RxDoctor Payments Data

Mark Smith

Internal Medicine · San Francisco, CANPI 1023145539

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $382,842 of the $534,700 with a category attached, or 71.6%. Jazz Pharmaceuticals Inc. accounts for 99.8% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2022 at $320,881 and has fallen 93.0% since, to $22,571 in 2025. Among internal medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$534,700in general payments, 2019–2025

Across 154 payments — averaging $3472.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Jazz Pharmaceuticals Inc.$533K
  • Teladoc Health, Inc.$1K

What the payments were for

  • Speaking & faculty fees$382,84272%
  • Travel & lodging$139,35726%
  • Food & beverage$12,3262%
  • Gifts$1750%

General payments by program year

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.

CompanyPaymentsTotal
Jazz Pharmaceuticals Inc.153$533,401
Teladoc Health, Inc.1$1,298

How this compares

$534,700 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California →

Most prescribed under Part D

DrugClaimsCost to plans & patients
TriumeqAbacavir/Dolutegravir/Lamivudi13$46,445
Invega SustennaPaliperidone Palmitate13$30,223
SuboxoneBuprenorphine Hcl/Naloxone Hcl11$13,271
Clindamycin Phosphate15$322
Doxycycline Hyclate13$174
Ondansetron OdtOndansetron13$162
Acyclovir12$36

Paid to pharmacies, not to this prescriber.

Other internal medicine in San Francisco

See the full list for California →

Where these figures come from

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