RxDoctor Payments Data

Sarah Donahue, APRN

Adult Health · San Francisco, CANPI 1073827465

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (43.5%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by AstraZeneca at 39.7% of the total. Among adult health clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$9,080in general payments, 2019–2025

Across 41 payments — averaging $221.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$4K
  • Pfizer$3K
  • Novartis$745
  • Sanofi$546
  • Daiichi Sankyo Inc.$360
  • Gilead$323
  • plus $253 from 1 others

What the payments were for

  • Consulting fees$3,94843%
  • Speaking & faculty fees$3,20035%
  • Food & beverage$1,88621%
  • Education$461%

General payments by program year

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.

CompanyPaymentsTotal
AstraZeneca19$3,607
Pfizer3$3,246
Novartis2$745
Sanofi1$546
Daiichi Sankyo Inc.10$360
Gilead4$323
Stemline Therapeutics Inc.2$253

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

$9,080 in reported general payments places this provider in the 95th percentile of 785 adult health providers in California.

See all adult health providers in California

Medicare billing

Part B allowed, 2024
$32,795
Medicare patients
114
Services billed
367

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
IbrancePalbociclib53$788,779
KisqaliRibociclib Succinate18$292,790
VerzenioAbemaciclib18$272,049
ZarxioFilgrastim-Sndz16$18,582
EliquisApixaban17$11,237
EstringEstradiol12$6,442
Exemestane11$3,252
Letrozole74$2,182
Estradiol17$1,275
Anastrozole30$750
Ondansetron Hcl11$425
Potassium Chloride20$338
Tamoxifen Citrate12$333
Gabapentin32$313
Minoxidil24$242

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
PfizerIbrance, Eliquis, Estring$3,246$806,45882 claims
NovartisKisqali$745$292,79018 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 95th percentile of 785 adult health providers in California.

Other adult health in San Francisco

See the full list for California

Where these figures come from

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