Melissa Peyton
Primary Care · Vacaville, CANPI 1679315295
Payments from drug & device makers
Across 31 payments — averaging $17.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$97
- Lilly USA, LLC$78
- Pfizer$49
- Exact Sciences$47
- Phathom Pharmaceuticals, Inc.$47
- Astellas Pharma US Inc$41
- plus $172 from 7 others
What the payments were for
- Food & beverage$531100%
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 |
|---|---|---|
| Novo Nordisk | 6 | $97 |
| Lilly USA, LLC | 5 | $78 |
| Pfizer | 3 | $49 |
| Exact Sciences | 3 | $47 |
| Phathom Pharmaceuticals, Inc. | 3 | $47 |
| Astellas Pharma US Inc | 2 | $41 |
| Boehringer Ingelheim | 2 | $40 |
| AstraZeneca | 2 | $35 |
| Tris Pharma Inc | 1 | $23 |
| Mannkind Corporation | 1 | $22 |
| Amgen | 1 | $20 |
| Dexcom, Inc. | 1 | $18 |
| GSK | 1 | $14 |
How this compares
$531 in reported general payments places this provider in the 60th percentile of 706 primary care 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 |
|---|---|---|
| Methylprednisolone | 25 | $177 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $95 |
Paid to pharmacies, not to this prescriber.
Other primary care in Vacaville
- Leslie FletcherTorrance$1.8M
- Hamideh PourzandLos Angeles$103K
- Veronica RamirezSacramento$83K
- Tyson FieldstedBakersfield$65K
- Joann BallPalm Desert$56K
- Kathryn CooperSan Diego$31K
- Shalaine Corbillala Mesa$22K
- Paula StoddardHanford$22K
- Ashley LoweSan Diego$19K
- Vanessa LeeLong Beach$16K
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.