Alfonso Ortiz, MD
Endocrinology, Diabetes & Metabolism · Las Vegas, NVNPI 1699915967
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (59.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Baxter Healthcare at 59.2% of the total. Reporting peaked in 2022 at $1,706 and has fallen 95.0% since, to $86 in 2025. That places this record below the midpoint for endocrinology, diabetes & metabolism clinicians in NV, where the typical reported total is $4,060.
Across 43 payments — averaging $54.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$1K
- Medtronic$335
- Novo Nordisk$154
- Boehringer Ingelheim$112
- Pfizer$96
- Amgen$69
- plus $196 from 6 others
What the payments were for
- Food & beverage$94940%
- Education$141%
- Other$1,39959%
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 |
|---|---|---|
| Baxter Healthcare | 1 | $1,399 |
| Medtronic | 12 | $335 |
| Novo Nordisk | 7 | $154 |
| Boehringer Ingelheim | 7 | $112 |
| Pfizer | 6 | $96 |
| Amgen(2 entities) | 3 | $69 |
| Madrigal Pharmaceuticals | 2 | $60 |
| Kowa Pharmaceuticals America, Inc. | 1 | $35 |
| Otsuka America Pharmaceutical, Inc. | 1 | $30 |
| Lilly USA, LLC | 1 | $29 |
| Corcept Therapeutics | 1 | $25 |
| GSK | 1 | $16 |
How this compares
$2,361 in reported general payments places this provider in the 45th percentile of 75 endocrinology, diabetes & metabolism providers in Nevada.
See all endocrinology, diabetes & metabolism 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| TrulicityDulaglutide | 100 | $125,542 |
| OzempicSemaglutide | 42 | $47,582 |
| JardianceEmpagliflozin | 46 | $37,137 |
| TradjentaLinagliptin | 33 | $22,721 |
| FarxigaDapagliflozin Propanediol | 28 | $16,603 |
| JanuviaSitagliptin Phosphate | 27 | $14,233 |
| SynjardyEmpagliflozin/Metformin Hcl | 11 | $6,290 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 18 | $6,130 |
| Ultra-Fine Short Pen NeedlePen Needle, Diabetic | 14 | $791 |
| Levothyroxine Sodium | 74 | $710 |
| Pioglitazone Hcl | 49 | $329 |
| Metformin Hcl | 59 | $296 |
| Atorvastatin Calcium | 21 | $246 |
| Alcohol Prep PadsAlcohol Antiseptic Pads | 16 | $187 |
| Rosuvastatin Calcium | 11 | $109 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCTrulicity | $29 | $125,542100 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy | $112 | $66,14990 claims |
| Novo NordiskOzempic | $154 | $47,58242 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 75 endocrinology, diabetes & metabolism providers in Nevada.
Other endocrinology, diabetes & metabolism in Las Vegas
- Samer NakhleLas Vegas$466K
- Chakravarthy KannanLas Vegas$144K
- Michael UzmannLas Vegas$77K
- Molouk RahnemaLas Vegas$73K
- Nicholas VernettiLas Vegas$62K
- Firhaad IsmailLas Vegas$47K
- Bijan AhrariLas Vegas$47K
- Freddie ToffelLas Vegas$33K
- Serena KlughLas Vegas$14K
- Betsy PalalLas Vegas$9K
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.