RxDoctor Payments Data

Silvia Diego, MD

Family Medicine · Modesto, CANPI 1922080506

Payments from drug & device makers

$5,804in general payments, 2019–2025

Across 428 payments — averaging $13.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$877
  • Lilly USA, LLC$633
  • AstraZeneca$582
  • Novo Nordisk$555
  • Pfizer$508
  • Boehringer Ingelheim$264
  • plus $2K from 42 others

What the payments were for

  • Food & beverage$5,76999%
  • Education$341%

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.

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

$5,804 in reported general payments places this provider in the 90th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$215,555
Medicare patients
384
Services billed
3,284

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
OzempicSemaglutide468$518,052
JardianceEmpagliflozin215$240,225
FarxigaDapagliflozin Propanediol176$171,736
MounjaroTirzepatide64$69,379
Trelegy ElliptaFluticasone/Umeclidin/Vilanter104$64,929
EliquisApixaban61$53,668
Icosapent Ethyl125$42,335
RybelsusSemaglutide26$33,444
Breztri AerosphereBudesonide/Glycopyr/Formoterol43$28,692
Breo ElliptaFluticasone/Vilanterol45$22,247
MyrbetriqMirabegron32$21,751
VascepaIcosapent Ethyl48$20,646
JanuviaSitagliptin Phosphate20$20,398
Tresiba Flextouch U-100Insulin Degludec39$19,614
XareltoRivaroxaban12$17,496

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, Rybelsus$555$551,495494 claims
Boehringer IngelheimJardiance, Combivent Respimat, Spiriva Respimat$264$257,032249 claims
AstraZenecaFarxiga, Breztri Aerosphere$582$200,428219 claims
GSKTrelegy Ellipta, Breo Ellipta$79$87,176149 claims
Lilly USA, LLCMounjaro$633$69,37964 claims
PfizerEliquis$508$53,66861 claims
Johnson & JohnsonXarelto, Invokana$94$25,60527 claims
Astellas Pharma US IncMyrbetriq$149$21,75132 claims
MerckJanuvia$96$20,39820 claims
Avanir Pharmaceuticals, Inc.Nuedexta$19$16,62511 claims
Sanofi-aventis U.S. LLCLantus$13$3,94924 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 90th percentile of 10,533 family medicine providers in California.

Other family medicine in Modesto

See the full list for California

Where these figures come from

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