Michael Kosmo
Hematology & Oncology · Escondido, CANPI 1891742847
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.0% of the total across 397 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 53 manufacturers, the largest accounting for just 10.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,549 and has fallen 98.9% since, to $27 in 2025.
Across 397 payments — averaging $19.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$775
- Amgen$718
- Novartis$660
- Pharmacyclics LLC, An Abbvie Company$424
- AstraZeneca$368
- Sanofi$349
- plus $4K from 47 others
Across 175 payments — averaging $4105.25 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$511K
- Eli Lilly$140K
- Beigene, Ltd.$37K
- Pfizer$16K
- Incyte Corporation$15K
What the payments were for
- Food & beverage$7,38897%
- Education$2313%
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.
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.
- KEYTRUDA$115
How this compares
$7,619 in reported general payments places this provider in the 60th percentile of 1,363 hematology & oncology providers in California.
Other hematology & oncology in Escondido
- Hardeep PhullEscondido$339K
- Dennis SlamonLos Angeles$3.1M
- Sandra HorningStanford$2.5M
- Mohammadbagher ZiariCorona$2.5M
- George YaghmourLos Angeles$1.9M
- Robert VescioWest Hollywood$1.1M
- Kevin KellyLos Angeles$894K
- Johnny ChangEncino$884K
- Nitin RohatgiSacramento$814K
- Omid HamidSanta Monica$809K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.