Vivian Paulinne Vega Lemus, MD

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Arkansas Childrens Professional Services Organization LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 182 clinicians in the practice; 12 are shown here.

• Samah Mashhour Awad, MD Pediatric Pulmonology Physician · Little Rock, AR
• Dr. Sarah M Coffield, DO Anesthesiology Physician · Little Rock, AR
• Shelley Elaine Wetsell Crary, MD Pediatrics Physician · Little Rock, AR
• Dr. Daniel J Fiedorek, MD Pediatrics Physician · Little Rock, AR
• Dr. Krittika Joshi, MD Pediatrics Physician · Little Rock, AR
• Scott A Lile, MD Pediatric Radiology Physician · Little Rock, AR
• Matthew Christopher Pertzborn, MD Pediatric Pulmonology Physician · Little Rock, AR
• Amna Qasim Pediatrics Physician · Little Rock, AR
• Praveen Kumar Ramani, MBBS Child & Adolescent Psychiatry Physician · Little Rock, AR
• Jennifer Marie Ringgold, APRN Nurse Practitioner · Little Rock, AR
• Punit Singh, MD Anesthesiology Physician · Dallas, TX
• Kathleen E Zani Pediatrics Physician · Little Rock, AR

Other providers in Little Rock

• Dr. Allah B Haafiz, MD

  Individual Pediatric Gastroenterology Physician · NPI 1528086337

  1 Childrens Way, Little Rock, AR 72202-3500 · (501) 364-1100

• Donald Mock, MD

  Individual Pediatric Gastroenterology Physician · NPI 1720159502

  800 Marshall St # 653, Little Rock, AR 72202-3510 · (501) 364-1100

• Alejandro Ramirez, MD

  Individual Pediatric Gastroenterology Physician · NPI 1740227321

  1 Childrens Way # 512-7, Little Rock, AR 72202 · (501) 364-1004

• Dr. Juliana Frem Vaughan, MD

  Individual Pediatric Gastroenterology Physician · NPI 1689890261

  1 Childrens Way Slot 512-7, Little Rock, AR 72202-3500 · (501) 364-1004