Ryan Estelle
Physician Assistant · Las Vegas, NVNPI 1013555796
Payments from drug & device makers
Across 27 payments — averaging $45.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$903
- Biotronik NRO, Inc.$149
- AbbVie$99
- Collegium Pharmaceutical, Inc.$23
- Nalu Medical, Inc.$17
- Amgen$16
- plus $31 from 2 others
What the payments were for
- Travel & lodging$57747%
- Food & beverage$61650%
- Education$454%
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 |
|---|---|---|
| Medtronic | 18 | $903 |
| Biotronik NRO, Inc. | 3 | $149 |
| AbbVie | 1 | $99 |
| Collegium Pharmaceutical, Inc. | 1 | $23 |
| Nalu Medical, Inc. | 1 | $17 |
| Amgen | 1 | $16 |
| Redhill Biopharma Inc. | 1 | $16 |
| Abbott | 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.
- INTELLIS ADAPTIVESTIM$440
- Prospera$125
How this compares
$1,237 in reported general payments places this provider in the 65th percentile of 881 physician assistant 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 234 | $7,383 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 190 | $6,022 |
| Buprenorphine | 11 | $2,517 |
| Oxycodone Hcl | 151 | $2,320 |
| Lidocaine | 28 | $1,691 |
| Morphine Sulfate ErMorphine Sulfate | 63 | $1,662 |
| Gabapentin | 151 | $1,460 |
| Pregabalin | 67 | $1,428 |
| Morphine Sulfate | 27 | $800 |
| Diclofenac Sodium | 24 | $632 |
| Celecoxib | 19 | $424 |
| Duloxetine Hcl | 27 | $416 |
| Tizanidine Hcl | 62 | $397 |
| Methocarbamol | 23 | $365 |
| Baclofen | 41 | $302 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Las Vegas
- Steven HawkesLas Vegas$70K
- Nathan MorganLas Vegas$44K
- Stephanie DastrupLas Vegas$23K
- Sandra OviedoLas Vegas$21K
- Patrick JamesonLas Vegas$20K
- Jordan ChristensenLas Vegas$19K
- Jacquelyn DaneshforouzLas Vegas$18K
- Violet AmirjalaliLas Vegas$15K
- Joseph GuruleLas Vegas$15K
- Rebecca Markin-NewsomeLas Vegas$14K
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.