Sarah Gutierrez, PA
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.1% of the total across 352 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AbbVie at 25.2% of the total. 2025 is the largest year on record at $2,197, 7.6 times the $289 reported in 2021.
Across 352 payments — averaging $18.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$1K
- Lilly USA, LLC$679
- Sun Pharmaceutical Industries Inc.$668
- Sanofi$419
- Novartis$324
- plus $2K from 16 others
What the payments were for
- Food & beverage$6,05695%
- Education$3155%
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 |
|---|---|---|
| AbbVie | 95 | $1,606 |
| Johnson & Johnson | 60 | $1,007 |
| Lilly USA, LLC | 54 | $679 |
| Sun Pharmaceutical Industries Inc. | 35 | $668 |
| Sanofi | 17 | $419 |
| Novartis | 13 | $324 |
| UCB, Inc. | 13 | $299 |
| Amgen | 10 | $200 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 11 | $192 |
| Regeneron Healthcare Solutions, Inc. | 7 | $176 |
| E.r. Squibb & Sons, L.L.C. | 7 | $151 |
| LEO Pharma Inc. | 6 | $125 |
| Janssen Scientific Affairs, LLC | 1 | $124 |
| Pfizer | 4 | $92 |
| Arcutis Biotherapeutics, Inc. | 4 | $90 |
| Dermavant Sciences, Inc. | 6 | $89 |
| Organon | 3 | $36 |
| Supernus Pharmaceuticals, Inc. | 2 | $31 |
| Boehringer Ingelheim | 1 | $22 |
| Galderma Laboratories, L.p. | 1 | $17 |
| Smith+Nephew | 1 | $13 |
| Boston Scientific | 1 | $12 |
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
$6,370 in reported general payments places this provider in the 85th percentile of 250 medical 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 |
|---|---|---|
| Ivermectin | 11 | $4,269 |
| Fluorouracil | 58 | $3,131 |
| Calcipotriene | 21 | $2,057 |
| Clobetasol Propionate | 66 | $1,736 |
| Ketoconazole | 100 | $1,665 |
| Metronidazole | 36 | $1,197 |
| Triamcinolone Acetonide | 101 | $1,094 |
| Fluocinolone Acetonide | 28 | $1,059 |
| Doxycycline Monohydrate | 31 | $977 |
| Tacrolimus | 12 | $535 |
| Finasteride | 29 | $395 |
| ValacyclovirValacyclovir Hcl | 15 | $356 |
| Clindamycin Phosphate | 11 | $278 |
| Mupirocin | 18 | $135 |
| Hydrocortisone | 16 | $86 |
Paid to pharmacies, not to this prescriber.
Other medical in Reno
- Ashley OwensReno$7K
- Christine BurnsReno$7K
- Brian DouglasReno$7K
- Bradley BusReno$6K
- Melissa ShelleyReno$6K
- Gretchen GoicoecheaReno$5K
- Nicholas BeaudetteReno$4K
- Shaylee NystromReno$4K
- Sheila QuinnReno$4K
- Carla ChongReno$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.