Marvin Najjar, MD
Obstetrics & Gynecology · Las Vegas, NVNPI 1578834610
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Intuitive Surgical at 53.6% of the total. Reporting peaked in 2022 at $2,904 and has fallen 92.2% since, to $228 in 2025.
Across 91 payments — averaging $50.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Medtronic$582
- AbbVie$275
- Hologic Sales And Service, LLC$241
- Mayne Pharma Commercial LLC$179
- Daiichi Sankyo Inc.$117
- plus $748 from 20 others
What the payments were for
- Travel & lodging$1,24627%
- Food & beverage$2,34851%
- Education$1,02022%
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 |
|---|---|---|
| Intuitive Surgical | 12 | $2,474 |
| Medtronic | 7 | $582 |
| AbbVie | 12 | $275 |
| Hologic Sales And Service, LLC | 6 | $241 |
| Mayne Pharma Commercial LLC | 9 | $179 |
| Daiichi Sankyo Inc. | 5 | $117 |
| Astellas Pharma US Inc | 5 | $89 |
| Organon | 5 | $77 |
| Coopersurgical, Inc. | 3 | $63 |
| Minerva Surgical, Inc | 3 | $60 |
| Optumhealth Care Solutions, LLC | 2 | $56 |
| Bayer | 3 | $45 |
| Therapeuticsmd, Inc. | 2 | $42 |
| Pfizer | 2 | $40 |
| Exeltis, USA Inc. | 2 | $39 |
| Medicem Inc. | 2 | $35 |
| Myovant Sciences Inc. | 2 | $29 |
| Octapharma USA, Inc. | 1 | $29 |
| Gynesonics, Inc. | 1 | $25 |
| Axonics, Inc. | 1 | $24 |
| Evofem Biosciences, Inc. | 1 | $21 |
| Sumitomo Pharma America, Inc. | 1 | $19 |
| Sage Therapeutics, LLC | 1 | $14 |
| Dexcom, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Olympus America 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.
- Da Vinci Surgical System$1,227
- DAVINCI XI$1,000
- TruClear$454
How this compares
$4,615 in reported general payments places this provider in the 80th 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 | 16 | $983 |
| Medroxyprogesterone Acetate | 13 | $117 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Las Vegas
- Darin SwainstonLas Vegas$713K
- Christina KushnirLas Vegas$502K
- Lamarr TylerLas Vegas$170K
- Ralph VennartLas Vegas$144K
- Kenneth VolkerLas Vegas$126K
- Navkaran SinghLas Vegas$104K
- Sunwook KimLas Vegas$94K
- Luis Lopez BenitezLas Vegas$89K
- Linda TranLas Vegas$72K
- Raul Romero JosephLas Vegas$61K
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.