Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Lester Pan

Internal Medicine Sacramento, CA Medical Doctor

NPI 1598790826 CMS profile 345192

1740 Fruitridge Rd, Suite 101, Sacramento, CA 95822

Open in the dashboard

General payments

$25,277

1,304 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Lester Pan of Sacramento, CA is reported in the CMS Open Payments database as having received $25,277 across 1,304 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 98th percentile of Internal Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $2,858 137
2024 General $2,583 105
2023 General $3,843 207
2022 General $4,260 204
2021 General $5,225 259
2020 General $3,584 196
2019 General $2,925 196

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Lester Pan
  • Internal Medicine median
  • Middle half of Internal Medicine
  • National median

In program year 2025, general payments to Lester Pan were reported at $2,858. Among 52,115 Internal Medicine profiles paid that year, the median was $156 and the middle half received between $47 and $551.

Show as a table
Year Lester Pan Internal Medicine median Middle half National median
2019 $2,925 $159 $48–$570 $163
2020 $3,584 $119 $33–$402 $114
2021 $5,225 $135 $37–$521 $132
2022 $4,260 $141 $42–$496 $149
2023 $3,843 $149 $45–$519 $160
2024 $2,583 $154 $47–$537 $164
2025 $2,858 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Janssen Pharmaceuticals, Inc $3,222 139 payments
  2. AstraZeneca Pharmaceuticals LP $2,743 115 payments
  3. AbbVie, Inc. $1,985 107 payments
  4. Novo Nordisk Inc $1,737 81 payments
  5. GlaxoSmithKline, LLC. $1,650 86 payments
  6. Nestle HealthCare Nutrition Inc. $1,381 68 payments
  7. Lilly USA, LLC $1,331 82 payments
  8. Boehringer Ingelheim Pharmaceuticals, Inc. $1,204 50 payments
  9. Kowa Pharmaceuticals America, Inc. $1,014 77 payments
  10. Gilead Sciences, Inc. $837 64 payments
  11. Other $8,175 435 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $24,335 1,292 payments
  2. Education $567 11 payments
  3. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $375 1 payment
Products named General payments · program years 2019–2025
  1. XARELTO $3,182 137 payments
  2. ZENPEP $1,955 97 payments
  3. Ozempic $1,633 72 payments
  4. CREON $1,612 86 payments
  5. RYBELSUS $1,501 66 payments
  6. LINZESS $1,312 74 payments
  7. TRELEGY ELLIPTA $1,200 67 payments
  8. FARXIGA $1,074 47 payments
  9. Livalo $935 74 payments
  10. BREZTRI $626 26 payments
  11. Other $15,241 816 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 · 108 drugs

Part D claims

6,247

Median for Internal Medicine: 777

Drug cost

$1,386,899

Median for Internal Medicine: $73,373

Branded share of claims

27.1%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Zenpep Lipase/Protease/Amylase Brand 38 $241,394
Jardiance Empagliflozin Brand 157 $200,505
Januvia Sitagliptin Phosphate Brand 111 $124,002
Tradjenta Linagliptin Brand 70 $93,807
Linzess Linaclotide Brand 60 $82,658
Farxiga Dapagliflozin Propanediol Brand 70 $81,842
Vascepa Icosapent Ethyl Brand 97 $78,176
Xarelto Rivaroxaban Brand 45 $71,637
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 77 $57,952
Rybelsus Semaglutide Brand 21 $48,313

The 10 drugs with the highest cost, of 108 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 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 16 billing codes

Paid by Medicare

$49,603

Of which drugs: $2,972

Medicare patients

137

Average age 83

Services billed

634

78 women, 59 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
Diabetes 75%
High blood pressure 75%
Arthritis 75%
Ischemic heart disease 38%
COPD 32%
Chronic kidney disease 26%
Osteoporosis 17%
Cancer 15%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Vaccine for influenza for injection into muscle 90662 Office 32 32 $2,571
Influenza vaccine, trivalent, 0.5 ml dosage 90658 Office 14 14 $300

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 29 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
RYBELSUS
$253 21 —
Ozempic
$253 — —
JARDIANCE
$243 157 —
LINZESS
$224 60 —
ZENPEP
$188 38 —

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 more in the dashboard: 25 with a free account, all 29 with Patron

Records

1,304 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 Internal Medicine 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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