Alen Michael, MD
Anesthesiology · Dallas, TXNPI 1154827293
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,503 of the $4,087 with a category attached, or 61.3%. 11 manufacturers reported payments, led by Nevro Corp. at 46.8% of the total. Reporting peaked in 2022 at $2,197 and has fallen 84.0% since, to $351 in 2024. Among anesthesiology clinicians in TX 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 34 payments — averaging $120.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- Medtronic$630
- Nalu Medical, Inc.$440
- Si-bone, Inc.$237
- Boston Scientific$232
- Abbott$216
- plus $417 from 5 others
What the payments were for
- Consulting fees$1002%
- Speaking & faculty fees$1,18629%
- Travel & lodging$2977%
- Food & beverage$2,50361%
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 |
|---|---|---|
| Nevro Corp. | 8 | $1,914 |
| Medtronic | 10 | $630 |
| Nalu Medical, Inc. | 3 | $440 |
| Si-bone, Inc. | 4 | $237 |
| Boston Scientific | 2 | $232 |
| Abbott | 2 | $216 |
| Saluda Medical Americas, Inc. | 1 | $167 |
| SPR Therapeutics, Inc | 1 | $114 |
| Comsort, Inc | 1 | $100 |
| Acacia Pharma Inc | 1 | $22 |
| Avanos Medical | 1 | $13 |
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.
- Omnia$1,703
- Nalu Neurostimulation System$416
- PROCLAIM$172
- INTELLIS ADAPTIVESTIM$170
- Evoke SCS$167
- INTELLIS$151
- WaveWriter Alpha Prime 16$143
- Senza$128
- SPRINT PNS System$114
- BRIDION$100
How this compares
$4,087 in reported general payments places this provider in the 95th percentile of 3,899 anesthesiology providers in Texas.
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 anesthesiology in Dallas
- James MuellerDallas$636K
- Girish JoshiDallas$239K
- Christina RiccioDallas$131K
- Richard DuttonDallas$105K
- Shawn ThomasDallas$77K
- Kelly LeblancDallas$70K
- Michael WalshDallas$66K
- Holly BarkoDallas$66K
- Melissa BurgerDallas$30K
- Amy MarinoDallas$23K
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.