RxDoctor Payments Data

Virginia Cafaro, MD

Internal Medicine · San Francisco, CANPI 1174596969

Payments from drug & device makers

$94,380in general payments, 2019–2025

Across 1,261 payments — averaging $74.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Viiv Healthcare Company$65K
  • EMD Serono, Inc.$9K
  • Theratechnologies Inc.$4K
  • AbbVie$3K
  • Gilead$2K
  • GSK$1K
  • plus $11K from 48 others

What the payments were for

  • Consulting fees$2,5003%
  • Speaking & faculty fees$58,39562%
  • Travel & lodging$7,1938%
  • Food & beverage$26,07528%
  • Education$2170%

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

$94,380 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$121,944
Medicare patients
273
Services billed
1,221

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
DovatoDolutegravir Sodium/Lamivudine225$750,024
TivicayDolutegravir Sodium239$673,606
BiktarvyBictegrav/Emtricit/Tenofov Ala138$604,818
TriumeqAbacavir/Dolutegravir/Lamivudi130$498,221
PrezcobixDarunavir/Cobicistat92$316,866
PifeltroDoravirine119$278,641
RukobiaFostemsavir Tromethamine15$206,002
DescovyEmtricitabine/Tenofov Alafenam53$177,438
OdefseyEmtricitab/Rilpiviri/Tenof Ala36$167,754
SymtuzaDarunavir/Cob/Emtri/Tenof Alaf26$141,739
Egrifta SvTesamorelin Acetate16$116,571
CreonLipase/Protease/Amylase38$94,480
MytesiCrofelemer37$91,293
CabenuvaCabotegravir/Rilpivirine13$89,462
IsentressRaltegravir Potassium35$72,174

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
Viiv Healthcare CompanyDovato, Tivicay, Triumeq, Rukobia, Cabenuva$64,904$2,260,600635 claims
GileadBiktarvy, Descovy$2,216$782,255191 claims
MerckPifeltro, Isentress, Delstrigo, Januvia$1,098$442,823190 claims
Johnson & JohnsonPrezcobix, Xarelto$763$334,270115 claims
Janssen Products, LPSymtuza$189$141,73926 claims
AbbVieCreon, Vraylar$2,565$124,34151 claims
Theratechnologies Inc.Egrifta Sv$3,672$116,57116 claims
Novo NordiskRybelsus, Ozempic$1,006$91,48688 claims
Napo Pharmaceuticals IncMytesi$460$91,29337 claims
Lilly USA, LLCTrulicity, Mounjaro$954$74,37859 claims
PfizerEliquis, Nurtec Odt$623$68,15582 claims
Boehringer IngelheimJardiance$283$57,44551 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 95th percentile of 13,581 internal medicine providers in California.

Other internal medicine in San Francisco

See the full list for California

Where these figures come from

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