RxDoctor Payments Data

Saeed Afaneh, MD

Family Medicine · San Marcos, CANPI 1538511266

Payments from drug & device makers

$270in general payments, 2019–2025

Across 13 payments — averaging $20.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$113
  • Astellas Pharma US Inc$34
  • Gilead$29
  • Alk-abello, Inc$24
  • Dexcom, Inc.$23
  • Lilly USA, LLC$20
  • plus $28 from 2 others

What the payments were for

  • Food & beverage$270100%

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

19
23
24
25

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.

How this compares

$270 in reported general payments places this provider in the 50th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$83,642
Medicare patients
262
Services billed
4,652

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

DrugClaimsCost to plans & patients
OzempicSemaglutide69$91,720
RybelsusSemaglutide18$35,078
EliquisApixaban31$30,681
JardianceEmpagliflozin26$28,424
XareltoRivaroxaban18$18,602
JanuviaSitagliptin Phosphate16$16,389
MyrbetriqMirabegron11$13,049
Atrovent HfaIpratropium Bromide11$8,058
Atorvastatin Calcium263$2,781
Levothyroxine Sodium227$2,683
Lantus SolostarInsulin Glargine,hum.Rec.Anlog23$2,422
Duloxetine Hcl33$2,262
Testosterone16$1,875
Bupropion XlBupropion Hcl35$1,856
Gabapentin91$1,788

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Rybelsus$113$126,79887 claims
Johnson & JohnsonXarelto$11$18,60218 claims
Astellas Pharma US IncMyrbetriq$34$13,04911 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 50th percentile of 10,533 family medicine providers in California.

Other family medicine in San Marcos

See the full list for California

Where these figures come from

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