RxDoctor Payments Data

Amit Darnule, MD

Pain Medicine · Southlake, TXNPI 1760656011

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $25,643 of the $36,399 with a category attached, or 70.4%. Boston Scientific accounts for 88.4% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2020 at $18,990 and has fallen 94.8% since, to $979 in 2025. Among pain medicine clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$36,399in general payments, 2019–2025

Across 122 payments — averaging $298.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$32K
  • Medtronic$3K
  • MML US, Inc.$418
  • Nalu Medical, Inc.$263
  • Nevro Corp.$242
  • Saluda Medical Americas, Inc.$197
  • plus $519 from 7 others

What the payments were for

  • Consulting fees$1,7855%
  • Speaking & faculty fees$25,64370%
  • Travel & lodging$4,51112%
  • Food & beverage$4,46012%

General payments by program year

19
20
21
22
23
24
25

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.

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

$36,399 in reported general payments places this provider in the 90th percentile of 583 pain medicine providers in Texas.

See all pain medicine providers in Texas

Medicare billing

Part B allowed, 2024
$183,285
Medicare patients
462
Services billed
2,010

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen224$6,360
Gabapentin123$1,048
Pregabalin55$864
Duloxetine Hcl58$783
Fentanyl11$727
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen19$604
Acetaminophen-CodeineAcetaminophen With Codeine31$391
Tizanidine Hcl40$373
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen35$251
Methocarbamol27$201
Tramadol Hcl33$190
Methylprednisolone26$160
Cephalexin18$102
Meloxicam24$47

Paid to pharmacies, not to this prescriber.

Other pain medicine in Southlake

See the full list for Texas

Where these figures come from

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