Noune Pashinian, MD
Rheumatology · Glendale, CANPI 1952460859
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (60.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 41 manufacturers reported payments, led by AbbVie at 53.4% of the total. Reporting peaked in 2019 at $13,914 and has fallen 78.7% since, to $2,970 in 2025.
Across 974 payments — averaging $37.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$19K
- Amgen$4K
- Novartis$1K
- Lilly USA, LLC$1K
- GSK$1K
- Johnson & Johnson$1K
- plus $7K from 35 others
What the payments were for
- Consulting fees$4251%
- Speaking & faculty fees$13,32537%
- Travel & lodging$5872%
- Food & beverage$21,71660%
- Education$1680%
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.
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
$36,220 in reported general payments places this provider in the 85th percentile of 808 rheumatology 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 |
|---|---|---|
| Enbrel SureclickEtanercept | 227 | $1,653,114 |
| Humira(Cf) PenAdalimumab | 191 | $1,523,469 |
| ProliaDenosumab | 559 | $904,541 |
| RinvoqUpadacitinib | 100 | $752,409 |
| SimponiGolimumab | 58 | $473,180 |
| Skyrizi PenRisankizumab-Rzaa | 23 | $447,074 |
| ForteoTeriparatide | 88 | $382,457 |
| Orencia ClickjectAbatacept | 62 | $367,027 |
| Taltz AutoinjectorIxekizumab | 51 | $344,480 |
| Xeljanz XrTofacitinib Citrate | 59 | $335,498 |
| Teriparatide | 102 | $279,354 |
| Actemra ActpenTocilizumab | 78 | $254,061 |
| Cosentyx Sensoready PenSecukinumab | 23 | $168,333 |
| KevzaraSarilumab | 34 | $143,660 |
| Humira(Cf)Adalimumab | 16 | $122,349 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenProlia, Evenity (2 Syringes), Enbrel, Otezla | $4,386 | $1,243,990648 claims |
| AbbVieRinvoq, Humira(Cf), Humira, Linzess, Creon | $19,351 | $979,217162 claims |
| Johnson & JohnsonSimponi | $1,361 | $473,18058 claims |
| Lilly USA, LLCForteo | $1,474 | $382,45788 claims |
| Alvogen IncTeriparatide | $71 | $279,354102 claims |
| SanofiKevzara | $202 | $143,66034 claims |
| E.r. Squibb & Sons, L.L.C.Orencia | $224 | $113,80220 claims |
| Radius Health, Inc.Tymlos | $1,048 | $93,73329 claims |
| GSKBenlysta | $1,438 | $54,42412 claims |
| PfizerEliquis | $1,001 | $9,30014 claims |
| Boehringer IngelheimJardiance | $488 | $7,02412 claims |
| Scilex Pharmaceuticals Inc.Colchicine | $72 | $6,09792 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 85th percentile of 808 rheumatology providers in California.
Other rheumatology in Glendale
- Sudhakar TumuluriSan Francisco$2.8M
- Ara DikranianSan Diego$2.2M
- Orrin TroumSanta Monica$1.8M
- Robin DoreTustin$1.5M
- Samy MetyasCovina$1.3M
- Rhonda LambertSan Mateo$1.1M
- William ShielMission Viejo$924K
- Mark BoriginiDowney$920K
- Adam KreitenbergTarzana$863K
- Roger KornuTustin$802K
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.