Shang Knesek
Family · Fresno, CANPI 1609415140
Payments from drug & device makers
Across 22 payments — averaging $22.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$142
- AstraZeneca$99
- Aurinia Pharma U.S., Inc.$61
- Amgen$41
- Novartis$36
- Lilly USA, LLC$29
- plus $96 from 5 others
What the payments were for
- Food & beverage$505100%
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 |
|---|---|---|
| GSK | 7 | $142 |
| AstraZeneca | 1 | $99 |
| Aurinia Pharma U.S., Inc. | 3 | $61 |
| Amgen | 2 | $41 |
| Novartis | 2 | $36 |
| Lilly USA, LLC | 2 | $29 |
| Akebia Therapeutics Inc | 1 | $24 |
| Kyowa Kirin, Inc. | 1 | $19 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Bayer | 1 | $18 |
| Travere Therapeutics, Inc. | 1 | $16 |
How this compares
$505 in reported general payments places this provider in the 60th percentile of 10,634 family 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.
Other family in Fresno
- Freddy EspinozaFresno$33K
- Lori RobertsonChino Hills$475K
- Annette ShonLos Angeles$406K
- Nancy GardettoSan Diego$394K
- Lisa HigginsHanford$311K
- Jennifer TougasBakersfield$302K
- Kim SchaferSacramento$288K
- Dawn MeyerSan Diego$270K
- Jennifer KangCerritos$255K
- Jenine StoneEscondido$231K
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.