Mark Sison, MD
Sports Medicine · Fresno, CANPI 1275777583
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $12,063 of the $14,746 with a category attached, or 81.8%. It is spread thinly across 23 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,978, 4.1 times the $959 reported in 2019.
Across 329 payments — averaging $44.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Painteq LLC$3K
- Boston Scientific$3K
- Medtronic$2K
- Nevro Corp.$1K
- Abbott$1K
- Vertos Medical, Inc.$1K
- plus $3K from 17 others
Across 2 payments — averaging $25,000 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$50K
What the payments were for
- Consulting fees$7255%
- Travel & lodging$1,95813%
- Food & beverage$12,06382%
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 |
|---|---|---|
| Painteq LLC | 64 | $3,166 |
| Boston Scientific | 102 | $2,702 |
| Medtronic(2 entities) | 39 | $1,912 |
| Nevro Corp. | 36 | $1,460 |
| Abbott | 11 | $1,387 |
| Vertos Medical, Inc. | 7 | $1,080 |
| Saluda Medical Americas, Inc. | 25 | $832 |
| SPR Therapeutics, Inc | 8 | $772 |
| Globus Medical | 7 | $315 |
| Biotronik NRO, Inc. | 5 | $214 |
| Nalu Medical, Inc. | 7 | $188 |
| Vertex | 3 | $144 |
| Avanos Medical | 3 | $143 |
| Boehringer Ingelheim | 1 | $115 |
| Hydrocision, Inc. | 1 | $68 |
| Radius Health, Inc. | 2 | $57 |
| Amgen | 2 | $50 |
| Relievant Medsystems, Inc. | 1 | $45 |
| Curonix LLC | 1 | $25 |
| Stryker | 1 | $23 |
| Orthofix Medical, Inc. | 1 | $18 |
| Stimwave Technologies Incorporated | 1 | $17 |
| Vertiflex, Inc. | 1 | $15 |
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.
- PROCLAIM$1,160
- PAINTEQ$997
- mild Device Kit$987
- SPRINT PNS System$658
- Omnia$541
- Senza$264
- KYPHON Balloon Kyphoplasty$251
- OSTEOCOOL RF ABLATION$142
- KYPHON EXPRESS II KYPHOPAK TRAY$139
- Prospera$125
- INCEPTIV$123
- VANTA ADAPTIVESTIM$122
- INTELLIS ADAPTIVESTIM$121
- JARDIANCE$115
- INFINION$108
- GENERAL PAIN MANAGEMENT$104
- Evoke$101
How this compares
$14,746 in reported general payments places this provider in the 75th percentile of 662 sports 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 |
|---|---|---|
| Gabapentin | 571 | $6,468 |
| Pregabalin | 162 | $3,855 |
| Cyclobenzaprine Hcl | 266 | $2,186 |
| Tizanidine Hcl | 202 | $1,184 |
| Methocarbamol | 195 | $943 |
| Duloxetine Hcl | 35 | $589 |
| Tramadol Hcl | 117 | $270 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $171 |
| Diazepam | 17 | $22 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Fresno
- Neal ElattracheLos Angeles$51M
- Nathaniel CohenLos Gatos$6.4M
- Thomas KnappSanta Monica$2.5M
- Michael FreehillStanford$1.6M
- Allan MishraMenlo Park$1.5M
- Heinz Hoeneckela Jolla$1.4M
- Seth ShermanStanford$1.1M
- Stephan YacoubianBurbank$1M
- Stephen Snydervan Nuys$922K
- Deryk JonesSan Carlos$915K
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.