Stephan Busque, MD
Surgery · Stanford, CANPI 1508891052
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $106,130 of the $106,653 with a category attached, or 99.5%. Grifols, S.A. accounts for 92.1% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $98,186 and has fallen 99.7% since, to $319 in 2025. Among surgery 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.
Across 9 payments — averaging $11,850 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Grifols, S.A.$98K
- Genentech, Inc.$8K
- Paragonix Technologies, Inc.$195
- Johnson & Johnson$167
- AstraZeneca$150
- Intuitive Surgical$12
Across 5 payments — averaging $4021.96 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Roche Products Limited$20K
What the payments were for
- Consulting fees$106,130100%
- Speaking & faculty fees$1500%
- Food & beverage$3610%
- Gifts$120%
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 |
|---|---|---|
| Grifols, S.A. | 1 | $98,186 |
| Genentech, Inc. | 2 | $7,944 |
| Paragonix Technologies, Inc. | 2 | $195 |
| Johnson & Johnson | 2 | $167 |
| AstraZeneca | 1 | $150 |
| Intuitive Surgical | 1 | $12 |
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.
- SOLIRIS$150
- KidneyVault$138
- SURGICEL NU-KNIT$125
- VISTASEAL$125
- STRATAFIX$125
- Echelon Flex$125
- Harmonic$125
How this compares
$106,653 in reported general payments places this provider in the 95th percentile of 2,363 surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VemlidyTenofovir Alafenamide | 11 | $14,024 |
| EliquisApixaban | 16 | $10,779 |
| CreonLipase/Protease/Amylase | 11 | $8,782 |
| Valganciclovir Hcl | 123 | $7,247 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 17 | $4,574 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 22 | $3,193 |
| Comfort Ez Pen NeedlePen Needle, Diabetic | 29 | $2,741 |
| Mycophenolate Mofetil | 33 | $2,696 |
| Humalog Kwikpen U-100Insulin Lispro | 17 | $2,469 |
| Entecavir | 22 | $2,237 |
| Ultra-Fine Nano Pen NeedlePen Needle, Diabetic | 32 | $1,941 |
| Novolog FlexpenInsulin Aspart | 13 | $1,749 |
| Insulin Aspart FlexpenInsulin Aspart | 12 | $1,504 |
| Nystatin | 39 | $942 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $929 |
Paid to pharmacies, not to this prescriber.
Other surgery in Stanford
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$1.1M
- John LiphamLos Angeles$942K
- Alexander NedopilLodi$682K
- Barry GardinerSan Ramon$602K
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.