Physician Assistant Program year 2025 Reported 2021–2025 Source: CMS Open Payments, 2026 publication

Esther Lamb

Physician Assistant Costa Mesa, CA Physician Assistant

NPI 1700917770 CMS profile 10527369

1640 Newport Blvd Ste 370, Costa Mesa, CA 92627

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General payments

$10,846

325 records reported · program years 2021–2025

Research payments

$0

Paid to them · None reported · program years 2021–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Esther Lamb of Costa Mesa, CA is reported in the CMS Open Payments database as having received $10,846 across 325 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 97th percentile of Physician Assistant profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $352 6
2024 General $846 20
2023 General $3,290 84
2022 General $2,358 104
2021 General $4,000 111

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Esther Lamb
  • Physician Assistant median
  • Middle half of Physician Assistant
  • National median

In program year 2025, general payments to Esther Lamb were reported at $352. Among 68,903 Physician Assistant profiles paid that year, the median was $184 and the middle half received between $57 and $620.

Show as a table
Year Esther Lamb Physician Assistant median Middle half National median
2019 $0 $34 $17–$122 $163
2020 $0 $33 $16–$78 $114
2021 $4,000 $132 $37–$438 $132
2022 $2,358 $155 $48–$522 $149
2023 $3,290 $167 $52–$557 $160
2024 $846 $178 $55–$600 $164
2025 $352 $184 $57–$620 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. Ipsen Biopharmaceuticals, Inc $1,267 6 payments
  2. Exelixis Inc. $1,261 2 payments
  3. Gilead Sciences, Inc. $629 20 payments
  4. Astellas Pharma US Inc $575 13 payments
  5. E.R. Squibb & Sons, L.L.C. $553 22 payments
  6. Eisai Inc. $447 20 payments
  7. Takeda Pharmaceuticals U.S.A., Inc. $439 8 payments
  8. Merck Sharp & Dohme Corporation $411 18 payments
  9. Incyte Corporation $348 11 payments
  10. Seattle Genetics, Inc. $328 14 payments
  11. Other $4,588 191 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $9,053 317 payments
  2. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $1,140 1 payment
  3. Education $653 7 payments
Products named General payments · program years 2021–2025
  1. ONIVYDE $1,267 6 payments
  2. CABOMETYX $1,261 2 payments
  3. Trodelvy $448 12 payments
  4. Lenvima $447 20 payments
  5. OPDIVO $445 17 payments
  6. KEYTRUDA $411 18 payments
  7. MONJUVI $287 8 payments
  8. LIBTAYO $257 9 payments
  9. ENHERTU $228 10 payments
  10. TUKYSA $202 8 payments
  11. Other $6,091 257 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 20 drugs

Part D claims

666

Median for Physician Assistant: 241

Drug cost

$533,210

Median for Physician Assistant: $4,110

Branded share of claims

33.2%

Median for Physician Assistant: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Verzenio Abemaciclib Brand 20 $297,638
Creon Lipase/Protease/Amylase Brand 76 $212,220
Eliquis Apixaban Brand 21 $12,371
Enoxaparin Sodium Generic 11 $2,188
Anastrozole Generic 101 $1,665
Letrozole Generic 49 $1,209
Tamoxifen Citrate Generic 39 $889
Exemestane Generic 12 $805
Ondansetron Hcl Generic 31 $756
Ondansetron Odt Ondansetron Brand 57 $571

The 10 drugs with the highest cost, of 20 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 114,276 Part D prescribers listed as Physician Assistant; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 7 billing codes

Paid by Medicare

$8,828

Medicare's payments for the services billed

Medicare patients

93

Average age 75

Services billed

144

53 women, 40 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Cancer 48%
Arthritis 39%
Ischemic heart disease 37%
Chronic kidney disease 34%
Diabetes 28%
Osteoporosis 26%
Atrial fibrillation 23%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 13 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
Vyloy
  • Astellas Pharma US Inc $133
$133 — —
MONJUVI
  • Incyte Corporation $121
$121 — —
Trodelvy
  • Gilead Sciences, Inc. $119
$119 — —
Lenvima
  • Eisai Inc. $57
$57 — —
XOSPATA
  • Astellas Pharma US Inc $49
$49 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 13 in the dashboard with a free account

Records

325 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Physician Assistant in California

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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