Sneha Thomas, APRN
Primary Care · Las Vegas, NVNPI 1235657149
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 89 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AstraZeneca at 37.1% of the total. Reporting peaked in 2021 at $450 and has fallen 62.9% since, to $167 in 2025.
Across 89 payments — averaging $20.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$664
- AbbVie$260
- Amgen$191
- Novo Nordisk$135
- Redhill Biopharma Inc.$134
- Phathom Pharmaceuticals, Inc.$57
- plus $346 from 12 others
What the payments were for
- Food & beverage$1,788100%
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 | 32 | $664 |
| AbbVie | 14 | $260 |
| Amgen(2 entities) | 9 | $191 |
| Novo Nordisk | 8 | $135 |
| Redhill Biopharma Inc. | 3 | $134 |
| Phathom Pharmaceuticals, Inc. | 4 | $57 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $47 |
| Pfizer | 2 | $45 |
| Biohaven Pharmaceuticals, Inc. | 3 | $44 |
| Lilly USA, LLC | 2 | $43 |
| Dexcom, Inc. | 2 | $32 |
| Edwards Lifesciences | 1 | $30 |
| Bayer | 1 | $22 |
| Exact Sciences | 1 | $19 |
| Optinose US, Inc. | 1 | $18 |
| Lucid Diagnostics Inc. | 1 | $17 |
| Amarin Pharma, Inc. | 1 | $15 |
| GSK | 1 | $14 |
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
$1,788 in reported general payments places this provider in the 85th percentile of 81 primary 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 |
|---|---|---|
| EliquisApixaban | 31 | $33,907 |
| JanuviaSitagliptin Phosphate | 21 | $28,156 |
| OzempicSemaglutide | 24 | $26,752 |
| MounjaroTirzepatide | 22 | $25,711 |
| FarxigaDapagliflozin Propanediol | 29 | $25,410 |
| JardianceEmpagliflozin | 11 | $15,672 |
| TrulicityDulaglutide | 14 | $13,492 |
| Breo ElliptaFluticasone/Vilanterol | 21 | $12,765 |
| VascepaIcosapent Ethyl | 13 | $11,309 |
| JanumetSitagliptin Phos/Metformin Hcl | 12 | $9,668 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $9,120 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $8,218 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 19 | $7,673 |
| MyrbetriqMirabegron | 14 | $6,315 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 88 | $5,559 |
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, LLCMounjaro, Trulicity | $43 | $39,20236 claims |
| PfizerEliquis | $45 | $33,90731 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $664 | $33,62843 claims |
| Novo NordiskOzempic | $135 | $26,75224 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $14 | $21,88536 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 85th percentile of 81 primary care providers in Nevada.
Other primary care in Las Vegas
- Jennifer CribbLas Vegas$7K
- Ruel MarianoLas Vegas$4K
- George Gabriel ToldnessLas Vegas$4K
- Jona SteadLas Vegas$3K
- Mario LuglioLas Vegas$3K
- Jocybel ItorralbaLas Vegas$3K
- Jerifaye FloresLas Vegas$2K
- Yoslady MoralesLas Vegas$2K
- Christine EspenillaLas Vegas$2K
- Tina SajadiLas Vegas$2K
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.