RxDoctor Payments Data

Melissa Manriques

Primary Care · Fresno, CANPI 1679564140

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.6% of the total across 88 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Incyte Corporation at 25.7% of the total. Among primary care clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$3,587in general payments, 2019–2025

Across 88 payments — averaging $40.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Incyte Corporation$921
  • AbbVie$566
  • Pfizer$469
  • LEO Pharma Inc.$288
  • Galderma Laboratories, L.p.$275
  • E.r. Squibb & Sons, L.L.C.$250
  • plus $819 from 9 others

What the payments were for

  • Food & beverage$3,39395%
  • Education$1945%

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

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.

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

$3,587 in reported general payments places this provider in the 90th percentile of 706 primary care providers in California.

See all primary care providers in California

Medicare billing

Part B allowed, 2024
$107,951
Medicare patients
383
Services billed
3,015

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

DrugClaimsCost to plans & patients
Dupixent PenDupilumab45$160,107
Humira(Cf) PenAdalimumab13$90,734
Clobetasol Propionate57$2,399
Ketoconazole92$2,047
Metronidazole18$1,236
Triamcinolone Acetonide97$1,064
Betamethasone Dipropionate31$993
Fluorouracil13$913
Doxycycline Hyclate49$577
ValacyclovirValacyclovir Hcl13$412
Clindamycin Phosphate11$369
Mupirocin19$113
Hydrocortisone23$88

Paid to pharmacies, not to this prescriber.

Other primary care in Fresno

See the full list for California

Where these figures come from

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