RxDoctor Payments Data

Melissa Pattee, PA

Surgical · Walnut Creek, CANPI 1649504291

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.6% of the total across 379 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 21.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,699, 3.8 times the $704 reported in 2021. Among surgical 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.

$8,833in general payments, 2019–2025

Across 379 payments — averaging $23.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$2K
  • Sanofi$2K
  • Novartis$701
  • Incyte Corporation$680
  • Arcutis Biotherapeutics, Inc.$659
  • Regeneron Healthcare Solutions, Inc.$637
  • plus $3K from 18 others

What the payments were for

  • Food & beverage$8,62098%
  • Education$2132%

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

$8,833 in reported general payments places this provider in the 95th percentile of 729 surgical providers in California.

See all surgical providers in California

Medicare billing

Part B allowed, 2024
$404,818
Medicare patients
914
Services billed
6,086

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 PenDupilumab22$84,812
Dupixent SyringeDupilumab11$41,165
Doxycycline Ir-DrDoxycycline Monohydrate13$10,204
Clobetasol Propionate115$5,531
Metronidazole42$3,358
Tacrolimus31$3,325
Ketoconazole135$3,058
Fluocinonide94$3,007
Desonide38$2,949
Fluorouracil37$2,483
Ciclopirox75$2,363
Doxycycline Hyclate109$2,220
Triamcinolone Acetonide101$656
Minoxidil73$646
Tretinoin15$639

Paid to pharmacies, not to this prescriber.

Other surgical in Walnut Creek

See the full list for California

Where these figures come from

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