Alfred Danielian, MD
Cardiovascular Disease · Las Vegas, NVNPI 1205022258
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Lantheus Medical Imaging, Inc. at 47.1% of the total. Reporting peaked in 2019 at $9,205 and has fallen 73.9% since, to $2,406 in 2025. Among cardiovascular disease clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 341 payments — averaging $87.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lantheus Medical Imaging, Inc.$14K
- Abbott$6K
- Boston Scientific$3K
- Novartis$1K
- Amgen$757
- E.r. Squibb & Sons, L.L.C.$687
- plus $4K from 23 others
What the payments were for
- Speaking & faculty fees$16,20054%
- Travel & lodging$1,1414%
- Food & beverage$12,48142%
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 |
|---|---|---|
| Lantheus Medical Imaging, Inc. | 20 | $14,042 |
| Abbott | 64 | $6,240 |
| Boston Scientific | 10 | $3,475 |
| Novartis | 56 | $1,088 |
| Amgen | 56 | $757 |
| E.r. Squibb & Sons, L.L.C. | 37 | $687 |
| Edwards Lifesciences | 8 | $653 |
| Medtronic(2 entities) | 10 | $610 |
| Philips North America LLC | 16 | $384 |
| Cvrx, Inc. | 3 | $324 |
| Abiomed | 5 | $244 |
| Novo Nordisk | 8 | $166 |
| Pfizer | 9 | $156 |
| Penumbra, Inc. | 1 | $143 |
| Johnson & Johnson | 9 | $123 |
| Bristol Myers Squibb | 2 | $121 |
| Merck | 6 | $106 |
| Biosense Webster, Inc. | 2 | $81 |
| Bridgebio Pharma, Inc. | 3 | $78 |
| Alnylam Pharmaceuticals Inc. | 2 | $61 |
| Kowa Pharmaceuticals America, Inc. | 2 | $48 |
| Atricure, Inc. | 2 | $45 |
| Irhythm Technologies, Inc. | 2 | $36 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $36 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $34 |
| W. L. Gore & Associates, Inc. | 1 | $25 |
| Heartflow, Inc. | 1 | $22 |
| Boehringer Ingelheim | 1 | $20 |
| Chiesi USA, Inc. | 1 | $19 |
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.
- Definity$13,652
- Watchman$3,220
- AVEIR$760
- Ensite Cardiac Mapping System$511
- AMPLATZER AMULET$434
- Confirm Rx$400
- JOT DX$306
- Claria MRI$295
- Mitra Clip system$286
- Advisor Catheter$269
- Barostim Neo System$204
- QUADRA ASSURA$165
- Accent Pacemaker$149
- Edwards SAPIEN 3 Transcatheter Heart Valve$148
- Penumbra System$143
- Penumbra Ruby Coil$143
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$142
- NC TREK NEO$141
- AMPLATZER Occluders$139
- MitraClip$136
How this compares
$29,822 in reported general payments places this provider in the 90th percentile of 165 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 194 | $260,960 |
| Repatha SureclickEvolocumab | 186 | $182,870 |
| EntrestoSacubitril/Valsartan | 70 | $116,055 |
| XareltoRivaroxaban | 33 | $46,897 |
| OzempicSemaglutide | 21 | $22,307 |
| BrilintaTicagrelor | 15 | $13,692 |
| JardianceEmpagliflozin | 11 | $8,562 |
| Ranolazine ErRanolazine | 30 | $2,509 |
| Atorvastatin Calcium | 244 | $2,400 |
| Carvedilol | 229 | $2,335 |
| Rosuvastatin Calcium | 195 | $2,156 |
| Ezetimibe | 53 | $1,605 |
| Metoprolol Succinate | 145 | $1,596 |
| Losartan Potassium | 165 | $1,334 |
| Nitroglycerin | 21 | $1,308 |
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 |
|---|---|---|
| PfizerEliquis | $156 | $260,960194 claims |
| NovartisEntresto | $1,088 | $116,05570 claims |
| Johnson & JohnsonXarelto | $123 | $46,89733 claims |
| Novo NordiskOzempic | $166 | $22,30721 claims |
| Boehringer IngelheimJardiance | $20 | $8,56211 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 90th percentile of 165 cardiovascular disease providers in Nevada.
Other cardiovascular disease in Las Vegas
- Arjun GururajLas Vegas$399K
- Branavan UmakanthanLas Vegas$109K
- Jawad KianiLas Vegas$73K
- Amish PrasadLas Vegas$58K
- Chowdhury AhsanLas Vegas$41K
- Sanjay MalhotraLas Vegas$41K
- William ReshLas Vegas$39K
- Ali NamaziLas Vegas$38K
- Herbert Cordero YordanLas Vegas$38K
- Dalia HawwassLas Vegas$27K
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.