Alex Lall, MD
Vascular Surgery · Las Vegas, NVNPI 1679929921
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,324 of the $8,339 with a category attached, or 75.8%. It is spread thinly across 17 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $5,889, more than ten times the $176 reported in 2019. That places this record below the midpoint for vascular surgery clinicians in NV, where the typical reported total is $9,415.
Across 76 payments — averaging $109.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$2K
- Medtronic$2K
- Silk Road Medical, Inc.$1K
- Balt USA, LLC$696
- Shockwave Medical, Inc$664
- Reflow Medical Inc$599
- plus $2K from 11 others
What the payments were for
- Travel & lodging$2,01524%
- Food & beverage$6,32476%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| W. L. Gore & Associates, Inc. | 13 | $1,634 |
| Medtronic | 20 | $1,586 |
| Silk Road Medical, Inc. | 9 | $1,365 |
| Balt USA, LLC | 8 | $696 |
| Shockwave Medical, Inc | 4 | $664 |
| Reflow Medical Inc | 4 | $599 |
| Endologix LLC | 3 | $414 |
| Sirtex Medical Inc | 2 | $296 |
| Penumbra, Inc. | 2 | $263 |
| Globus Medical | 1 | $146 |
| Boston Scientific | 3 | $143 |
| Angiodynamics, Inc. | 2 | $127 |
| Baxter Healthcare | 1 | $121 |
| Bard Peripheral Vascular, Inc. | 1 | $99 |
| Abbott | 1 | $95 |
| EKOS Corporation | 1 | $76 |
| Tactile Systems Technology Inc | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$1,271
- ENROUTE Transcarotid Stent$1,086
- ENROUTE Transcarotid Neuroprotection System$1,086
- ENDURANT IIS$735
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$664
- Prestige Coil System$492
- HawkOne$478
- SIR-Spheres Microspheres$296
- ALIF$146
- IN.PACT Admiral$144
- AFX2 Bifurcated Endograft System$143
- RUBY Coil$139
- Torus Stent Graft System$137
- ENDOCROSS Device$137
- Alto Abdominal Stent Graft System$133
- Indigo System$124
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$117
- Auryon Laser System 100-120 Vac$114
- ELUVIA$100
How this compares
$8,339 in reported general payments places this provider in the 45th percentile of 28 vascular surgery providers in Nevada.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other vascular surgery in Las Vegas
- George PliagasLas Vegas$211K
- Sai KottapalliLas Vegas$53K
- Eddy LuhLas Vegas$34K
- Earl CottrellLas Vegas$30K
- Bruce HirschfeldLas Vegas$28K
- Alvancin LouisLas Vegas$17K
- Amir GhaffarianLas Vegas$14K
- Rohan KulkarniLas Vegas$9K
- Alexander GidayaLas Vegas$9K
- Peter LeeLas Vegas$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.