Pira Rochanayon, MD
Family Medicine · Sacramento, CANPI 1811992530
Payments from drug & device makers
Across 227 payments — averaging $19.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$960
- Boehringer Ingelheim$614
- AstraZeneca$528
- Novo Nordisk$512
- Lilly USA, LLC$398
- Amarin Pharma, Inc.$361
- plus $955 from 12 others
What the payments were for
- Food & beverage$4,07494%
- Education$2546%
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 |
|---|---|---|
| Gilead | 82 | $960 |
| Boehringer Ingelheim | 26 | $614 |
| AstraZeneca | 20 | $528 |
| Novo Nordisk | 25 | $512 |
| Lilly USA, LLC | 23 | $398 |
| Amarin Pharma, Inc. | 16 | $361 |
| Sanofi Pasteur Inc. | 7 | $254 |
| Merck | 9 | $166 |
| Aimmune Therapeutics, Inc. | 1 | $125 |
| Johnson & Johnson | 2 | $78 |
| Phadia US Inc. | 3 | $75 |
| Pfizer | 4 | $56 |
| Bayer | 2 | $54 |
| GSK | 2 | $52 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $32 |
| Novartis | 1 | $30 |
| Seqirus USA Inc | 1 | $17 |
| VBI Vaccine (delaware) Inc. | 1 | $16 |
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
$4,328 in reported general payments places this provider in the 90th percentile of 10,533 family 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 230 | $197,693 |
| FarxigaDapagliflozin Propanediol | 132 | $95,676 |
| VascepaIcosapent Ethyl | 119 | $52,114 |
| TradjentaLinagliptin | 68 | $51,897 |
| RybelsusSemaglutide | 42 | $48,511 |
| OzempicSemaglutide | 36 | $33,855 |
| EliquisApixaban | 33 | $32,775 |
| VemlidyTenofovir Alafenamide | 21 | $32,299 |
| JanuviaSitagliptin Phosphate | 41 | $26,558 |
| TrulicityDulaglutide | 27 | $25,385 |
| Icosapent Ethyl | 107 | $24,815 |
| Arnuity ElliptaFluticasone Furoate | 40 | $10,276 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $8,919 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 12 | $8,583 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 27 | $8,252 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta | $614 | $249,590298 claims |
| AstraZenecaFarxiga | $528 | $95,676132 claims |
| Novo NordiskRybelsus, Ozempic | $512 | $82,36678 claims |
| MerckJanuvia, Janumet Xr | $166 | $35,14053 claims |
| PfizerEliquis | $56 | $32,77533 claims |
| GileadVemlidy | $960 | $32,29921 claims |
| Lilly USA, LLCTrulicity | $398 | $25,38527 claims |
| GSKArnuity Ellipta, Trelegy Ellipta, Incruse Ellipta | $52 | $22,43766 claims |
| BayerKerendia | $54 | $7,71412 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 90th percentile of 10,533 family medicine providers in California.
Other family medicine in Sacramento
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
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.