Payment overview · 2025
General Payments
$3,646.19
106 reported records · 39 companies
Healthcare provider profile · identity verified
Shane M. Mesko, M.D., MBA
Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology · SAN DIEGO, CA · NPI 1699137315
Verified facts
What the public records show
CMS Open Payments records show Shane M. Mesko, M.D., MBA received $3,646.19 in general payments during 2025 across 106 reported records.
icotec Medical Inc. accounted for 29.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 57 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| icotec Medical Inc. | Unresolved — no canonical attribution shown | $1,079.49 | 29.6% | 9 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $224.38 | 6.2% | 10 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $188.50 | 5.2% | 9 | 2025 |
| Novocure Inc. | Unresolved — no canonical attribution shown | $155.98 | 4.3% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $148.96 | 4.1% | 6 | 2025 |
| SOBI, INC | Unresolved — no canonical attribution shown | $131.26 | 3.6% | 5 | 2025 |
| PharmaEssentia USA Corporation | Unresolved — no canonical attribution shown | $125.18 | 3.4% | 4 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $118.31 | 3.2% | 4 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $113.52 | 3.1% | 5 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $107.23 | 2.9% | 4 | 2025 |
| Agios Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $91.23 | 2.5% | 4 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $89.37 | 2.5% | 4 | 2025 |
| Iovance Biotherapeutics, Inc. | Unresolved — no canonical attribution shown | $81.34 | 2.2% | 3 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $81.24 | 2.2% | 3 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $76.46 | 2.1% | 3 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $61.93 | 1.7% | 2 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $56.50 | 1.6% | 2 | 2025 |
| SERVIER PHARMACEUTICALS LLC | Unresolved — no canonical attribution shown | $55.47 | 1.5% | 2 | 2025 |
| Coherus Oncology, Inc. | Unresolved — no canonical attribution shown | $53.54 | 1.5% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $47.27 | 1.3% | 2 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $44.46 | 1.2% | 2 | 2025 |
| Genmab U.S., Inc. | Unresolved — no canonical attribution shown | $41.06 | 1.1% | 2 | 2025 |
| TerSera Therapeutics LLC | Unresolved — no canonical attribution shown | $36.34 | 1.0% | 1 | 2025 |
| Exelixis Inc. | Unresolved — no canonical attribution shown | $36.03 | 1.0% | 1 | 2025 |
| ADC THERAPEUTICS AMERICA, INC. | Unresolved — no canonical attribution shown | $34.96 | 1.0% | 1 | 2025 |
| Deciphera Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $30.23 | 0.8% | 1 | 2025 |
| Geron Corporation | Unresolved — no canonical attribution shown | $29.92 | 0.8% | 1 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $28.88 | 0.8% | 1 | 2025 |
| SpringWorks Therapeutics, Inc. | Unresolved — no canonical attribution shown | $28.02 | 0.8% | 1 | 2025 |
| BeiGene USA, Inc. | Unresolved — no canonical attribution shown | $27.64 | 0.8% | 1 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $27.30 | 0.8% | 1 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $26.32 | 0.7% | 1 | 2025 |
| Fennec Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $25.42 | 0.7% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $25.05 | 0.7% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $25.02 | 0.7% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $24.19 | 0.7% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $23.06 | 0.6% | 1 | 2025 |
| PROGENICS PHARMACEUTICALS, INC. | Unresolved — no canonical attribution shown | $22.68 | 0.6% | 1 | 2025 |
| Teleflex LLC | Unresolved — no canonical attribution shown | $22.45 | 0.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,919.41 | 102 |
| Travel and Lodging | $726.78 | 4 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM Normalized: kong tl vbr e expandable body l 19 mm x 27 37 mm |
Device | icotec Medical Inc. | $1,079.49 | 9 | 2025 |
Source payment records
|
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| KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM Normalized: kong tl vbr end plate rectangular m and screw 12 x 33 mm |
Device | icotec Medical Inc. | $1,079.49 | 9 | 2025 |
Source payment records
|
|||||
| KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM Normalized: kong tl vbr end plate round l and screw 12 x 43 mm |
Device | icotec Medical Inc. | $1,079.49 | 9 | 2025 |
Source payment records
|
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| VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM Normalized: vader pedicle system 6 0 screw carbon peek polyax fen o 5 5 x 45 mm |
Device | icotec Medical Inc. | $1,079.49 | 9 | 2025 |
Source payment records
|
|||||
| VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM Normalized: vader pedicle system rod carbon peek curved 6 0 r450 x 200 mm |
Device | icotec Medical Inc. | $1,079.49 | 9 | 2025 |
Source payment records
|
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $224.38 | 10 | 2025 |
Source payment records
|
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| Optune Gio Normalized: optune gio |
Device | Novocure Inc. | $155.98 | 2 | 2025 |
Source payment records
|
|||||
| Doptelet Normalized: doptelet |
Drug | SOBI, INC | $131.26 | 5 | 2025 |
Source payment records
|
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| BESREMI Normalized: besremi |
Drug | PharmaEssentia USA Corporation | $125.18 | 4 | 2025 |
Source payment records
|
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| Lenvima Normalized: lenvima |
Drug | Eisai Inc. | $107.23 | 4 | 2025 |
Source payment records
|
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| PYRUKYND Normalized: pyrukynd |
Drug | Agios Pharmaceuticals, Inc. | $91.23 | 4 | 2025 |
Source payment records
|
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| LYNPARZA Normalized: lynparza |
Biological | Merck Sharp & Dohme LLC | $89.55 | 4 | 2025 |
Source payment records
|
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| ORGOVYX Normalized: orgovyx |
Drug | Sumitomo Pharma America, Inc. | $89.37 | 4 | 2025 |
Source payment records
|
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $85.18 | 3 | 2025 |
Source payment records
|
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| Amtagvi Normalized: amtagvi |
Drug | Iovance Biotherapeutics, Inc. | $81.34 | 3 | 2025 |
Source payment records
|
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| RYBREVANT Normalized: rybrevant |
Drug | Janssen Biotech, Inc. | $73.33 | 3 | 2025 |
Source payment records
|
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $66.61 | 3 | 2025 |
Source payment records
|
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| ELAHERE Normalized: elahere |
Drug | ABBVIE INC. | $65.79 | 2 | 2025 |
Source payment records
|
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $64.20 | 3 | 2025 |
Source payment records
|
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC., Genmab U.S., Inc. | $59.30 | 3 | 2025 |
Source payment records
|
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| Tibsovo Normalized: tibsovo |
Drug | SERVIER PHARMACEUTICALS LLC | $55.47 | 2 | 2025 |
Source payment records
|
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| Enhertu Normalized: enhertu |
Drug | Daiichi Sankyo Inc. | $54.64 | 2 | 2025 |
Source payment records
|
|||||
| LOQTORZI Normalized: loqtorzi |
Biological | Coherus Oncology, Inc. | $53.54 | 2 | 2025 |
Source payment records
|
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $51.41 | 2 | 2025 |
Source payment records
|
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $47.27 | 2 | 2025 |
Source payment records
|
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| Stivarga Normalized: stivarga |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $47.27 | 2 | 2025 |
Source payment records
|
|||||
| Vitrakvi Normalized: vitrakvi |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $47.27 | 2 | 2025 |
Source payment records
|
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $47.19 | 2 | 2025 |
Source payment records
|
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $40.19 | 2 | 2025 |
Source payment records
|
|||||
| Zoladex Normalized: zoladex |
Drug | TerSera Therapeutics LLC | $36.34 | 1 | 2025 |
Source payment records
|
|||||
| CABOMETYX Normalized: cabometyx |
Drug | Exelixis Inc. | $36.03 | 1 | 2025 |
Source payment records
|
|||||
| ZYNLONTA Normalized: zynlonta |
Drug | ADC THERAPEUTICS AMERICA, INC. | $34.96 | 1 | 2025 |
Source payment records
|
|||||
| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $34.49 | 2 | 2025 |
Source payment records
|
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| Tecentriq Normalized: tecentriq |
Biological | Genentech USA, Inc. | $33.86 | 1 | 2025 |
Source payment records
|
|||||
| Fabhalta Normalized: fabhalta |
Drug | Novartis Pharmaceuticals Corporation | $33.13 | 1 | 2025 |
Source payment records
|
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $30.44 | 1 | 2025 |
Source payment records
|
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| QINLOCK Normalized: qinlock |
Drug | Deciphera Pharmaceuticals Inc. | $30.23 | 1 | 2025 |
Source payment records
|
|||||
| ROMVIMZA Normalized: romvimza |
Drug | Deciphera Pharmaceuticals Inc. | $30.23 | 1 | 2025 |
Source payment records
|
|||||
| RYTELO Normalized: rytelo |
Drug | Geron Corporation | $29.92 | 1 | 2025 |
Source payment records
|
|||||
| SARCLISA Normalized: sarclisa |
Biological | GENZYME CORPORATION | $29.82 | 1 | 2025 |
Source payment records
|
|||||
| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $28.88 | 1 | 2025 |
Source payment records
|
|||||
| OGSIVEO Normalized: ogsiveo |
Drug | SpringWorks Therapeutics, Inc. | $28.02 | 1 | 2025 |
Source payment records
|
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| BRUKINSA Normalized: brukinsa |
Drug | BeiGene USA, Inc. | $27.64 | 1 | 2025 |
Source payment records
|
|||||
| WAYRILZ Normalized: wayrilz |
Drug | GENZYME CORPORATION | $27.31 | 1 | 2025 |
Source payment records
|
|||||
| ELZONRIS Normalized: elzonris |
Drug | Stemline Therapeutics Inc. | $26.32 | 1 | 2025 |
Source payment records
|
|||||
| Fyarro Normalized: fyarro |
Drug | Fennec Pharmaceuticals, Inc. | $25.42 | 1 | 2025 |
Source payment records
|
|||||
| Padcev Normalized: padcev |
Drug | Astellas Pharma US Inc | $25.05 | 1 | 2025 |
Source payment records
|
|||||
| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $25.02 | 1 | 2025 |
Source payment records
|
|||||
| JAYPIRCA Normalized: jaypirca |
Drug | Lilly USA, LLC | $24.19 | 1 | 2025 |
Source payment records
|
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| VERZENIO Normalized: verzenio |
Drug | Lilly USA, LLC | $24.19 | 1 | 2025 |
Source payment records
|
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $23.16 | 1 | 2025 |
Source payment records
|
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| FRUZAQLA Normalized: fruzaqla |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $23.06 | 1 | 2025 |
Source payment records
|
|||||
| PYLARIFY Normalized: pylarify |
Drug | PROGENICS PHARMACEUTICALS, INC. | $22.68 | 1 | 2025 |
Source payment records
|
|||||
| Venclexta Normalized: venclexta |
Biological | Genentech USA, Inc. | $22.64 | 1 | 2025 |
Source payment records
|
|||||
| BARRIGEL Normalized: barrigel |
Device | Teleflex LLC | $22.45 | 1 | 2025 |
Source payment records
|
|||||
| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $21.82 | 1 | 2025 |
Source payment records
|
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| MONJUVI Normalized: monjuvi |
Drug | Incyte Corporation | $21.30 | 1 | 2025 |
Source payment records
|
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 23 | suppressed |
| Dexamethasone | Dexamethasone | 15 | 11 |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,646.19 · 106 records | icotec Medical Inc. | AYVAKIT, Amtagvi, BARRIGEL, BESREMI, BRUKINSA, CABOMETYX, DATROWAY, Doptelet, ELAHERE, ELZONRIS, EPKINLY, ERLEADA, Enhertu, FRUZAQLA, Fabhalta, Fyarro, IMBRUVICA, IMFINZI, JAKAFI, JAYPIRCA, KEYTRUDA, KEYTRUDA QLEX, KISQALI, KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM, KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM, KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM, LIBTAYO, LOQTORZI, LYNPARZA, Lenvima, MONJUVI, Nubeqa, OGSIVEO, ORGOVYX, Optune Gio, PYLARIFY, PYRUKYND, Padcev, QINLOCK, RINVOQ, ROMVIMZA, RYBREVANT, RYTELO, SARCLISA, Stivarga, Tecentriq, Tibsovo, ULTOMIRIS, VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM, VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM, VERZENIO, Venclexta, Vitrakvi, WAYRILZ, WELIREG, ZYNLONTA, Zoladex | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error