Mikaelah Kuenhold
Family · San Diego, CANPI 1164141164
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 130 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by Sanofi at 27.9% of the total. Among family clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 130 payments — averaging $25.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$934
- GSK$400
- Grifols USA, LLC$209
- CSL Behring$205
- Pharming Healthcare, Inc.$195
- Takeda Pharmaceuticals U.S.A., Inc.$194
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,346100%
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 |
|---|---|---|
| Sanofi | 28 | $934 |
| GSK | 24 | $400 |
| Grifols USA, LLC | 9 | $209 |
| CSL Behring | 9 | $205 |
| Pharming Healthcare, Inc. | 8 | $195 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $194 |
| Incyte Corporation | 7 | $172 |
| ARS Pharmaceuticals Operations, Inc. | 7 | $167 |
| Regeneron Healthcare Solutions, Inc. | 1 | $118 |
| Pfizer | 4 | $96 |
| Biocryst US Sales Co., LLC | 3 | $91 |
| AbbVie | 4 | $89 |
| Blueprint Medicines Corporation | 3 | $89 |
| Kaleo, Inc. | 2 | $63 |
| AstraZeneca | 3 | $59 |
| Alk-abello, Inc | 2 | $54 |
| Octapharma USA, Inc. | 2 | $53 |
| Amgen | 1 | $31 |
| Ionis Pharmaceuticals, Inc. | 1 | $31 |
| Phadia US Inc. | 1 | $23 |
| Insmed, Inc. | 1 | $22 |
| Novartis | 1 | $18 |
| Arcutis Biotherapeutics, Inc. | 1 | $18 |
| Azurity Pharmaceuticals, Inc. | 1 | $16 |
How this compares
$3,346 in reported general payments places this provider in the 90th percentile of 10,634 family providers in California.
Other family in San Diego
- Dawn MeyerSan Diego$270K
- Erin DwyerSan Diego$189K
- Lizaveta NikitsinaSan Diego$36K
- Lori RobertsonChino Hills$475K
- Annette ShonLos Angeles$406K
- Lisa HigginsHanford$311K
- Jennifer TougasBakersfield$302K
- Kim SchaferSacramento$288K
- Jennifer KangCerritos$255K
- Phyllis CasonLos Angeles$187K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.