Michael Sepulveda, MD
Internal Medicine · San Juan Bautista, CANPI 1164425757
Payments from drug & device makers
Across 206 payments — averaging $68.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Brainscope Company, Inc.$11K
- Boehringer Ingelheim$863
- Novo Nordisk$830
- Merck$432
- Amgen$282
- GSK$192
- plus $855 from 16 others
What the payments were for
- Food & beverage$3,455100%
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 |
|---|---|---|
| Brainscope Company, Inc. | 5 | $10,685 |
| Boehringer Ingelheim | 44 | $863 |
| Novo Nordisk | 52 | $830 |
| Merck | 28 | $432 |
| Amgen | 22 | $282 |
| GSK | 10 | $192 |
| AbbVie(2 entities) | 8 | $169 |
| AstraZeneca | 9 | $136 |
| Pfizer | 5 | $127 |
| Bayer | 4 | $78 |
| Seqirus USA Inc | 2 | $58 |
| Medtronic | 3 | $52 |
| Coopersurgical, Inc. | 1 | $45 |
| Hologic Sales And Service, LLC | 2 | $28 |
| Viiv Healthcare Company | 1 | $25 |
| Organon | 3 | $25 |
| Xeris Pharmaceuticals, Inc. | 1 | $24 |
| Dynavax Technologies Corporation | 2 | $20 |
| Exact Sciences | 1 | $19 |
| Vertex | 1 | $19 |
| Lilly USA, LLC | 1 | $16 |
| Genentech USA, Inc. | 1 | $13 |
How this compares
$14,140 in reported general payments places this provider in the 90th percentile of 13,581 internal 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 |
|---|---|---|
| Morphine Sulfate ErMorphine Sulfate | 11 | $902 |
| Atorvastatin Calcium | 27 | $374 |
| Oxycodone Hcl | 11 | $356 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $124 |
| Losartan Potassium | 18 | $109 |
| Amlodipine Besylate | 14 | $85 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in San Juan Bautista
- Andrew ChengSouth San Francisco$55.1M
- Joel NeutelTustin$34.9M
- Donald BrandonSan Diego$34M
- William TownerLos Angeles$27.4M
- Rahul AggarwalSan Francisco$24M
- Masoud AzizadNorthridge$21.1M
- Helen StaceyWalnut Creek$20.4M
- Rohit Loombala Jolla$15.1M
- Zeid KayaliColton$14.2M
- Alexandra DrakakiSanta Monica$14.2M
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.