Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Zev Lagstein

Cardiovascular Disease Las Vegas, NV Medical Doctor

NPI 1104873876 CMS profile 140549

3017 W Charleston Blvd Ste 80, Las Vegas, NV 89102

Open in the dashboard

General payments

$6,933

136 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Zev Lagstein of Las Vegas, NV is reported in the CMS Open Payments database as having received $6,933 across 136 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 75th percentile of Cardiovascular Disease profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $497 8
2024 General $911 14
2023 General $1,561 27
2022 General $1,203 24
2021 General $876 22
2020 General $368 11
2019 General $1,518 30

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Zev Lagstein
  • Cardiovascular Disease median
  • Middle half of Cardiovascular Disease
  • National median

In program year 2025, general payments to Zev Lagstein were reported at $497. Among 16,617 Cardiovascular Disease profiles paid that year, the median was $432 and the middle half received between $132 and $1,252.

Show as a table
Year Zev Lagstein Cardiovascular Disease median Middle half National median
2019 $1,518 $450 $127–$1,392 $163
2020 $368 $242 $77–$751 $114
2021 $876 $335 $101–$1,037 $132
2022 $1,203 $395 $121–$1,211 $149
2023 $1,561 $443 $136–$1,283 $160
2024 $911 $450 $136–$1,323 $164
2025 $497 $432 $132–$1,252 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $1,548 34 payments
  2. Abbott Laboratories $834 6 payments
  3. Boehringer Ingelheim Pharmaceuticals, Inc. $708 11 payments
  4. E.R. Squibb & Sons, L.L.C. $643 9 payments
  5. Janssen Pharmaceuticals, Inc $582 10 payments
  6. Pfizer Inc. $575 17 payments
  7. Actelion Pharmaceuticals US, Inc. $516 6 payments
  8. Bayer HealthCare Pharmaceuticals Inc. $332 8 payments
  9. Novo Nordisk Inc $292 14 payments
  10. Amarin Pharma Inc. $279 5 payments
  11. Other $623 16 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,866 130 payments
  2. Education $67 6 payments
Products named General payments · program years 2019–2025
  1. FARXIGA $1,180 25 payments
  2. XARELTO $582 10 payments
  3. TACTICATH ABLATION CATHETER, SENSOR ENABLED $431 3 payments
  4. UPTRAVI $405 5 payments
  5. ELIQUIS Cardiovascular $402 7 payments
  6. JARDIANCE Diabetes $377 4 payments
  7. OPSUMIT $372 4 payments
  8. ELIQUIS Cardiovascular;Metabolic Disease $347 14 payments
  9. Kerendia $332 8 payments
  10. JARDIANCE Diabetes $331 7 payments
  11. Other $2,560 68 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 48 drugs

Part D claims

2,173

Median for Cardiology: 2,533

Drug cost

$254,141

Median for Cardiology: $485,213

Branded share of claims

18.6%

Median for Cardiology: 25.7%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Eliquis Apixaban Brand 65 $64,278
Farxiga Dapagliflozin Propanediol Brand 59 $52,435
Xarelto Rivaroxaban Brand 42 $48,705
Ozempic Semaglutide Brand 32 $39,750
Jardiance Empagliflozin Brand 15 $21,667
Propafenone Hcl Er Propafenone Hcl Brand 11 $2,387
Hydralazine Hcl Generic 148 $2,203
Levothyroxine Sodium Generic 81 $2,175
Nebivolol Hcl Generic 21 $1,817
Losartan Potassium Generic 155 $1,708

The 10 drugs with the highest cost, of 48 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,782 Part D prescribers listed as Cardiology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 34 billing codes

Paid by Medicare

$193,380

Of which drugs: $344

Medicare patients

306

Average age 74

Services billed

2,704

146 women, 160 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Diabetes 49%
Arthritis 45%
Ischemic heart disease 44%
Heart failure 37%
Chronic kidney disease 31%
Atrial fibrillation 24%
COPD 23%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, regadenoson, 0.1 mg J2785 Office 15 60 $332
Infusion, normal saline solution, 250 cc J7050 Office 23 23 $12

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 6 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
JARDIANCE
  • Boehringer Ingelheim Pharmaceuticals, Inc. $170
$170 15 —
XARELTO
  • Janssen Pharmaceuticals, Inc $150
$150 42 —
ELIQUIS
  • PFIZER INC. $37
  • E.R. Squibb & Sons, L.L.C. $25
$62 65 —
NURTEC ODT
  • PFIZER INC. $12
$12 — —
RYBELSUS
  • Novo Nordisk Inc $10
$10 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 6 in the dashboard with a free account

Records

136 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Cardiovascular Disease in Nevada

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record