Norman Lacayo
Pediatric Hematology-Oncology · Palo Alto, CANPI 1770648586
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $541 of the $781 with a category attached, or 69.3%. Genentech, Inc. accounts for 87.5% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for pediatric hematology-oncology clinicians in CA, where the typical reported total is $536.
Across 4 payments — averaging $195.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech, Inc.$683
- Novartis$98
Across 52 payments — averaging $95,417 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.
- Amgen$3.8M
- AbbVie$647K
- Genentech, Inc.$524K
- Syndax Pharmaceuticals, Inc.$12K
What the payments were for
- Food & beverage$54169%
- Education$24031%
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 |
|---|---|---|
| Genentech, Inc. | 3 | $683 |
| Novartis | 1 | $98 |
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.
- Non-Covered Product$683
- Venclexta$478
How this compares
$781 in reported general payments places this provider in the 50th percentile of 307 pediatric hematology-oncology providers in California.
See all pediatric hematology-oncology providers in California →
Other pediatric hematology-oncology in Palo Alto
- Philip PizzoPalo Alto$2.6M
- Elysia AlvarezPalo Alto$200K
- Christopher DvorakPalo Alto$144K
- Jessie AlexanderPalo Alto$70K
- John CurnuttePalo Alto$50K
- Crystal MackallPalo Alto$44K
- Glaivy BatsuliPalo Alto$40K
- Michael LinkPalo Alto$37K
- Tami JohnPalo Alto$32K
- Orly KleinPalo Alto$31K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.