Dr. Dylan L. Steer, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Grossmont Hospital Hospital · La Mesa, CA · listed as Grossmont Hospital Corporation
• Sharp Memorial Hospital Hospital · San Diego, CA
• DaVita Encinitas Dialysis Dialysis facility · Encinitas, CA · listed as Viento Dialysis LLC
• Fresenius Medical Care Balboa - Kearny Mesa Dialysis facility · San Diego, CA · listed as Fresenius Medical Care Balboa, LLC
• Scripps Memorial Hospital - Encinitas Hospital · Encinitas, CA
• Scripps Memorial Hospital La Jolla Hospital · La Jolla, CA
• Fmc-Balboa South Bay Home Therapies Dialysis facility · Chula Vista, CA

Colleagues at Balboa Nephrology Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 79 clinicians in the practice; 12 are shown here.

• Melanie Braytenbah, NP-C Nurse Practitioner · Chula Vista, CA
• Dr. Luan K DO, MD Nephrology Physician · LA Mesa, CA
• Karynne F. Ednacot, FNP-C Nurse Practitioner · Chula Vista, CA
• Joe Anthony Gonzales, FNP Nurse Practitioner · Brawley, CA
• Jeffrey Burke Halldorson, MD Nephrology Physician · San Diego, CA
• Dr. Osman S Khawar, MD, MPH Internal Medicine Physician · Escondido, CA
• Danielle Debussey McCallion, FNP-C Nurse Practitioner · San Diego, CA
• Dr. Lucy M. Miller, MD Nephrology Physician · LA Mesa, CA
• Dr. David S. Namazy, MD Nephrology Physician · San Diego, CA
• John Christian Ong, DO Nephrology Physician · Fountain Valley, CA
• Dr. Irmaris Raquel Quinones Vargas, MD Nephrology Physician · El Centro, CA
• Yan Zhong, MD Nephrology Physician · San Diego, CA

Other providers in LA Jolla

• Melanie A. Farrell, MD, a Professional Medical Corporation

  Organization Nephrology Physician · NPI 1689719551

  9834 Genesee Ave Ste 312, LA Jolla, CA 92037-1223 · (858) 558-7852

• James C Rice, MD

  Individual Nephrology Physician · NPI 1689733172

  10666 N Torrey Pines Rd, LA Jolla, CA 92037-1027 · (858) 554-4310

• Dena Evette Rifkin, MD

  Individual Nephrology Physician · NPI 1578519203

  9500 Gilman Drive VA Medical Center 9111H, LA Jolla, CA 92093-9111 · (617) 699-8969

• Dr. Zhabiz Solhjou, MD

  Individual Nephrology Physician · NPI 1679927909

  10666 N Torrey Pines Rd, LA Jolla, CA 92037-1027 · (858) 554-9765

• Dr. Karo Torosian, DO

  Individual Nephrology Physician · NPI 1275822082

  9834 Genesee Ave Ste 312, LA Jolla, CA 92037-1221 · (619) 260-7220