Victoria Hughes, APRN
Family · Las Vegas, NVNPI 1275185886
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 743 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 20.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $5,791 and has fallen 60.2% since, to $2,304 in 2025. Among family 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 743 payments — averaging $25.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$4K
- AbbVie$3K
- Johnson & Johnson$2K
- GSK$1K
- UCB, Inc.$998
- Mallinckrodt Hospital Products Inc.$871
- plus $7K from 33 others
What the payments were for
- Food & beverage$18,74099%
- Education$1301%
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 |
|---|---|---|
| Amgen(2 entities) | 164 | $3,817 |
| AbbVie | 110 | $2,921 |
| Johnson & Johnson | 76 | $1,812 |
| GSK | 47 | $1,324 |
| UCB, Inc. | 56 | $998 |
| Mallinckrodt Hospital Products Inc. | 27 | $871 |
| Novartis | 42 | $861 |
| Pfizer | 67 | $737 |
| AstraZeneca(2 entities) | 16 | $632 |
| Lilly USA, LLC | 22 | $579 |
| Janssen Scientific Affairs, LLC | 5 | $553 |
| ANI Pharmaceuticals, Inc. | 23 | $521 |
| Sanofi | 8 | $462 |
| E.r. Squibb & Sons, L.L.C. | 20 | $427 |
| Boehringer Ingelheim | 8 | $335 |
| Aurinia Pharma U.S., Inc. | 6 | $214 |
| Radius Health, Inc. | 8 | $170 |
| Idorsia Pharmaceuticals US Inc | 3 | $133 |
| Grifols USA, LLC | 1 | $127 |
| Neurocrine Biosciences, Inc. | 1 | $124 |
| Paratek Pharmaceuticals, Inc. | 1 | $116 |
| Gilead | 1 | $115 |
| Actelion Pharmaceuticals US, Inc. | 2 | $102 |
| Genentech USA, Inc. | 1 | $102 |
| Biogen | 2 | $97 |
| Bayer | 1 | $89 |
| GRT US Holding, Inc. | 1 | $89 |
| Viiv Healthcare Company | 3 | $83 |
| Organon | 5 | $82 |
| Atricure, Inc. | 1 | $79 |
| Sobi, Inc | 4 | $64 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $46 |
| Sandoz | 2 | $42 |
| Fresenius Kabi USA, LLC | 2 | $41 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $31 |
| AMAG Pharmaceuticals, Inc. | 1 | $20 |
| Ultragenyx Pharmaceutical Inc. | 1 | $20 |
| Shionogi Inc | 1 | $17 |
| Daiichi Sankyo Inc. | 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.
How this compares
$18,869 in reported general payments places this provider in the 95th percentile of 1,501 family 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 16 | $105,710 |
| Enbrel SureclickEtanercept | 11 | $95,068 |
| Hydroxychloroquine Sulfate | 223 | $7,157 |
| MethotrexateMethotrexate Sodium | 193 | $3,152 |
| Duloxetine Hcl | 58 | $1,790 |
| Diclofenac Sodium | 24 | $1,732 |
| Leflunomide | 28 | $1,355 |
| Gabapentin | 87 | $1,251 |
| Prednisone | 139 | $749 |
| Pilocarpine Hcl | 12 | $742 |
| Leucovorin Calcium | 16 | $667 |
| Celecoxib | 45 | $650 |
| Sulfasalazine | 31 | $625 |
| Baclofen | 42 | $591 |
| Tizanidine Hcl | 31 | $546 |
Paid to pharmacies, not to this prescriber.
Other family in Las Vegas
- Hollie TylerLas Vegas$118K
- John PhoenixLas Vegas$107K
- Jon FaillaLas Vegas$74K
- Alex LapasaranLas Vegas$50K
- Erin WilkinsonLas Vegas$43K
- Anna Melisa Lopez-SanglayLas Vegas$42K
- Kelly PapeshLas Vegas$28K
- Bernard BlanksLas Vegas$26K
- Hillary DursteinLas Vegas$21K
- Anuradha ThirumalaiLas Vegas$18K
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.