Matthew Spinelli, MD
Infectious Disease · San Francisco, CANPI 1386986263
Payments from drug & device makers
What this record shows
That places this record below the midpoint for infectious disease clinicians in CA, where the typical reported total is $297.
No general payments reported
No drug or device maker reported general payments to this provider for 2019–2025. That is a common and unremarkable result.
Across 5 payments — averaging $72,934 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Gilead$365K
How this compares
$0 in reported general payments places this provider in the 10th percentile of 856 infectious disease 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 |
|---|---|---|
| SymtuzaDarunavir/Cob/Emtri/Tenof Alaf | 28 | $124,242 |
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 24 | $94,845 |
| TriumeqAbacavir/Dolutegravir/Lamivudi | 25 | $94,793 |
| TivicayDolutegravir Sodium | 32 | $69,584 |
| CabenuvaCabotegravir/Rilpivirine | 15 | $68,694 |
| DescovyEmtricitabine/Tenofov Alafenam | 31 | $64,622 |
| GenvoyaElviteg/Cob/Emtri/Tenof Alafen | 11 | $47,837 |
| PifeltroDoravirine | 16 | $33,009 |
| OzempicSemaglutide | 12 | $9,272 |
| EliquisApixaban | 12 | $6,956 |
| JardianceEmpagliflozin | 12 | $6,873 |
| Bupropion XlBupropion Hcl | 25 | $682 |
| Rosuvastatin Calcium | 29 | $639 |
| Dapsone | 11 | $383 |
| Gabapentin | 23 | $171 |
Paid to pharmacies, not to this prescriber.
Other infectious disease in San Francisco
- Shawn HasslerSan Francisco$433K
- Abhijit LimayeSan Francisco$152K
- Joel PalefskySan Francisco$68K
- Monica GandhiSan Francisco$60K
- Claire PomeroySacramento$2.6M
- Javeed SiddiquiRoseville$1.5M
- George SakoulasSan Diego$902K
- Arthur JengSylmar$766K
- James McKinnellTorrance$762K
- Jay GladsteinLos Angeles$657K
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.