Vania Arroyo
Physician Assistant · la Jolla, CANPI 1043833163
Payments from drug & device makers
Across 134 payments — averaging $21.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$460
- Daiichi Sankyo Inc.$366
- Viiv Healthcare Company$298
- Novo Nordisk$265
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$246
- Stryker$165
- plus $1K from 19 others
What the payments were for
- Food & beverage$2,935100%
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 |
|---|---|---|
| Gilead | 23 | $460 |
| Daiichi Sankyo Inc. | 30 | $366 |
| Viiv Healthcare Company | 15 | $298 |
| Novo Nordisk | 9 | $265 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 19 | $246 |
| Stryker | 1 | $165 |
| Hologic Sales And Service, LLC | 5 | $135 |
| Dexcom, Inc. | 2 | $125 |
| Organon | 2 | $112 |
| Sanofi | 1 | $92 |
| Phadia US Inc. | 1 | $84 |
| AbbVie | 4 | $75 |
| GSK | 3 | $73 |
| Boston Scientific | 2 | $65 |
| Otsuka America Pharmaceutical, Inc. | 3 | $64 |
| Pfizer | 3 | $53 |
| Lilly USA, LLC | 2 | $52 |
| Philips North America LLC | 2 | $43 |
| Coopersurgical, Inc. | 1 | $42 |
| Sun Pharmaceutical Industries Inc. | 1 | $29 |
| Exeltis, USA Inc. | 1 | $25 |
| Inspire Medical Systems, Inc. | 1 | $19 |
| Irhythm Technologies, Inc. | 1 | $18 |
| AstraZeneca | 1 | $14 |
| EMD Serono, Inc. | 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.
- CLARIFIX CRYOTHERAPY DEVICE$165
- Descovy$122
- Ozempic$121
How this compares
$2,935 in reported general payments places this provider in the 85th percentile of 10,423 physician assistant 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 |
|---|---|---|
| MounjaroTirzepatide | 12 | $12,445 |
| EliquisApixaban | 17 | $9,313 |
| YuvafemEstradiol | 11 | $1,998 |
| Wixela InhubFluticasone Propion/Salmeterol | 17 | $1,517 |
| Atorvastatin Calcium | 62 | $888 |
| Amlodipine-OlmesartanAmlodipine Bes/Olmesartan Med | 22 | $771 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 19 | $573 |
| Rosuvastatin Calcium | 37 | $464 |
| Lisinopril | 38 | $362 |
| Gabapentin | 16 | $316 |
| Fluticasone Propionate | 32 | $284 |
| Amlodipine Besylate | 42 | $278 |
| Levothyroxine Sodium | 15 | $229 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $211 |
| Alendronate Sodium | 26 | $185 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $52 | $12,44512 claims |
| PfizerEliquis | $53 | $9,31317 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 85th percentile of 10,423 physician assistant providers in California.
Other physician assistant in la Jolla
- Gwen Janczykla Jolla$34K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
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.