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Marina Roytman, MD

Hepatology · Fresno, CANPI 1770521452

Payments from drug & device makers

$685,183in general payments, 2019–2025

Across 367 payments — averaging $1866.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$210K
  • Intercept Pharmaceuticals, Inc.$189K
  • Madrigal Pharmaceuticals$155K
  • Gilead$64K
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$58K
  • Eiger Biopharmaceuticals, Inc.$3K
  • plus $6K from 11 others

What the payments were for

  • Consulting fees$28,78317%
  • Speaking & faculty fees$111,09968%
  • Travel & lodging$14,2549%
  • Food & beverage$10,4406%
  • Education$70%

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

$685,183 in reported general payments places this provider in the 80th percentile of 36 hepatology providers in California.

See all hepatology providers in California

Medicare billing

Part B allowed, 2024
$50,068
Medicare patients
339
Services billed
489

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
EpclusaSofosbuvir/Velpatasvir12$290,353
XifaxanRifaximin44$137,864
VemlidyTenofovir Alafenamide49$70,046
Ursodiol55$7,685
Lactulose42$1,703
ConstuloseLactulose21$886
Carvedilol154$575
Omeprazole32$370
Spironolactone25$311
Pantoprazole Sodium26$305
Bumetanide11$229
Furosemide14$17

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
GileadEpclusa, Vemlidy$64,378$360,39961 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$58,179$137,86444 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 36 hepatology providers in California.

Other hepatology in Fresno

See the full list for California

Where these figures come from

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