Medical Toxicology in California
12 providers, $11,030 in total reported payments from drug and device makers. Ranked below by lifetime general payments.
Ranking high here usually means a consulting or royalty arrangement, not wrongdoing. Payments to device inventors and trial investigators are legal, disclosed, and concentrated in a small number of people — which is exactly why a list like this has a steep top and a long flat tail.
What Medicare pays medical toxicology clinicians in California
Across 8 medical toxicology clinicians in California who billed Original Medicare Part B in 2024, Medicare allowed $287,246 in total — an average of $35,906 each, of which $35,906 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
Ranked by reported payments
- 1Christine HallerSan Francisco$6,000
- 2Christian TomaszewskiSan Diego$3,283
- 3James RheeLoma Linda$739
- 4Nicklaus BrandehoffFresno$507
- 5Kevin LieuVisalia$311
- 6Santiago Batista MinayaRancho Mirage$114
- 7Jonathan WasserbergerLos Angeles$24
- 8Fiona Garlich HornerLos Angeles$22
- 9Nathan FriedmanRancho Mirage$16
- 10Rama PaliwalLos Angeles$14
- 11James ChenowethSacramento$0
- 12Daniel RepplingerSan Francisco$0