Joan Galang
Primary Care · Las Vegas, NVNPI 1407204035
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Lilly USA, LLC at 33.2% of the total. 2025 is the largest year on record at $164, 6.5 times the $25 reported in 2022. That places this record below the midpoint for primary care clinicians in NV, where the typical reported total is $343.
Across 19 payments — averaging $18.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$114
- Amgen$53
- Exact Sciences$49
- Astellas Pharma US Inc$29
- Pfizer$23
- GSK$16
- plus $59 from 4 others
What the payments were for
- Food & beverage$33197%
- Education$123%
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 |
|---|---|---|
| Lilly USA, LLC | 6 | $114 |
| Amgen | 3 | $53 |
| Exact Sciences | 3 | $49 |
| Astellas Pharma US Inc | 1 | $29 |
| Pfizer | 1 | $23 |
| GSK | 1 | $16 |
| AstraZeneca | 1 | $15 |
| Seqirus USA Inc | 1 | $15 |
| Merck | 1 | $15 |
| Novo Nordisk | 1 | $14 |
How this compares
$343 in reported general payments places this provider in the 50th percentile of 81 primary care 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 |
|---|---|---|
| MounjaroTirzepatide | 18 | $22,882 |
| JardianceEmpagliflozin | 15 | $21,767 |
| OzempicSemaglutide | 19 | $18,763 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 141 | $6,788 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $6,653 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 141 | $4,802 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $3,057 |
| Doxepin Hcl | 12 | $2,589 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 81 | $2,044 |
| Gabapentin | 100 | $1,682 |
| Lidocaine | 16 | $1,510 |
| Trazodone Hcl | 25 | $1,175 |
| Atorvastatin Calcium | 143 | $1,066 |
| Alprazolam | 167 | $622 |
| Ibuprofen | 36 | $611 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $114 | $22,88218 claims |
| Novo NordiskOzempic | $14 | $18,76319 claims |
| GSKBreo Ellipta | $16 | $6,65316 claims |
| AstraZenecaSymbicort | $15 | $3,05713 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 50th percentile of 81 primary care providers in Nevada.
Other primary care in Las Vegas
- Jennifer CribbLas Vegas$7K
- Ruel MarianoLas Vegas$4K
- George Gabriel ToldnessLas Vegas$4K
- Jona SteadLas Vegas$3K
- Mario LuglioLas Vegas$3K
- Jocybel ItorralbaLas Vegas$3K
- Jerifaye FloresLas Vegas$2K
- Sneha ThomasLas Vegas$2K
- Yoslady MoralesLas Vegas$2K
- Christine EspenillaLas Vegas$2K
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.