Rachelle Lim
Acute Care · North Las Vegas, NVNPI 1891285078
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 25 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 12 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $435 and has fallen 65.0% since, to $152 in 2025.
Across 25 payments — averaging $44.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$177
- SK Life Science, Inc.$152
- Novo Nordisk$118
- AbbVie$117
- Smith+Nephew$114
- Acera Surgical, Inc.$99
- plus $339 from 6 others
What the payments were for
- Food & beverage$1,116100%
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 2 | $177 |
| SK Life Science, Inc. | 4 | $152 |
| Novo Nordisk | 1 | $118 |
| AbbVie | 1 | $117 |
| Smith+Nephew | 1 | $114 |
| Acera Surgical, Inc. | 1 | $99 |
| Otsuka America Pharmaceutical, Inc. | 6 | $92 |
| Tactile Systems Technology Inc | 1 | $85 |
| Johnson & Johnson | 3 | $75 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $49 |
| Alkermes, Inc. | 1 | $23 |
| Pfizer | 1 | $15 |
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
$1,116 in reported general payments places this provider in the 75th percentile of 129 acute care 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 |
|---|---|---|
| Triamcinolone Acetonide | 24 | $582 |
| Silver Sulfadiazine | 14 | $251 |
| Levothyroxine Sodium | 23 | $225 |
| Oxycodone Hcl | 13 | $189 |
| Atorvastatin Calcium | 21 | $152 |
Paid to pharmacies, not to this prescriber.
Other acute care in North Las Vegas
- Eileen JustoLas Vegas$20K
- Mae NekobaHenderson$8K
- Marjeana LampsonCarson City$7K
- Krystal CoffmanLas Vegas$6K
- Frank TalonReno$6K
- Sarah DeboorReno$5K
- Paula SyHenderson$5K
- Victoria LanskiReno$5K
- Michael ThompsonReno$4K
- Ticey HarrisLas Vegas$4K
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.