Lan Nguyen, APRN
Family Medicine · Fort Smith, ARNPI 1326472002
Payments from drug & device makers
Across 273 payments — averaging $19.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$930
- GSK$818
- Boehringer Ingelheim$461
- Sanofi$364
- Mylan Specialty L.p.$364
- Takeda Pharmaceuticals U.S.A., Inc.$316
- plus $2K from 19 others
What the payments were for
- Food & beverage$5,12898%
- Education$792%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 48 | $930 |
| GSK | 59 | $818 |
| Boehringer Ingelheim | 26 | $461 |
| Sanofi | 17 | $364 |
| Mylan Specialty L.p. | 22 | $364 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $316 |
| Viatris Specialty LLC | 15 | $289 |
| Regeneron Healthcare Solutions, Inc. | 13 | $241 |
| Genentech USA, Inc. | 10 | $195 |
| Grifols USA, LLC | 8 | $195 |
| Johnson & Johnson | 3 | $156 |
| Amgen | 7 | $124 |
| Baxter Healthcare | 4 | $124 |
| Philips North America LLC | 6 | $118 |
| Verona Pharma, Inc. | 5 | $103 |
| Insmed, Inc. | 4 | $101 |
| Sanofi-aventis U.S. LLC | 1 | $79 |
| United Therapeutics Corporation | 2 | $53 |
| Merck | 2 | $47 |
| AbbVie | 2 | $37 |
| Pfizer | 1 | $23 |
| ANI Pharmaceuticals, Inc. | 1 | $20 |
| Bayer | 1 | $17 |
| Liquidia Technologies, Inc. | 1 | $17 |
| Gilead | 1 | $16 |
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
$5,207 in reported general payments places this provider in the 85th percentile of 1,347 family medicine providers in Arkansas.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 589 | $543,040 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 23 | $200,765 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 178 | $155,679 |
| FasenraBenralizumab | 20 | $116,450 |
| Breo ElliptaFluticasone/Vilanterol | 188 | $103,716 |
| XolairOmalizumab | 32 | $94,479 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 77 | $60,154 |
| TezspireTezepelumab-Ekko | 12 | $55,129 |
| Spiriva RespimatTiotropium Bromide | 71 | $48,054 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 54 | $34,151 |
| Incruse ElliptaUmeclidinium Bromide | 65 | $33,681 |
| SymbicortBudesonide/Formoterol Fumarate | 92 | $30,897 |
| Roflumilast | 152 | $20,637 |
| Advair HfaFluticasone Propion/Salmeterol | 32 | $18,530 |
| Ipratropium Bromide | 543 | $15,904 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $818 | $714,588896 claims |
| AstraZenecaBreztri Aerosphere, Fasenra, Tezspire, Symbicort, Bevespi Aerosphere | $930 | $372,171331 claims |
| Grifols USA, LLCProlastin C | $195 | $200,76523 claims |
| Boehringer IngelheimStiolto Respimat, Spiriva Respimat | $461 | $108,209148 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 85th percentile of 1,347 family medicine providers in Arkansas.
Other family medicine in Fort Smith
- Glenn GibbonsFort Smith$179K
- Thinh NguyenFort Smith$28K
- Allen BeachyFort Smith$21K
- Michael CallawayFort Smith$15K
- George KonisLittle Rock$26.6M
- Kevin RobertsLittle Rock$2.5M
- Derek LewisLittle Rock$1.7M
- Jodi SansonHot Springs$1.7M
- Senthil RaghavanLittle Rock$496K
- Broderick EatonWynne$442K
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.