Horng-Chyi Lai, MD
Rheumatology · Gillette, WYNPI 1528385598
Payments from drug & device makers
Across 1,228 payments — averaging $444.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$356K
- Mallinckrodt Hospital Products Inc.$65K
- AbbVie$52K
- GSK$25K
- Novartis$10K
- Pfizer$9K
- plus $29K from 29 others
What the payments were for
- Consulting fees$15,6183%
- Speaking & faculty fees$347,65777%
- Travel & lodging$59,74613%
- Food & beverage$25,9076%
- Education$4180%
- Gifts$410%
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 |
|---|---|---|
| Amgen(2 entities) | 489 | $356,339 |
| Mallinckrodt Hospital Products Inc. | 96 | $64,627 |
| AbbVie | 183 | $51,651 |
| GSK | 75 | $24,707 |
| Novartis | 56 | $10,004 |
| Pfizer | 51 | $8,943 |
| Boehringer Ingelheim | 25 | $8,892 |
| E.r. Squibb & Sons, L.L.C. | 31 | $7,424 |
| Mallinckrodt Enterprises LLC | 11 | $6,188 |
| Bristol Myers Squibb | 4 | $1,252 |
| AstraZeneca(2 entities) | 19 | $1,071 |
| UCB, Inc. | 39 | $574 |
| Lilly USA, LLC | 25 | $448 |
| Actelion Pharmaceuticals US, Inc. | 17 | $441 |
| Johnson & Johnson | 15 | $431 |
| Genentech USA, Inc. | 16 | $374 |
| ANI Pharmaceuticals, Inc. | 9 | $290 |
| Sanofi | 8 | $218 |
| Octapharma USA, Inc. | 4 | $192 |
| Kiniksa Pharmaceuticals, Ltd. | 5 | $183 |
| Radius Health, Inc. | 4 | $173 |
| Biogen | 15 | $167 |
| Aurinia Pharma U.S., Inc. | 5 | $129 |
| Sobi, Inc | 6 | $116 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $105 |
| Cardinal Health 110 LLC | 1 | $100 |
| Ultragenyx Pharmaceutical Inc. | 6 | $91 |
| Sandoz | 3 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $67 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $46 |
| Mylan Institutional Inc. | 1 | $20 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Fresenius Kabi USA, LLC | 1 | $15 |
| Grifols USA, LLC | 1 | $15 |
| Bioventus LLC | 1 | $13 |
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
Too few rheumatology providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| ActharCorticotropin | 13 | $1,093,549 |
| KevzaraSarilumab | 103 | $441,118 |
| Enbrel SureclickEtanercept | 44 | $376,733 |
| Skyrizi PenRisankizumab-Rzaa | 18 | $363,586 |
| RinvoqUpadacitinib | 36 | $268,538 |
| Humira(Cf) PenAdalimumab | 35 | $237,199 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 12 | $97,559 |
| Humira PenAdalimumab | 12 | $85,581 |
| Actemra ActpenTocilizumab | 16 | $31,226 |
| Leflunomide | 136 | $8,751 |
| Hydroxychloroquine Sulfate | 213 | $8,640 |
| Celecoxib | 157 | $5,564 |
| MethotrexateMethotrexate Sodium | 185 | $4,956 |
| Prednisone | 437 | $3,977 |
| Pregabalin | 128 | $2,349 |
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 |
|---|---|---|
| Mallinckrodt Hospital Products Inc.Acthar | $64,627 | $1,093,54913 claims |
| SanofiKevzara | $218 | $441,118103 claims |
| AbbVieRinvoq | $51,651 | $268,53836 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. There are too few rheumatology providers in Wyomingon file to place this against a meaningful peer group, so we don't.
Other rheumatology in Gillette
- Hammad AliGillette$668
- Augusto QuilonCheyenne$3K
- Howard SchneiderCheyenne$3K
- Benjamin WidenerSheridan$656
- Robert MongerCheyenne$299
- Anne MacguireCasper$66
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.