Shelley Palfy
Pediatrics · San Rafael, CANPI 1043282429
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 63 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations.
Across 63 payments — averaging $20.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$199
- Merck$148
- Kaleo, Inc.$134
- Sanofi Pasteur Inc.$102
- Ironshore Pharmaceuticals Inc.$81
- Cranial Technologies, Inc$79
- plus $528 from 15 others
What the payments were for
- Food & beverage$1,272100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $199 |
| Merck | 8 | $148 |
| Kaleo, Inc. | 7 | $134 |
| Sanofi Pasteur Inc. | 4 | $102 |
| Ironshore Pharmaceuticals Inc. | 4 | $81 |
| Cranial Technologies, Inc | 5 | $79 |
| Collegium Pharmaceutical, Inc. | 4 | $78 |
| Covis Pharma GmbH | 4 | $75 |
| Kowa Pharmaceuticals America, Inc. | 3 | $53 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $48 |
| Genentech USA, Inc. | 2 | $44 |
| Sobi, Inc | 2 | $35 |
| AbbVie | 2 | $35 |
| GSK | 1 | $30 |
| Organon | 1 | $25 |
| Ultragenyx Pharmaceutical Inc. | 1 | $24 |
| Phadia US Inc. | 1 | $19 |
| Biofire Diagnostics, LLC | 1 | $18 |
| Pfizer | 1 | $16 |
| Seqirus USA Inc | 1 | $14 |
| Bavarian Nordic A/s | 1 | $14 |
How this compares
$1,272 in reported general payments places this provider in the 85th percentile of 5,539 pediatrics providers in California.
Other pediatrics in San Rafael
- Laurene MascolaLos Angeles$451K
- Tonya ChaffeeSan Francisco$359K
- Anthony PortaleSan Francisco$354K
- David KesslerSan Francisco$335K
- Lawrence SherRolling Hills Estates$297K
- Steven BlackOakland$228K
- Jonathan StroberSan Francisco$164K
- Hasmukh AminBakersfield$140K
- Colleen KraftNewport Beach$122K
- Lela BachrachOakland$119K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.