Michael Pietila, MD
Family Medicine · Santa Ana, CANPI 1851315097
Payments from drug & device makers
Across 88 payments — averaging $26.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$534
- Amgen$255
- AstraZeneca$239
- Novartis$216
- Acadia Pharmaceuticals Inc$143
- Teva Pharmaceuticals USA, Inc.$126
- plus $861 from 19 others
What the payments were for
- Food & beverage$2,375100%
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 5 | $534 |
| Amgen | 13 | $255 |
| AstraZeneca | 14 | $239 |
| Novartis | 12 | $216 |
| Acadia Pharmaceuticals Inc | 2 | $143 |
| Teva Pharmaceuticals USA, Inc. | 3 | $126 |
| Otsuka America Pharmaceutical, Inc. | 1 | $124 |
| CMP Pharma, Inc. | 2 | $123 |
| GSK | 5 | $79 |
| Astellas Pharma US Inc | 3 | $72 |
| Regeneron Healthcare Solutions, Inc. | 3 | $57 |
| Johnson & Johnson | 4 | $55 |
| Pfizer | 3 | $50 |
| Avanir Pharmaceuticals, Inc. | 3 | $50 |
| Sanofi-aventis U.S. LLC | 3 | $43 |
| Boston Scientific | 1 | $34 |
| E.r. Squibb & Sons, L.L.C. | 2 | $32 |
| Zyla Life Sciences, Inc. | 2 | $26 |
| Neotract Inc. | 1 | $21 |
| AbbVie | 1 | $20 |
| Merck | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $16 |
| Mannkind Corporation | 1 | $14 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
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
$2,375 in reported general payments places this provider in the 80th percentile of 10,533 family medicine 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 |
|---|---|---|
| EliquisApixaban | 410 | $122,079 |
| NuplazidPimavanserin Tartrate | 23 | $55,997 |
| TrulicityDulaglutide | 21 | $17,796 |
| JanuviaSitagliptin Phosphate | 62 | $17,742 |
| EpogenEpoetin Alfa | 22 | $14,075 |
| XareltoRivaroxaban | 55 | $13,533 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 23 | $11,944 |
| Gabapentin | 463 | $11,850 |
| Divalproex Sodium | 151 | $11,481 |
| EntrestoSacubitril/Valsartan | 31 | $11,009 |
| Enoxaparin Sodium | 118 | $10,672 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $9,479 |
| Atorvastatin Calcium | 674 | $9,195 |
| Memantine Hcl | 148 | $8,605 |
| Sevelamer Hcl | 14 | $8,399 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $50 | $122,079410 claims |
| Acadia Pharmaceuticals IncNuplazid | $143 | $55,99723 claims |
| MerckJanuvia | $19 | $17,74262 claims |
| AmgenEpogen | $255 | $14,07522 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $79 | $14,00638 claims |
| Johnson & JohnsonXarelto | $55 | $13,53355 claims |
| NovartisEntresto | $216 | $11,00931 claims |
| AstraZenecaFarxiga | $239 | $5,10019 claims |
| Astellas Pharma US IncMyrbetriq | $72 | $3,56816 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 10,533 family medicine providers in California.
Other family medicine in Santa Ana
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
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.