RxDoctor Payments Data

Michelle Melisko, MD

Medical Oncology · San Francisco, CANPI 1306803812

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $13,963 of the $16,946 with a category attached, or 82.4%. 11 manufacturers reported payments, led by Genentech USA, Inc. at 25.1% of the total. Reporting peaked in 2024 at $4,096 and has fallen 78.6% since, to $875 in 2025.

$16,946in general payments, 2019–2025

Across 46 payments — averaging $368.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Genentech USA, Inc.$4K
  • AstraZeneca$4K
  • Eisai Inc.$2K
  • Puma Biotechnology, Inc.$2K
  • Daiichi Sankyo Inc.$2K
  • Astrazeneca UK Limited$2K
  • plus $1K from 5 others
$908,405in research payments, 2019–2025

Across 42 payments — averaging $21,629 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.

  • Seagen Inc.$303K
  • Puma Biotechnology, Inc.$285K
  • Eli Lilly$220K
  • Pfizer$58K
  • Novartis$43K

What the payments were for

  • Consulting fees$13,96382%
  • Speaking & faculty fees$1751%
  • Food & beverage$2,66416%
  • Education$1451%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Genentech USA, Inc.9$4,247
AstraZeneca11$3,602
Eisai Inc.1$2,188
Puma Biotechnology, Inc.3$2,162
Daiichi Sankyo Inc.2$1,851
Astrazeneca UK Limited1$1,713
Gilead8$563
Stemline Therapeutics Inc.1$188
Athenex Pharmaceutical Division, LLC1$175
Pfizer7$133
Novartis2$126

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

$16,946 in reported general payments places this provider in the 65th percentile of 379 medical oncology providers in California.

See all medical oncology providers in California →

Medicare billing

Part B allowed, 2024
$433,369
Medicare patients
152
Services billed
13,253

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

DrugClaimsCost to plans & patients
VerzenioAbemaciclib26$388,979
IbrancePalbociclib18$274,667
Letrozole130$4,615
Exemestane30$4,019
Anastrozole102$2,375
Diclofenac Sodium11$308
Tamoxifen Citrate16$294
Alendronate Sodium25$261
Gabapentin35$260
Ondansetron Hcl13$63
Lorazepam12$40
Escitalopram Oxalate14$13
Prednisone12$4

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerIbrance$133$274,66718 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 65th percentile of 379 medical oncology providers in California.

Other medical oncology in San Francisco

See the full list for California →

Where these figures come from

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