Javier Cajina, MD
Obstetrics & Gynecology · Las Vegas, NVNPI 1245644475
Payments from drug & device makers
Across 82 payments — averaging $34.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$891
- Intuitive Surgical$299
- AbbVie$258
- Baxter Healthcare$232
- Astellas Pharma US Inc$222
- Merck$127
- plus $786 from 18 others
What the payments were for
- Travel & lodging$68424%
- Food & beverage$2,13176%
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 |
|---|---|---|
| Stryker | 4 | $891 |
| Intuitive Surgical | 5 | $299 |
| AbbVie | 16 | $258 |
| Baxter Healthcare | 4 | $232 |
| Astellas Pharma US Inc | 10 | $222 |
| Merck | 5 | $127 |
| Johnson & Johnson | 5 | $113 |
| Organon | 4 | $95 |
| Pfizer | 4 | $84 |
| Sage Therapeutics, LLC | 3 | $69 |
| Evofem Biosciences, Inc. | 3 | $63 |
| Bayer | 3 | $50 |
| Alydia Health | 2 | $46 |
| Exeltis, USA Inc. | 2 | $46 |
| Hologic Sales And Service, LLC | 2 | $41 |
| Aspira Women's Health Inc | 2 | $26 |
| Medtronic | 1 | $24 |
| Biogen | 1 | $23 |
| Sumitomo Pharma America, Inc. | 1 | $22 |
| Therapeuticsmd, Inc. | 1 | $19 |
| Convatec Inc. | 1 | $18 |
| Myriad Women's Health, Inc. | 1 | $17 |
| Exact Sciences | 1 | $16 |
| Coopersurgical, Inc. | 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.
- 1788$684
- SPY-PHI SYSTEM$147
- TISSEEL$108
- Da Vinci Surgical System$101
How this compares
$2,815 in reported general payments places this provider in the 70th percentile of 308 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 21 | $430 |
| Medroxyprogesterone Acetate | 12 | $88 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Las Vegas
- Liliana Ruiz-LeonLas Vegas$4.6M
- Rex MabeyLas Vegas$2.2M
- Edmond PackLas Vegas$1.5M
- Darin SwainstonLas Vegas$713K
- Christina KushnirLas Vegas$502K
- Lamarr TylerLas Vegas$170K
- Ralph VennartLas Vegas$144K
- Kenneth VolkerLas Vegas$129K
- Navkaran SinghLas Vegas$104K
- Sunwook KimLas Vegas$94K
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.