Garbis Apelian, MD
Family Medicine · van Nuys, CANPI 1558543280
Payments from drug & device makers
Across 298 payments — averaging $21.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Amgen$535
- Boehringer Ingelheim$529
- Kvk-tech, Inc.$503
- AstraZeneca$408
- Novo Nordisk$345
- plus $3K from 45 others
What the payments were for
- Food & beverage$6,461100%
- Education$70%
- Gifts$180%
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.
How this compares
$6,486 in reported general payments places this provider in the 90th percentile of 10,533 family medicine providers in California.
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 |
|---|---|---|
| JanumetSitagliptin Phos/Metformin Hcl | 843 | $505,174 |
| LinzessLinaclotide | 691 | $369,055 |
| JardianceEmpagliflozin | 351 | $226,901 |
| OzempicSemaglutide | 222 | $216,328 |
| Dexlansoprazole DrDexlansoprazole | 1,243 | $205,087 |
| EliquisApixaban | 302 | $192,972 |
| Metformin Er GastricMetformin Hcl | 125 | $154,011 |
| VascepaIcosapent Ethyl | 862 | $136,895 |
| JanuviaSitagliptin Phosphate | 233 | $135,625 |
| JentaduetoLinagliptin/Metformin Hcl | 245 | $134,473 |
| MyrbetriqMirabegron | 231 | $104,826 |
| SynjardyEmpagliflozin/Metformin Hcl | 156 | $97,318 |
| FarxigaDapagliflozin Propanediol | 163 | $92,692 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 314 | $92,050 |
| CreonLipase/Protease/Amylase | 128 | $91,325 |
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 |
|---|---|---|
| MerckJanumet, Januvia, Janumet Xr | $217 | $680,2831,148 claims |
| Boehringer IngelheimJardiance, Jentadueto, Synjardy, Tradjenta | $529 | $501,280836 claims |
| AbbVieLinzess, Creon | $1,308 | $460,381819 claims |
| Novo NordiskOzempic, Rybelsus | $345 | $245,862253 claims |
| PfizerEliquis | $55 | $192,972302 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $214 | $134,491133 claims |
| AstraZenecaFarxiga, Nexium | $408 | $129,778299 claims |
| Astellas Pharma US IncMyrbetriq | $13 | $104,826231 claims |
| NovartisEntresto | $196 | $53,84680 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $133 | $42,44780 claims |
| AmgenProlia | $535 | $41,15824 claims |
| GSKBreo Ellipta | $171 | $33,45183 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 10,533 family medicine providers in California.
Other family medicine in van Nuys
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
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.