Arianny Perrino Lanz, APRN
Nurse Practitioner · Henderson, NVNPI 1982373007
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,825 of the $8,537 with a category attached, or 80.0%. It is spread thinly across 29 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,935, 2.7 times the $1,092 reported in 2022. Among nurse practitioner clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 277 payments — averaging $30.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Incyte Corporation$1K
- Arcutis Biotherapeutics, Inc.$570
- Sun Pharmaceutical Industries Inc.$505
- Dermavant Sciences, Inc.$502
- Johnson & Johnson$496
- plus $3K from 23 others
What the payments were for
- Consulting fees$1,00012%
- Food & beverage$6,82580%
- Education$7118%
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 |
|---|---|---|
| AbbVie(2 entities) | 75 | $2,031 |
| Incyte Corporation | 8 | $1,281 |
| Arcutis Biotherapeutics, Inc. | 41 | $570 |
| Sun Pharmaceutical Industries Inc. | 21 | $505 |
| Dermavant Sciences, Inc. | 10 | $502 |
| Johnson & Johnson | 7 | $496 |
| Amgen | 15 | $411 |
| UCB, Inc. | 12 | $333 |
| Pfizer | 12 | $316 |
| Sanofi | 6 | $295 |
| Regeneron Healthcare Solutions, Inc. | 6 | $253 |
| E.r. Squibb & Sons, L.L.C. | 6 | $252 |
| Novartis | 11 | $241 |
| LEO Pharma Inc. | 11 | $224 |
| Lilly USA, LLC | 4 | $198 |
| Galderma Laboratories, L.p. | 16 | $150 |
| Janssen Scientific Affairs, LLC | 1 | $149 |
| Boehringer Ingelheim | 2 | $47 |
| Hill Dermaceuticals, Inc. | 2 | $47 |
| Botanix SB Inc | 2 | $43 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $42 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $26 |
| Acera Surgical, Inc. | 1 | $24 |
| Microvention, Inc. | 1 | $24 |
| CSL Behring | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Organon | 1 | $16 |
| Smith+Nephew | 1 | $15 |
| Biofrontera Inc. | 1 | $11 |
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.
How this compares
$8,537 in reported general payments places this provider in the 95th percentile of 933 nurse practitioner 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 |
|---|---|---|
| Tacrolimus | 15 | $1,693 |
| Ketoconazole | 121 | $1,567 |
| Clobetasol Propionate | 44 | $1,312 |
| Triamcinolone Acetonide | 114 | $1,241 |
| Fluorouracil | 15 | $911 |
| Doxycycline Monohydrate | 50 | $892 |
| Metronidazole | 22 | $885 |
| Clindamycin Phosphate | 32 | $814 |
| Fluocinonide | 19 | $565 |
| Betamethasone Dipropionate | 14 | $550 |
| Ammonium Lactate | 36 | $527 |
| Clindamycin Phos-Benzoyl PeroxClindamycin Phos/Benzoyl Perox | 11 | $377 |
| Minoxidil | 47 | $349 |
| Mupirocin | 57 | $340 |
| Mometasone Furoate | 14 | $266 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Henderson
- Charina TosteHenderson$393K
- Marites PilapilHenderson$11K
- Jackie ArmijoHenderson$11K
- Natalie HuxtableHenderson$7K
- Tiffany ShowHenderson$7K
- Stefanie RemsonHenderson$7K
- Bethany BairdHenderson$6K
- Melanie SpeedLas Vegas$80K
- Shelley MilesLas Vegas$34K
- Nasslynne LenzLas Vegas$32K
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.