Medspira, LLC
Reporting payments is a legal requirement; large totals often reflect large product portfolios.
$685general payments (2019-2025)
$0.00research payments (2019-2025)
23clinicians paid
General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.
General payments by year
General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.
Specialties it works with most
Clinicians with the largest reported totals
Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.
| Clinician | Location | Specialty | General payments (2019-2025) |
|---|---|---|---|
| Christine Hsieh | Los Angeles, CA | Colon & Rectal Surgery | $50.00 |
| Sang Lee | Los Angeles, CA | Colon & Rectal Surgery | $50.00 |
| Sarah Koller | Los Angeles, CA | Colon & Rectal Surgery | $50.00 |
| Marjun Duldulao | Los Angeles, CA | Colon & Rectal Surgery | $50.00 |
| Debbie Hill | Napa, CA | Nurse Practitioner | $50.00 |
| Erik Noren | Sacramento, CA | Colon & Rectal Surgery | $50.00 |
| Shiun Ker | Monterey Park, CA | Surgery | $49.25 |
| Gabriel Garcia Barajas | Bakersfield, CA | Family | $37.97 |
| Michael Reich | Forest Hills, NY | Surgery | $27.75 |
| Daniel Reich | Forest Hills, NY | Gastroenterology (Internal Medicine) | $27.75 |
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.