Melissa Real
Physician Assistant · Pasadena, CANPI 1326675414
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 211 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 18 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. Among physician assistant 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.
Across 211 payments — averaging $25.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Madrigal Pharmaceuticals$1K
- Gilead$895
- AbbVie$868
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$519
- Ipsen Biopharmaceuticals, Inc$403
- Lilly USA, LLC$311
- plus $1K from 12 others
What the payments were for
- Food & beverage$5,371100%
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 |
|---|---|---|
| Madrigal Pharmaceuticals | 44 | $1,279 |
| Gilead | 40 | $895 |
| AbbVie | 35 | $868 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 35 | $519 |
| Ipsen Biopharmaceuticals, Inc | 14 | $403 |
| Lilly USA, LLC | 13 | $311 |
| Intercept Pharmaceuticals, Inc. | 5 | $189 |
| Boston Scientific | 3 | $143 |
| AstraZeneca | 1 | $125 |
| Fujifilm Healthcare Americas Corporation | 1 | $121 |
| Mallinckrodt Hospital Products Inc. | 4 | $119 |
| Mirum Pharmaceuticals, Inc. | 5 | $114 |
| Genentech USA, Inc. | 4 | $108 |
| Tersera Therapeutics LLC | 2 | $50 |
| Novo Nordisk | 2 | $37 |
| Alnylam Pharmaceuticals Inc. | 1 | $35 |
| Eisai Inc. | 1 | $30 |
| Hologic Sales And Service, LLC | 1 | $24 |
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.
- REZDIFFRA$413
- RESMETIROM$135
- XIFAXAN$125
- Bylvay$124
- IQIRVO$122
- uTASWako AFP-L3$121
- Vemlidy$121
- Mavyret$120
- OCALIVA$115
How this compares
$5,371 in reported general payments places this provider in the 90th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocortisone | 13 | $116 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Pasadena
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Andrea FoxStanford$172K
- Asma HussainiThousand Oaks$102K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.