Monique Germain, DO
Internal Medicine · Reno, NVNPI 1366947418
Payments from drug & device makers
Across 64 payments — averaging $38.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$731
- Astellas Pharma US Inc$346
- Incyte Corporation$177
- Johnson & Johnson$142
- Daiichi Sankyo Inc.$126
- Sobi, Inc$125
- plus $815 from 18 others
What the payments were for
- Food & beverage$2,16488%
- Education$29912%
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) | 17 | $731 |
| Astellas Pharma US Inc | 5 | $346 |
| Incyte Corporation | 3 | $177 |
| Johnson & Johnson | 5 | $142 |
| Daiichi Sankyo Inc. | 5 | $126 |
| Sobi, Inc | 3 | $125 |
| Jazz Pharmaceuticals Inc. | 1 | $112 |
| Sanofi | 1 | $100 |
| Springworks Therapeutics, Inc. | 3 | $91 |
| Regeneron Healthcare Solutions, Inc. | 2 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $65 |
| Array Biopharma Inc | 2 | $58 |
| Puma Biotechnology, Inc. | 2 | $45 |
| AbbVie | 1 | $32 |
| Lilly USA, LLC | 2 | $31 |
| Gilead | 1 | $29 |
| Genmab U.S., Inc. | 1 | $25 |
| Adaptive Biotechnologies Corporation | 1 | $23 |
| Legend Biotech USA Inc. | 1 | $23 |
| Merck | 1 | $22 |
| Ipsen Biopharmaceuticals, Inc | 1 | $22 |
| Eisai Inc. | 1 | $22 |
| Stemline Therapeutics Inc. | 1 | $21 |
| Blueprint Medicines Corporation | 1 | $20 |
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
$2,463 in reported general payments places this provider in the 80th percentile of 1,071 internal 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Anastrozole | 40 | $822 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Reno
- Michael BlochReno$670K
- Steven ZellReno$25K
- Darin BrimhallLas Vegas$39.7M
- Alton WaltersLas Vegas$8.9M
- Michael JacobsLas Vegas$8.1M
- Nirupa PaulrajLas Vegas$5.8M
- Atoya AdamsLas Vegas$5.4M
- Roger EstevezLas Vegas$3.7M
- Syed PervaizLas Vegas$3.1M
- Marigene Salazar SharmaHenderson$2.5M
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.