Miriam Gulkar
Physician Assistant · San Diego, CANPI 1689862351
Payments from drug & device makers
Across 44 payments — averaging $23.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$194
- LEO Pharma Inc.$182
- Sanofi$113
- Pfizer$109
- Incyte Corporation$105
- Regeneron Healthcare Solutions, Inc.$92
- plus $246 from 7 others
What the payments were for
- Food & beverage$95592%
- Education$858%
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 |
|---|---|---|
| Johnson & Johnson | 8 | $194 |
| LEO Pharma Inc. | 7 | $182 |
| Sanofi | 4 | $113 |
| Pfizer | 5 | $109 |
| Incyte Corporation | 4 | $105 |
| Regeneron Healthcare Solutions, Inc. | 4 | $92 |
| Dermavant Sciences, Inc. | 4 | $72 |
| E.r. Squibb & Sons, L.L.C. | 3 | $54 |
| VYNE Pharmaceuticals Inc. | 1 | $49 |
| Lilly USA, LLC | 1 | $19 |
| AbbVie | 1 | $18 |
| Sun Pharmaceutical Industries Inc. | 1 | $17 |
| Boehringer Ingelheim | 1 | $16 |
How this compares
$1,040 in reported general payments places this provider in the 70th percentile of 10,423 physician assistant 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 |
|---|---|---|
| Metronidazole | 27 | $1,437 |
| Ketoconazole | 40 | $901 |
| Clobetasol Propionate | 17 | $696 |
| Fluorouracil | 11 | $667 |
| Doxycycline Hyclate | 24 | $271 |
| Finasteride | 24 | $239 |
| Minoxidil | 12 | $149 |
| Mupirocin | 12 | $66 |
| Doxycycline Monohydrate | 12 | $64 |
| Triamcinolone Acetonide | 13 | $62 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Diego
- Jeremy AdlerSan Diego$82K
- Anne DenslowSan Diego$43K
- Kathryn SmileySan Diego$33K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
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.