Michel Joffe, MD
Family Medicine · Las Vegas, NVNPI 1154347102
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.2% of the total across 91 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 34 manufacturers, the largest accounting for just 11.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $4,077 and has fallen 94.0% since, to $246 in 2025. Among family medicine 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 91 payments — averaging $114.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$1K
- AbbVie$1K
- Kowa Pharmaceuticals America, Inc.$998
- Amgen$942
- AstraZeneca$799
- Gilead$721
- plus $5K from 28 others
What the payments were for
- Consulting fees$5005%
- Food & beverage$9,87595%
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 |
|---|---|---|
| Novartis | 11 | $1,230 |
| AbbVie(2 entities) | 9 | $1,001 |
| Kowa Pharmaceuticals America, Inc. | 5 | $998 |
| Amgen(2 entities) | 8 | $942 |
| AstraZeneca | 7 | $799 |
| Gilead | 6 | $721 |
| Cumberland Pharmaceuticals, Inc. | 6 | $382 |
| Novo Nordisk | 4 | $370 |
| Vifor Pharma, Inc. | 2 | $232 |
| Amarin Pharma, Inc. | 2 | $231 |
| Biogen | 2 | $230 |
| Otsuka America Pharmaceutical, Inc. | 2 | $226 |
| Viiv Healthcare Company | 2 | $224 |
| Lilly USA, LLC | 4 | $216 |
| Harmony Biosciences LLC | 2 | $199 |
| Johnson & Johnson | 1 | $150 |
| Genentech USA, Inc. | 1 | $144 |
| Intuitive Surgical | 1 | $140 |
| Aytu Biopharma, Inc. | 1 | $136 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $130 |
| Esperion Therapeutics, Inc. | 1 | $130 |
| United Therapeutics Corporation | 1 | $125 |
| Biohaven Pharmaceuticals, Inc. | 1 | $125 |
| Idorsia Pharmaceuticals US Inc | 1 | $125 |
| Mylan Specialty L.p. | 1 | $125 |
| Janssen Products, LP | 1 | $124 |
| Fresenius Kabi USA, LLC | 1 | $123 |
| Grifols USA, LLC | 1 | $122 |
| Xeris Pharmaceuticals, Inc. | 1 | $122 |
| Abbott | 1 | $121 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $120 |
| Daiichi Sankyo Inc. | 1 | $110 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $103 |
| Fujifilm Wako Diagnostics U.S.A. Corporation | 1 | $101 |
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
$10,375 in reported general payments places this provider in the 95th percentile of 902 family medicine 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.
Other family medicine in Las Vegas
- Naz WahabLas Vegas$563K
- Jerry CadeLas Vegas$180K
- Nilesh GokalLas Vegas$75K
- Warren MagnusLas Vegas$70K
- Kimberly AdamsLas Vegas$51K
- Mandeep GillLas Vegas$24K
- Francis JimenezLas Vegas$20K
- Ryan HuangLas Vegas$18K
- Ma Francesca ChamianLas Vegas$17K
- Leo CapobiancoLas Vegas$17K
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.