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

Melchor Jacob

Physician Assistant Bakersfield, CA Physician Assistant

NPI 1194962605 CMS profile 11137879

2501 G St, Bakersfield, CA 93301

Open in the dashboard

General payments

$23,408

776 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, Melchor Jacob of Bakersfield, CA is reported in the CMS Open Payments database as having received $23,408 across 776 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 99th 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 $5,718 196
2024 General $5,288 173
2023 General $4,690 161
2022 General $5,215 173
2021 General $2,497 73

Beside peers

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

In program year 2025, general payments to Melchor Jacob were reported at $5,718. 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 Melchor Jacob Physician Assistant median Middle half National median
2019 $0 $34 $17–$122 $163
2020 $0 $33 $16–$78 $114
2021 $2,497 $132 $37–$438 $132
2022 $5,215 $155 $48–$522 $149
2023 $4,690 $167 $52–$557 $160
2024 $5,288 $178 $55–$600 $164
2025 $5,718 $184 $57–$620 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. Amgen Inc. $3,794 167 payments
  2. AstraZeneca Pharmaceuticals LP $2,811 57 payments
  3. GlaxoSmithKline, LLC. $2,754 77 payments
  4. AbbVie, Inc. $1,522 49 payments
  5. Novo Nordisk Inc $1,290 30 payments
  6. Lilly USA, LLC $1,180 65 payments
  7. Bayer HealthCare Pharmaceuticals Inc. $1,131 32 payments
  8. Otsuka America Pharmaceutical, Inc. $1,127 42 payments
  9. Daiichi Sankyo Inc. $706 39 payments
  10. Merck Sharp & Dohme Corporation $578 20 payments
  11. Other $6,515 198 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $23,388 774 payments
  2. Education $20 2 payments
Products named General payments · program years 2021–2025
  1. FARXIGA $1,276 21 payments
  2. Repatha $1,215 82 payments
  3. TRELEGY ELLIPTA $1,182 55 payments
  4. Kerendia $1,131 32 payments
  5. REXULTI $1,127 42 payments
  6. Otezla $1,122 84 payments
  7. EVENITY $925 33 payments
  8. Ozempic $884 23 payments
  9. MOUNJARO $845 38 payments
  10. BREZTRI $817 24 payments
  11. Other $16,282 574 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

5,128

Median for Physician Assistant: 241

Drug cost

$534,598

Median for Physician Assistant: $4,110

Branded share of claims

21%

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
Farxiga Dapagliflozin Propanediol Brand 110 $81,446
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 83 $58,057
Ozempic Semaglutide Brand 57 $57,369
Eliquis Apixaban Brand 68 $47,898
Repatha Sureclick Evolocumab Brand 72 $46,915
Jardiance Empagliflozin Brand 51 $45,180
Kerendia Finerenone Brand 40 $35,310
Xarelto Rivaroxaban Brand 26 $21,637
Vascepa Icosapent Ethyl Brand 45 $21,255
Januvia Sitagliptin Phosphate Brand 38 $20,532

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 114,276 Part D prescribers listed as Physician Assistant; they describe a distribution and say nothing about conduct.

Payments and prescribing

First 5 of 35 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
INJECTAFER
$392 — —
AREXVY
$349 — —
EVENITY
$317 — —
REXULTI
$287 — —
MOUNJARO
$283 17 —

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 35 with Patron

Records

776 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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