Vito Almaraz
Physician Assistant · Bakersfield, CANPI 1164443263
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 91 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 12.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $995 and has fallen 96.5% since, to $35 in 2023.
Across 91 payments — averaging $17.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$199
- GSK$199
- Biohaven Pharmaceutical Holding Company Ltd.$194
- Lilly USA, LLC$150
- AbbVie$118
- AstraZeneca$115
- plus $589 from 14 others
What the payments were for
- Food & beverage$1,565100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $199 |
| GSK | 15 | $199 |
| Biohaven Pharmaceutical Holding Company Ltd. | 11 | $194 |
| Lilly USA, LLC | 9 | $150 |
| AbbVie | 8 | $118 |
| AstraZeneca | 7 | $115 |
| Boehringer Ingelheim | 5 | $99 |
| Bayer | 5 | $98 |
| Novo Nordisk | 4 | $78 |
| Johnson & Johnson | 4 | $65 |
| Biohaven Pharmaceuticals, Inc. | 3 | $56 |
| Amgen | 2 | $48 |
| Abbott | 1 | $28 |
| Pfizer | 2 | $25 |
| Amarin Pharma, Inc. | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $18 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Merck | 1 | $13 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
| Agile Therapeutics, Inc. | 1 | $13 |
How this compares
$1,565 in reported general payments places this provider in the 80th percentile of 10,423 physician assistant providers in California.
Other physician assistant in Bakersfield
- Anita GarrettBakersfield$41K
- 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
- Andrea FoxStanford$172K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.