Muhammad Afzal, MD
Critical Care Medicine · Sacramento, CANPI 1689600553
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $55,728 of the $72,220 with a category attached, or 77.2%. Mylan Specialty L.p. accounts for 81.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $23,072 and has fallen 98.9% since, to $249 in 2025. Among critical care medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 185 payments — averaging $390.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mylan Specialty L.p.$59K
- GSK$12K
- AbbVie$319
- AstraZeneca$118
- Abbott$115
- Biotronik Inc.$103
- plus $409 from 10 others
What the payments were for
- Consulting fees$7,93011%
- Speaking & faculty fees$55,72877%
- Travel & lodging$4,9847%
- Food & beverage$3,4795%
- Education$990%
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 |
|---|---|---|
| Mylan Specialty L.p. | 138 | $58,957 |
| GSK | 15 | $12,199 |
| AbbVie(2 entities) | 11 | $319 |
| AstraZeneca | 3 | $118 |
| Abbott | 1 | $115 |
| Biotronik Inc. | 1 | $103 |
| Astellas Pharma US Inc | 1 | $99 |
| Inari Medical, Inc. | 1 | $85 |
| Sunovion Pharmaceuticals Inc. | 4 | $55 |
| Boehringer Ingelheim | 2 | $39 |
| Gilead | 1 | $33 |
| Merck | 2 | $29 |
| Shire North American Group Inc | 2 | $27 |
| Grifols USA, LLC | 1 | $16 |
| Advanced Respiratory, Inc | 1 | $15 |
| United Therapeutics Corporation | 1 | $11 |
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.
- Yupelri$56,991
- TRELEGY ELLIPTA$12,105
- AVYCAZ$123
- RhythmVIEW Work Stations$115
- AMVIA EDGE$103
How this compares
$72,220 in reported general payments places this provider in the 95th percentile of 715 critical care 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.
Other critical care medicine in Sacramento
- Chinh PhanSacramento$467K
- Timothy AlbertsonSacramento$418K
- Ken YonedaSacramento$173K
- Cedric Franklin RutlandRiverside$3.2M
- Stephen ChenMonterey Park$394K
- Bassam YaghmourOrange$376K
- Xuanha WhiteSan Diego$343K
- Praveen AkuthotaSan Diego$169K
- Ivan ChengSan Francisco$162K
- Brian ShermanOxnard$147K
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.