Valentina Medici, MD
Gastroenterology · Sacramento, CANPI 1902858541
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $24,150 of the $31,149 with a category attached, or 77.5%. AstraZeneca accounts for 66.8% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2023 at $13,374 and has fallen 66.5% since, to $4,475 in 2025. Among gastroenterology clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 16 payments — averaging $1946.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$21K
- Orphalan Inc$6K
- Eton Pharmaceuticals, Inc.$3K
- Ultragenyx Pharmaceutical Inc.$1K
Across 44 payments — averaging $16,660 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.
- Ultragenyx Pharmaceutical Inc.$415K
- AstraZeneca$318K
What the payments were for
- Consulting fees$24,15078%
- Speaking & faculty fees$6,40021%
- Food & beverage$5992%
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 |
|---|---|---|
| AstraZeneca | 9 | $20,800 |
| Orphalan Inc | 4 | $6,499 |
| Eton Pharmaceuticals, Inc. | 2 | $2,500 |
| Ultragenyx Pharmaceutical Inc. | 1 | $1,350 |
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.
- CUVRIOR$6,400
- GALZIN$2,500
- CARGLUMIC ACID$2,000
- BETAINE ANHYDROUS$2,000
- NITISINONE$2,000
How this compares
$31,149 in reported general payments places this provider in the 90th percentile of 1,885 gastroenterology 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 |
|---|---|---|
| CuvriorTrientine Tetrahydrochloride | 15 | $277,270 |
| XifaxanRifaximin | 69 | $217,350 |
| Trientine Hcl | 12 | $49,848 |
| VemlidyTenofovir Alafenamide | 14 | $18,162 |
| Sodium Chloride0.9 % Sodium Chloride | 69 | $7,028 |
| AprisoMesalamine | 12 | $6,005 |
| Sirolimus | 14 | $5,318 |
| Tacrolimus | 24 | $4,463 |
| Sucralfate | 16 | $4,039 |
| Budesonide EcBudesonide | 13 | $2,521 |
| Diphenhydramine Hcl | 42 | $1,429 |
| Lactated RingersRinger's Solution,lactated | 47 | $1,095 |
| Famotidine | 38 | $712 |
| Metoclopramide Hcl | 18 | $411 |
| Spironolactone | 16 | $123 |
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 |
|---|---|---|
| Orphalan IncCuvrior | $6,499 | $277,27015 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 1,885 gastroenterology providers in California.
Other gastroenterology in Sacramento
- Christopher BowlusSacramento$168K
- Bennett RothLos Angeles$2.8M
- Douglas NguyenMission Viejo$2M
- Sammy SaabLos Angeles$1.9M
- Kenneth ChangNewport Beach$1.3M
- Joo HwangStanford$1M
- Drew SchembreWalnut Creek$659K
- Quan Nhula Jolla$641K
- Sadeea AbbasiLos Angeles$556K
- Ali RezaieWest Hollywood$519K
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.