Mark Higgins, MD
Internal Medicine · San Francisco, CANPI 1134193469
Payments from drug & device makers
Across 1,499 payments — averaging $50.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$42K
- Viiv Healthcare Company$13K
- AbbVie$3K
- EMD Serono, Inc.$2K
- Novo Nordisk$1K
- AstraZeneca$1K
- plus $13K from 54 others
What the payments were for
- Consulting fees$7,31010%
- Speaking & faculty fees$33,44344%
- Travel & lodging$3,4515%
- Food & beverage$30,91441%
- Education$2070%
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.
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
$75,325 in reported general payments places this provider in the 95th percentile of 13,581 internal 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 |
|---|---|---|
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 409 | $1,844,078 |
| OdefseyEmtricitab/Rilpiviri/Tenof Ala | 212 | $879,026 |
| TivicayDolutegravir Sodium | 251 | $733,826 |
| DovatoDolutegravir Sodium/Lamivudine | 173 | $569,739 |
| DescovyEmtricitabine/Tenofov Alafenam | 254 | $564,967 |
| TriumeqAbacavir/Dolutegravir/Lamivudi | 126 | $526,355 |
| SerostimSomatropin | 28 | $508,524 |
| JulucaDolutegravir/Rilpivirine | 105 | $389,374 |
| GenvoyaElviteg/Cob/Emtri/Tenof Alafen | 82 | $360,145 |
| SymtuzaDarunavir/Cob/Emtri/Tenof Alaf | 56 | $353,043 |
| RukobiaFostemsavir Tromethamine | 34 | $306,692 |
| IsentressRaltegravir Potassium | 136 | $269,084 |
| Egrifta SvTesamorelin Acetate | 29 | $225,902 |
| PifeltroDoravirine | 94 | $167,891 |
| CreonLipase/Protease/Amylase | 49 | $165,189 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GileadBiktarvy, Descovy, Genvoya | $41,522 | $2,769,191745 claims |
| Viiv Healthcare CompanyTivicay, Dovato, Triumeq, Juluca, Rukobia | $13,123 | $2,615,926701 claims |
| MerckIsentress, Pifeltro, Delstrigo, Januvia, Janumet | $1,357 | $578,968341 claims |
| EMD Serono, Inc.Serostim | $2,213 | $508,52428 claims |
| Janssen Products, LPSymtuza | $199 | $353,04356 claims |
| Theratechnologies Inc.Egrifta Sv | $759 | $225,90229 claims |
| AbbVieCreon | $2,761 | $165,18949 claims |
| Janssen Scientific Affairs, LLCEdurant, Prezista | $107 | $145,41087 claims |
| Johnson & JohnsonPrezcobix, Xarelto | $974 | $143,85292 claims |
| Boehringer IngelheimJardiance, Synjardy Xr | $318 | $137,636176 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,021 | $134,377126 claims |
| Novo NordiskOzempic | $1,442 | $132,465120 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 95th percentile of 13,581 internal medicine providers in California.
Other internal medicine in San Francisco
- Rahul AggarwalSan Francisco$24M
- Thomas MartinSan Francisco$13.7M
- Peter HuntSan Francisco$9.8M
- Diane HavlirSan Francisco$8.4M
- Sandy WongSan Francisco$6.6M
- Nina ShahSan Francisco$5.4M
- Katy TsaiSan Francisco$3.8M
- Riley BoveSan Francisco$3.6M
- Jacob LalezariSan Francisco$3.3M
- Flavio VincentiSan Francisco$2.9M
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.