Meghan Garcia, MD
Allergy & Immunology · Sacramento, CANPI 1891131447
Payments from drug & device makers
Across 441 payments — averaging $29.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$3K
- Sanofi US Services Inc.$2K
- Sanofi$1K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- GSK$1K
- Amgen$669
- plus $4K from 28 others
What the payments were for
- Consulting fees$1,81214%
- Speaking & faculty fees$3503%
- Food & beverage$10,99683%
- Education$590%
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 |
|---|---|---|
| AstraZeneca | 98 | $2,833 |
| Sanofi US Services Inc. | 1 | $1,812 |
| Sanofi | 57 | $1,351 |
| Takeda Pharmaceuticals U.S.A., Inc. | 56 | $1,078 |
| GSK | 50 | $1,022 |
| Amgen | 32 | $669 |
| CSL Behring | 26 | $598 |
| Regeneron Healthcare Solutions, Inc. | 19 | $548 |
| Genentech USA, Inc. | 14 | $518 |
| Novartis | 17 | $488 |
| Aimmune Therapeutics, Inc. | 3 | $376 |
| Blueprint Medicines Corporation | 6 | $292 |
| Pharming Healthcare, Inc. | 5 | $213 |
| Kaleo, Inc. | 6 | $164 |
| ARS Pharmaceuticals Operations, Inc. | 5 | $140 |
| Biocryst US Sales Co., LLC | 2 | $139 |
| Optinose US, Inc. | 6 | $113 |
| Lilly USA, LLC | 1 | $111 |
| Alk-abello, Inc | 5 | $110 |
| Pfizer | 6 | $104 |
| Grifols USA, LLC | 4 | $74 |
| AbbVie | 2 | $64 |
| Organon | 2 | $49 |
| Octapharma USA, Inc. | 2 | $49 |
| Teva Pharmaceuticals USA, Inc. | 3 | $48 |
| Hikma Pharmaceuticals USA | 2 | $46 |
| Galderma Laboratories, L.p. | 2 | $38 |
| Boehringer Ingelheim | 2 | $37 |
| LEO Pharma Inc. | 2 | $32 |
| Regeneron | 1 | $27 |
| Phadia US Inc. | 1 | $21 |
| QOL Medical, LLC | 1 | $20 |
| Merck | 1 | $19 |
| Azurity Pharmaceuticals, Inc. | 1 | $16 |
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
$13,217 in reported general payments places this provider in the 75th percentile of 426 allergy & immunology 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 |
|---|---|---|
| TezspireTezepelumab-Ekko | 19 | $79,818 |
| Dupixent SyringeDupilumab | 21 | $78,281 |
| Spiriva RespimatTiotropium Bromide | 76 | $52,270 |
| XolairOmalizumab | 13 | $39,126 |
| Breo ElliptaFluticasone/Vilanterol | 62 | $34,981 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 36 | $26,896 |
| Zileuton ErZileuton | 18 | $20,492 |
| Qvar RedihalerBeclomethasone Dipropionate | 24 | $16,508 |
| Advair HfaFluticasone Propion/Salmeterol | 31 | $12,812 |
| AirsupraAlbuterol Sulfate/Budesonide | 11 | $8,487 |
| DuleraMometasone/Formoterol | 16 | $7,687 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 12 | $7,214 |
| Wixela InhubFluticasone Propion/Salmeterol | 35 | $6,423 |
| Advair DiskusFluticasone Propion/Salmeterol | 15 | $5,113 |
| Epinephrine | 23 | $4,097 |
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 |
|---|---|---|
| AstraZenecaTezspire, Airsupra, Breztri Aerosphere | $2,833 | $95,51942 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $1,022 | $61,87798 claims |
| Boehringer IngelheimSpiriva Respimat | $37 | $52,27076 claims |
| Teva Pharmaceuticals USA, Inc.Qvar Redihaler | $48 | $16,50824 claims |
| MerckDulera | $19 | $7,68716 claims |
| Hikma Pharmaceuticals USAEpinephrine | $46 | $4,09723 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 75th percentile of 426 allergy & immunology providers in California.
Other allergy & immunology in Sacramento
- Neil ParikhSacramento$136K
- Kenneth KimLong Beach$18.5M
- Purvi MehraSan Diego$6.3M
- Bob GengSan Diego$6M
- Alexander GreinerSan Diego$4.8M
- Tonny TanusBakersfield$4.5M
- Raffi TachdjianSanta Monica$4.2M
- Vinay MehtaLaguna Niguel$3.3M
- Alan GoldsobelSan Jose$3.3M
- Steven WeinsteinHuntington Beach$3M
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.