Raphaele Alaura, APRN
Nurse Practitioner · Las Vegas, NVNPI 1821693037
Payments from drug & device makers
Across 173 payments — averaging $31.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$2K
- Amgen$677
- Daiichi Sankyo Inc.$410
- Lilly USA, LLC$329
- Bristol Myers Squibb$195
- Seagen Inc.$141
- plus $2K from 32 others
What the payments were for
- Speaking & faculty fees$56010%
- Food & beverage$3,01156%
- Education$55810%
- Other$1,28024%
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 | 44 | $1,961 |
| Amgen(2 entities) | 8 | $677 |
| Daiichi Sankyo Inc. | 33 | $410 |
| Lilly USA, LLC | 1 | $329 |
| Bristol Myers Squibb | 10 | $195 |
| Seagen Inc. | 4 | $141 |
| AbbVie | 6 | $139 |
| Merck | 5 | $119 |
| AstraZeneca(2 entities) | 5 | $115 |
| Pfizer | 6 | $106 |
| Ipsen Biopharmaceuticals, Inc | 3 | $92 |
| Incyte Corporation | 4 | $92 |
| AVEO Pharmaceuticals, Inc. | 1 | $80 |
| Gilead | 1 | $75 |
| Exelixis Inc. | 2 | $72 |
| Astellas Pharma US Inc | 4 | $71 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $70 |
| GSK | 4 | $68 |
| Array Biopharma Inc | 3 | $60 |
| Sumitomo Pharma America, Inc. | 2 | $50 |
| Eisai Inc. | 2 | $44 |
| Sobi, Inc | 2 | $40 |
| Genentech USA, Inc. | 2 | $39 |
| Sun Pharmaceutical Industries Inc. | 1 | $37 |
| Regeneron Healthcare Solutions, Inc. | 2 | $37 |
| Stemline Therapeutics Inc. | 2 | $36 |
| Karyopharm Therapeutics Inc. | 1 | $33 |
| Boston Scientific | 2 | $31 |
| Mirati Therapeutics, Inc. | 1 | $25 |
| Sanofi | 1 | $24 |
| Irhythm Technologies, Inc. | 1 | $20 |
| Servier Pharmaceuticals LLC | 1 | $20 |
| EMD Serono, Inc. | 1 | $18 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Dendreon Pharmaceuticals LLC | 1 | $17 |
| Octapharma USA, Inc. | 1 | $15 |
| Accord Healthcare, Inc. | 1 | $15 |
| Johnson & Johnson | 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.
- TEPEZZA$560
How this compares
$5,409 in reported general payments places this provider in the 90th percentile of 933 nurse practitioner 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 |
|---|---|---|
| EliquisApixaban | 26 | $31,682 |
| Exemestane | 13 | $689 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $332 |
| Potassium Chloride | 11 | $296 |
| Anastrozole | 11 | $207 |
| Gabapentin | 17 | $203 |
| Levothyroxine Sodium | 22 | $167 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 11 | $166 |
| Amlodipine Besylate | 33 | $132 |
| Atorvastatin Calcium | 31 | $125 |
| Losartan Potassium | 19 | $115 |
| Methylprednisolone | 22 | $110 |
| Omeprazole | 13 | $100 |
| Metoprolol Tartrate | 18 | $77 |
| Prednisone | 14 | $68 |
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 |
|---|---|---|
| PfizerEliquis | $106 | $31,68226 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 90th percentile of 933 nurse practitioner providers in Nevada.
Other nurse practitioner in Las Vegas
- Vanessa AntolinLas Vegas$225K
- Shannon SouthwickLas Vegas$85K
- Melanie SpeedLas Vegas$80K
- Shelley MilesLas Vegas$34K
- Nasslynne LenzLas Vegas$32K
- Bonnie KwanLas Vegas$30K
- Amanda RalphLas Vegas$26K
- Teodoro AgtayLas Vegas$25K
- Katherine WhitmireLas Vegas$18K
- Jennifer WalshLas Vegas$18K
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.