Payment overview · 2025
General Payments
$5,889.10
56 reported records · 13 companies
Healthcare provider profile · identity verified
Alex Param Lall, M.D.
Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery · LAS VEGAS, NV · NPI 1679929921
Verified facts
What the public records show
CMS Open Payments records show Alex Param Lall, M.D. received $5,889.10 in general payments during 2025 across 56 reported records.
W. L. Gore & Associates, Inc. accounted for 27.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| W. L. Gore & Associates, Inc. | Unresolved — no canonical attribution shown | $1,633.63 | 27.7% | 13 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$1,218.99 | 20.7% | 17 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $663.62 | 11.3% | 4 | 2025 |
| Reflow Medical Inc | Unresolved — no canonical attribution shown | $599.11 | 10.2% | 4 | 2025 |
| Balt USA, LLC | Unresolved — no canonical attribution shown | $559.44 | 9.5% | 7 | 2025 |
| Sirtex Medical Inc | Unresolved — no canonical attribution shown | $296.01 | 5.0% | 2 | 2025 |
| Endologix LLC | Unresolved — no canonical attribution shown | $276.65 | 4.7% | 2 | 2025 |
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $263.17 | 4.5% | 2 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $146.26 | 2.5% | 1 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $99.03 | 1.7% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $94.65 | 1.6% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $22.06 | 0.4% | 1 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $16.48 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $4,722.21 | 50 |
| Travel and Lodging | $1,166.89 | 6 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis Normalized: gore excluder thoracoabdominal branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $1,445.34 | 11 | 2025 |
Source payment records
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $663.62 | 4 | 2025 |
Source payment records
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| ENDURANT IIS Normalized: endurant iis |
Device | Medtronic, Inc. | $618.82 | 6 | 2025 |
Source payment records
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| Prestige Coil System Normalized: prestige coil system |
Device | Balt USA, LLC | $559.44 | 7 | 2025 |
Source payment records
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| HAWKONE Normalized: hawkone |
Device | Medtronic, Inc. | $404.30 | 7 | 2025 |
Source payment records
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| SIR-Spheres Microspheres Normalized: sir spheres microspheres |
Device | Sirtex Medical Inc | $296.01 | 2 | 2025 |
Source payment records
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| IN.PACT ADMIRAL Normalized: in pact admiral |
Device | Medtronic, Inc. | $164.07 | 2 | 2025 |
Source payment records
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| ALIF Normalized: alif |
Device | Globus Medical, Inc. | $146.26 | 1 | 2025 |
Source payment records
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| AFX2 Bifurcated Endograft System Normalized: afx2 bifurcated endograft system |
Device | Endologix LLC | $143.43 | 1 | 2025 |
Source payment records
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| RUBY Coil Normalized: ruby coil |
Device | Penumbra, Inc. | $139.36 | 1 | 2025 |
Source payment records
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| Alto Abdominal Stent Graft System Normalized: alto abdominal stent graft system |
Device | Endologix LLC | $133.22 | 1 | 2025 |
Source payment records
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| Indigo System Normalized: indigo system |
Device | Penumbra, Inc. | $123.81 | 1 | 2025 |
Source payment records
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| EXCLUDER Conformable AAA Endoprosthesis with Active Control Normalized: excluder conformable aaa endoprosthesis with active control |
Device | W. L. Gore & Associates, Inc. | $116.81 | 1 | 2025 |
Source payment records
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| ESPRIT Normalized: esprit |
Device | Abbott Laboratories | $94.65 | 1 | 2025 |
Source payment records
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| GORE TAG Thoracic Branch Endoprosthesis Normalized: gore tag thoracic branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $71.48 | 1 | 2025 |
Source payment records
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| HELI-FX ENDOANCHOR SYSTEM Normalized: heli fx endoanchor system |
Device | Medtronic, Inc. | $31.80 | 2 | 2025 |
Source payment records
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| Varithena Administration Pack Normalized: varithena administration pack |
Device | Boston Scientific Corporation | $22.06 | 1 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $16.48 | 1 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $16.48 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $5,889.10 · 56 records | W. L. Gore & Associates, Inc. | AFX2 Bifurcated Endograft System, ALIF, Alto Abdominal Stent Graft System, ENDURANT IIS, ESPRIT, EXCLUDER Conformable AAA Endoprosthesis with Active Control, Flexitouch Plus, GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis, GORE TAG Thoracic Branch Endoprosthesis, HAWKONE, HELI-FX ENDOANCHOR SYSTEM, IN.PACT ADMIRAL, Indigo System, Nimbl, Prestige Coil System, RUBY Coil, SIR-Spheres Microspheres, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, Varithena Administration Pack | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error