Michael Jakobsen, MD
Otolaryngology · Mission Viejo, CANPI 1730118118
Payments from drug & device makers
Across 51 payments — averaging $25.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$288
- Optinose US, Inc.$236
- Sanofi$164
- Regeneron Healthcare Solutions, Inc.$120
- Stryker$96
- AbbVie$75
- plus $297 from 9 others
What the payments were for
- Food & beverage$1,276100%
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 |
|---|---|---|
| GSK | 10 | $288 |
| Optinose US, Inc. | 12 | $236 |
| Sanofi | 6 | $164 |
| Regeneron Healthcare Solutions, Inc. | 4 | $120 |
| Stryker | 2 | $96 |
| AbbVie | 4 | $75 |
| Smith+Nephew | 3 | $73 |
| Johnson & Johnson | 2 | $38 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $37 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $30 |
| Biocryst US Sales Co., LLC | 1 | $30 |
| AstraZeneca | 1 | $27 |
| Aerin Medical Inc. | 1 | $25 |
| Amgen | 1 | $22 |
| Merck | 1 | $16 |
How this compares
$1,276 in reported general payments places this provider in the 55th percentile of 1,021 otolaryngology 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 |
|---|---|---|
| Azelastine Hcl | 360 | $7,957 |
| Fluocinolone Acetonide Oil | 90 | $3,224 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 28 | $3,135 |
| Fluticasone Propionate | 253 | $2,357 |
| Ipratropium Bromide | 45 | $1,906 |
| Cefdinir | 37 | $1,173 |
| Ofloxacin | 39 | $1,093 |
| Pantoprazole Sodium | 110 | $960 |
| Methylprednisolone | 125 | $685 |
| Clarithromycin | 24 | $656 |
| Omeprazole | 31 | $466 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 56 | $464 |
| Amitriptyline Hcl | 67 | $445 |
| Famotidine | 23 | $189 |
| Mupirocin | 24 | $107 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Mission Viejo
- Randall OwRoseville$4.3M
- Amir MoradiVista$2.6M
- Brian WeeksSan Diego$1.6M
- Charles LimbSan Francisco$1.5M
- Andrew BerosSan Diego$688K
- Paul SchalchChula Vista$573K
- Steven DavisTorrance$544K
- Arnaud BewleySacramento$541K
- Keith BlackwellLos Angeles$349K
- Kalpna DurairajSun Valley$348K
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.