Has Andrew Cain, MD received payments from drug or device companies?

Yes. Drug and device makers reported $5,381 in general payments to Andrew Cain, MD across 106 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Andrew Cain, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Andrew Cain, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Andrew Cain, MD

Pain Medicine · Little Rock, ARNPI 1942645205

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $3,625 of the $5,381 with a category attached, or 67.4%. 15 manufacturers reported payments, led by Boston Scientific at 37.2% of the total. 2025 is the largest year on record at $2,317, more than ten times the $209 reported in 2019.

$5,381in general payments, 2019–2025

Across 106 payments — averaging $50.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Boston Scientific$2K
Abbott$1K
Relievant Medsystems, Inc.$946
Nevro Corp.$470
SPR Therapeutics, Inc$326
Radius Health, Inc.$38
plus $191 from 9 others

What the payments were for

Travel & lodging$1,75733%
Food & beverage$3,62567%

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
Boston Scientific	55	$2,003
Abbott	12	$1,408
Relievant Medsystems, Inc.	9	$946
Nevro Corp.	7	$470
SPR Therapeutics, Inc	11	$326
Radius Health, Inc.	2	$38
Biodelivery Sciences International, Inc.	2	$30
Globus Medical	1	$27
Vertos Medical, Inc.	1	$24
Averitas Pharma Inc.	1	$23
Si-bone, Inc.	1	$21
Medtronic	1	$20
Daiichi Sankyo Inc.	1	$18
Stratus Medical, LLC	1	$16
Providence Medical Technology, Inc.	1	$11

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

$5,381 in reported general payments places this provider in the 65th percentile of 53 pain medicine providers in Arkansas.

See all pain medicine providers in Arkansas →

Medicare billing

Part B allowed, 2024

$171,578

Medicare patients

310

Services billed

13,399

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

Drug	Claims	Cost to plans & patients
Gabapentin	448	$8,456
Pregabalin	163	$6,652
Buprenorphine	17	$4,291
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	168	$3,729
Methocarbamol	119	$2,284
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	67	$1,748
Baclofen	31	$1,101
Tizanidine Hcl	64	$906
Naloxone Hcl	12	$789
Diclofenac Sodium	85	$737
Oxycodone Hcl	53	$655
Methadone Hcl	32	$651
Amitriptyline Hcl	29	$611
Cyclobenzaprine Hcl	61	$396
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine	13	$337

Paid to pharmacies, not to this prescriber.

Other pain medicine in Little Rock

Stephen PaulusLittle Rock$75K
Julio OlayaLittle Rock$22K
Christopher MocekLittle Rock$10K
Ann IkonneLittle Rock$8K
Saint AdeogbaLittle Rock$6K
Krishnappa PrasadLittle Rock$5K
Thomas HartLittle Rock$4K
James CaldwellLittle Rock$4K
Terry FletcherLittle Rock$3K
Drew BeasleyLittle Rock$3K

See the full list for Arkansas →

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.

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