RxDoctor Payments Data

Sami Issa, MD

Family Medicine · Fresno, CANPI 1558356014

Payments from drug & device makers

$422in general payments, 2019–2025

Across 20 payments — averaging $21.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$74
  • Abbott$70
  • GSK$57
  • Medtronic$36
  • Boston Scientific$31
  • Hologic Sales And Service, LLC$24
  • plus $130 from 7 others

What the payments were for

  • Food & beverage$422100%

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
20
21
22
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

$422 in reported general payments places this provider in the 60th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$111,419
Medicare patients
160
Services billed
1,499

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
OzempicSemaglutide89$117,690
JardianceEmpagliflozin54$84,507
FarxigaDapagliflozin Propanediol46$63,688
Trelegy ElliptaFluticasone/Umeclidin/Vilanter82$62,978
TrulicityDulaglutide33$34,890
Breo ElliptaFluticasone/Vilanterol22$8,662
Atorvastatin Calcium448$5,336
Metformin Hcl320$4,922
Fluticasone-SalmeterolFluticasone Propion/Salmeterol11$4,804
Rosuvastatin Calcium244$4,635
Famotidine187$3,692
Metoprolol Succinate103$2,919
MounjaroTirzepatide11$2,676
Levothyroxine Sodium162$2,392
Glipizide ErGlipizide128$2,310

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$22$117,69089 claims
GSKTrelegy Ellipta, Breo Ellipta$57$71,641104 claims
Lilly USA, LLCTrulicity, Mounjaro$20$37,56644 claims
PfizerPaxlovid$14$1,37323 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 60th percentile of 10,533 family medicine providers in California.

Other family medicine in Fresno

See the full list for California

Where these figures come from

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