Christos Galanopoulos, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Histosonics, Inc. at 43.5% of the total. Reporting peaked in 2024 at $506 and has fallen 77.5% since, to $114 in 2025. That places this record below the midpoint for surgery clinicians in NV, where the typical reported total is $3,195.
Across 11 payments — averaging $83.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Histosonics, Inc.$400
- Intuitive Surgical$226
- Olympus America Inc.$106
- AstraZeneca$68
- Lemaitre Vascular, Inc.$47
- Osiris Therapeutics Inc.$27
- plus $45 from 2 others
Across 8 payments — averaging $2397.16 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Halozyme Inc$19K
What the payments were for
- Travel & lodging$38342%
- Food & beverage$46851%
- Education$687%
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 |
|---|---|---|
| Histosonics, Inc. | 2 | $400 |
| Intuitive Surgical | 2 | $226 |
| Olympus America Inc. | 1 | $106 |
| AstraZeneca | 1 | $68 |
| Lemaitre Vascular, Inc. | 2 | $47 |
| Osiris Therapeutics Inc. | 1 | $27 |
| Integra Lifesciences Corporation | 1 | $24 |
| Astellas Pharma US Inc | 1 | $21 |
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
$919 in reported general payments places this provider in the 35th percentile of 209 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 surgery in Reno
- Alexander AyzengartReno$74K
- Jahanara GrafReno$29K
- James NunleyReno$28K
- Mitzi MillerReno$27K
- Alyson CrawfordReno$10K
- Nicholas MangusoReno$10K
- Yogesh PatelHenderson$788K
- Patrick KenneySparks$420K
- William ScottHenderson$266K
- Arthur FuscoLas Vegas$155K
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.