK$571
- Gilead$519
- Madrigal Pharmaceuticals$365
- Pfizer$300
- Incyte Corporation$246
- plus $2K from 24 others
What the payments were for
- Food & beverage$7,792100%
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 | 43 | $3,568 |
| GSK | 22 | $571 |
| Gilead | 5 | $519 |
| Madrigal Pharmaceuticals | 3 | $365 |
| Pfizer | 15 | $300 |
| Incyte Corporation | 2 | $246 |
| Regeneron Healthcare Solutions, Inc. | 2 | $243 |
| Cranial Technologies, Inc | 18 | $224 |
| Merck | 10 | $185 |
| Sanofi Pasteur Inc. | 9 | $182 |
| Supernus Pharmaceuticals, Inc. | 4 | $170 |
| Sobi, Inc | 6 | $136 |
| Mirum Pharmaceuticals, Inc. | 1 | $127 |
| Ipsen Biopharmaceuticals, Inc | 1 | $122 |
| Nestle Healthcare Nutrition Inc. | 1 | $113 |
| Kaleo, Inc. | 6 | $109 |
| Regeneron | 1 | $107 |
| Corium, LLC | 4 | $81 |
| Novo Nordisk | 1 | $76 |
| Kowa Pharmaceuticals America, Inc. | 3 | $74 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $66 |
| Phadia US Inc. | 3 | $48 |
| Boston Scientific | 2 | $31 |
| Abbott | 1 | $26 |
| BD | 1 | $20 |
| Neos Therapeutics, LP | 1 | $19 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Boehringer Ingelheim | 1 | $15 |
| Seqirus USA Inc | 1 | $14 |
| Ironshore Pharmaceuticals Inc. | 1 | $12 |
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
$7,792 in reported general payments places this provider in the 95th percentile of 5,539 pediatrics providers in California.
Other pediatrics in Fresno
- James KratzerFresno$248K
- Nicola KleinOakland$81.9M
- Lawrence SherRolling Hills Estates$38.4M
- Carey ChronisVentura$6.3M
- Jose DiazDowney$5.4M
- Bruce BuckinghamSan Jose$3.1M
- Patrick WalshAnaheim$3M
- Teresita Salazar-GuadizBellflower$2.7M
- Liberation de LeonParamount$2.7M
- Melvin HeymanSan Francisco$2.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.