William Shiel
Rheumatology · Mission Viejo, CANPI 1699752683
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $791,262 of the $923,929 with a category attached, or 85.6%. Medtronic accounts for 99.9% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2020 at $791,262 and has fallen 99.7% since, to $2,079 in 2025. Among rheumatology 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 44 payments — averaging $20,998 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$923K
- Avenu Medical Inc.$673
- Amgen$158
- Novartis$116
- AbbVie$86
- Medexus Pharma, Inc.$61
- plus $134 from 7 others
What the payments were for
- Royalty or licence$791,26286%
- Food & beverage$1,2260%
- Other$131,44014%
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 |
|---|---|---|
| Medtronic(2 entities) | 10 | $922,702 |
| Avenu Medical Inc. | 2 | $673 |
| Amgen(2 entities) | 8 | $158 |
| Novartis | 7 | $116 |
| AbbVie | 5 | $86 |
| Medexus Pharma, Inc. | 4 | $61 |
| GSK | 2 | $36 |
| Johnson & Johnson | 1 | $22 |
| Lilly USA, LLC | 1 | $19 |
| Antares Pharma, Inc. | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| Iroko Pharmaceuticals, LLC | 1 | $13 |
| Pfizer | 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.
- Ellipsys$887,563
- ELLIPSYS VASCULAR ACCESS SYSTEM$35,139
- Ellipsys System$673
How this compares
$923,929 in reported general payments places this provider in the 95th percentile of 808 rheumatology providers in California.
Other rheumatology in Mission Viejo
- Sudhakar TumuluriSan Francisco$2.8M
- Ara DikranianSan Diego$2.2M
- Orrin TroumSanta Monica$1.8M
- Robin DoreTustin$1.5M
- Samy MetyasCovina$1.3M
- Rhonda LambertSan Mateo$1.1M
- Mark BoriginiDowney$920K
- Adam KreitenbergTarzana$863K
- Roger KornuTustin$802K
- Arthur Kavanaughla Jolla$756K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.