Trey Pham, MD
Diagnostic Radiology · Las Vegas, NVNPI 1659559334
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 157 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Penumbra, Inc. at 47.2% of the total. Reporting peaked in 2022 at $2,424 and has fallen 53.5% since, to $1,126 in 2025. Among diagnostic radiology clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 157 payments — averaging $67.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Medtronic$1K
- Inari Medical, Inc.$1K
- W. L. Gore & Associates, Inc.$887
- Sirtex Medical Inc$586
- Stryker$517
- plus $1K from 11 others
What the payments were for
- Food & beverage$10,571100%
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 |
|---|---|---|
| Penumbra, Inc. | 62 | $4,991 |
| Medtronic(3 entities) | 19 | $1,124 |
| Inari Medical, Inc. | 13 | $1,077 |
| W. L. Gore & Associates, Inc. | 16 | $887 |
| Sirtex Medical Inc | 6 | $586 |
| Stryker | 5 | $517 |
| Cook Medical LLC | 17 | $311 |
| BD | 2 | $202 |
| Viz.ai, Inc. | 1 | $147 |
| Biocompatibles, Inc. | 1 | $145 |
| Microvention, Inc. | 4 | $129 |
| Cardiovascular Systems Inc. | 4 | $127 |
| Scientia Vascular | 1 | $125 |
| Johnson & Johnson | 1 | $112 |
| Bard Peripheral Vascular, Inc. | 3 | $49 |
| BTG International Inc. | 1 | $24 |
| Astellas Pharma US Inc | 1 | $19 |
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.
- Indigo System$1,413
- SIR-Spheres Microspheres$550
- Penumbra System$515
- FLOWTRIEVER CATHETER, S$488
- CT THROMBECTOMY SYSTEM KIT$488
- RED 72$415
- VIABAHN VBX Balloon Expandable Endoprosthesis$339
- HawkOne$328
- Penumbra Ruby Coil$315
- Smart$278
- FlowTriever$274
- Benchmark$223
- KYPHON EXPRESS II KYPHOPAK TRAY$175
- Abre$172
- Viz.AI LVO$147
- RUBY Coil$146
- VISUAL-ICE$145
- RotarexS 6 F x 135 cm$143
- TREVO$132
- VIABAHN Endoprosthesis$131
How this compares
$10,571 in reported general payments places this provider in the 95th percentile of 246 diagnostic radiology 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.
Other diagnostic radiology in Las Vegas
- Mark WinklerLas Vegas$306K
- Rajneesh AgrawalLas Vegas$145K
- John OhLas Vegas$37K
- Oleksandra KutsenkoLas Vegas$26K
- Richard PenfilLas Vegas$26K
- Julian HardmanLas Vegas$24K
- Masters RichardsLas Vegas$23K
- Rajiv ShahLas Vegas$18K
- Ravishankar KonchadaLas Vegas$11K
- Saravanan ValliappanLas Vegas$10K
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.