Rosaly Diaz Torruellas, MD
Internal Medicine · Las Vegas, NVNPI 1114340858
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 50 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by AstraZeneca at 33.4% of the total.
Across 50 payments — averaging $32.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$541
- Pfizer$167
- Daiichi Sankyo Inc.$165
- Amgen$138
- Amarin Pharma, Inc.$116
- Novo Nordisk$106
- plus $385 from 10 others
Across 6 payments — averaging $31,301 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- E.r. Squibb & Sons, L.L.C.$188K
What the payments were for
- Food & beverage$1,619100%
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 | 7 | $541 |
| Pfizer | 8 | $167 |
| Daiichi Sankyo Inc. | 3 | $165 |
| Amgen | 7 | $138 |
| Amarin Pharma, Inc. | 1 | $116 |
| Novo Nordisk | 5 | $106 |
| Boston Scientific | 2 | $91 |
| Lucid Diagnostics Inc. | 4 | $57 |
| Organon | 2 | $50 |
| Lilly USA, LLC | 2 | $38 |
| Phathom Pharmaceuticals, Inc. | 2 | $37 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $31 |
| Exact Sciences | 2 | $30 |
| AbbVie | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Dexcom, 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.
- FARXIGA$236
- INJECTAFER$125
- AIRSUPRA$122
- Vascepa$116
- BREZTRI$113
How this compares
$1,619 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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 43 | $65,107 |
| JardianceEmpagliflozin | 29 | $45,372 |
| OzempicSemaglutide | 19 | $37,459 |
| TrulicityDulaglutide | 26 | $37,071 |
| EliquisApixaban | 24 | $30,745 |
| MounjaroTirzepatide | 14 | $28,454 |
| LyricaPregabalin | 12 | $9,842 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 17 | $3,308 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $2,782 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 60 | $2,560 |
| Celecoxib | 58 | $2,234 |
| BreynaBudesonide/Formoterol Fumarate | 12 | $1,880 |
| Novolin N FlexpenInsulin Nph Human Isophane | 20 | $1,785 |
| Atorvastatin Calcium | 173 | $1,174 |
| Gabapentin | 72 | $1,028 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $38 | $65,52540 claims |
| AstraZenecaFarxiga | $541 | $65,10743 claims |
| PfizerEliquis, Lyrica | $167 | $40,58636 claims |
| Novo NordiskOzempic | $106 | $37,45919 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 80th percentile of 1,071 internal medicine providers in Nevada.
Other internal medicine in Las Vegas
- Kevin DunsmoorLas Vegas$241K
- Robert ChiascioneLas Vegas$174K
- Dino GonzalezLas Vegas$126K
- Rosanne SugayLas Vegas$63K
- Chad HallLas Vegas$42K
- Zubin DamaniaLas Vegas$40K
- Audrey Sue CruzLas Vegas$34K
- Bashab BanerjiLas Vegas$26K
- Amaan ShafiLas Vegas$25K
- Sassan KavehLas Vegas$23K
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.