Julian Hardman, MD
Diagnostic Radiology · Las Vegas, NVNPI 1780908335
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $17,637 of the $23,891 with a category attached, or 73.8%. Penumbra, Inc. accounts for 66.8% of it on its own, with 15 other manufacturers making up the rest. Among diagnostic radiology clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 261 payments — averaging $91.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$16K
- Stryker$2K
- Medtronic$2K
- Microvention, Inc.$888
- Viz.ai, Inc.$532
- Sirtex Medical Inc$410
- plus $1K from 10 others
What the payments were for
- Travel & lodging$6,25426%
- Food & beverage$17,63774%
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 |
|---|---|---|
| Penumbra, Inc. | 132 | $15,948 |
| Stryker | 36 | $2,354 |
| Medtronic(3 entities) | 49 | $2,323 |
| Microvention, Inc. | 19 | $888 |
| Viz.ai, Inc. | 2 | $532 |
| Sirtex Medical Inc | 3 | $410 |
| Johnson & Johnson | 4 | $294 |
| Inari Medical, Inc. | 2 | $272 |
| Shockwave Medical, Inc | 1 | $195 |
| Boston Scientific | 3 | $194 |
| Scientia Vascular | 1 | $173 |
| Route 92 Medical, Inc. | 2 | $149 |
| Imperative Care, Inc | 2 | $62 |
| Cardiovascular Systems Inc. | 2 | $38 |
| Bard Peripheral Vascular, Inc. | 2 | $33 |
| W. L. Gore & Associates, Inc. | 1 | $26 |
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.
- Penumbra System$7,057
- Smart Coil$1,682
- RED 72$1,168
- Smart$1,165
- Penumbra SMART Coil$1,045
- Penumbra Jet 7$861
- Penumbra Coil 400$715
- Benchmark$642
- Viz.AI LVO$532
- Artemis$483
- Pipeline$458
- SIR-Spheres Microspheres$410
- Indigo System$400
- SURPASS EVOLVE$322
- SPINEJACK$302
- SURPASS$298
- KYPHON EXPRESS II KYPHOPAK TRAY$287
- HawkOne$282
- Sofia$250
- 3D$216
How this compares
$23,891 in reported general payments places this provider in the 95th percentile of 246 diagnostic radiology 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 48 | $286 |
Paid to pharmacies, not to this prescriber.
Other diagnostic radiology in Las Vegas
- Mark WinklerLas Vegas$306K
- Rajneesh AgrawalLas Vegas$145K
- John OhLas Vegas$37K
- Oleksandra KutsenkoLas Vegas$26K
- Richard PenfilLas Vegas$26K
- Masters RichardsLas Vegas$23K
- Rajiv ShahLas Vegas$18K
- Ravishankar KonchadaLas Vegas$11K
- Trey PhamLas Vegas$11K
- Saravanan ValliappanLas Vegas$10K
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.