Shemele Smith
Family Medicine · Fresno, CANPI 1871053439
Payments from drug & device makers
Across 71 payments — averaging $22.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$327
- AstraZeneca$290
- Pfizer$158
- Exact Sciences$134
- Boehringer Ingelheim$129
- Dynavax Technologies Corporation$79
- plus $470 from 14 others
What the payments were for
- Food & beverage$1,587100%
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 |
|---|---|---|
| Lilly USA, LLC | 23 | $327 |
| AstraZeneca | 5 | $290 |
| Pfizer | 9 | $158 |
| Exact Sciences | 6 | $134 |
| Boehringer Ingelheim | 2 | $129 |
| Dynavax Technologies Corporation | 3 | $79 |
| Bayer | 3 | $66 |
| Astellas Pharma US Inc | 3 | $61 |
| GSK | 3 | $53 |
| Novo Nordisk | 2 | $51 |
| Qiagen, LLC | 2 | $38 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $37 |
| AbbVie | 1 | $31 |
| Phathom Pharmaceuticals, Inc. | 1 | $28 |
| Sanofi Pasteur Inc. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Cranial Technologies, Inc | 1 | $19 |
| Shield Therapeutics Inc | 1 | $17 |
| Amgen | 1 | $15 |
| Mayne Pharma Commercial LLC | 1 | $14 |
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
$1,587 in reported general payments places this provider in the 80th percentile of 10,533 family medicine providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 77 | $100,486 |
| MounjaroTirzepatide | 41 | $53,999 |
| RybelsusSemaglutide | 20 | $41,080 |
| EliquisApixaban | 36 | $27,757 |
| FarxigaDapagliflozin Propanediol | 16 | $15,216 |
| JanumetSitagliptin Phos/Metformin Hcl | 12 | $12,406 |
| Advair HfaFluticasone Propion/Salmeterol | 25 | $9,782 |
| EntrestoSacubitril/Valsartan | 12 | $8,526 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $6,261 |
| Atorvastatin Calcium | 247 | $2,375 |
| Levothyroxine Sodium | 94 | $2,312 |
| Gabapentin | 90 | $1,528 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $1,387 |
| Rosuvastatin Calcium | 24 | $1,173 |
| Metoprolol Succinate | 62 | $1,063 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance | $129 | $100,48677 claims |
| Lilly USA, LLCMounjaro | $327 | $53,99941 claims |
| Novo NordiskRybelsus | $51 | $41,08020 claims |
| PfizerEliquis | $158 | $27,75736 claims |
| AstraZenecaFarxiga | $290 | $15,21616 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 80th percentile of 10,533 family medicine providers in California.
Other family medicine in Fresno
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.