RxDoctor Payments Data

Arturo Palencia, MD

Pain Medicine · Bakersfield, CANPI 1104890151

Payments from drug & device makers

$14,258in general payments, 2019–2025

Across 403 payments — averaging $35.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$4K
  • Nevro Corp.$3K
  • Vertiflex, Inc.$2K
  • Spinal Simplicity, LLC$1K
  • Collegium Pharmaceutical, Inc.$1K
  • Painteq LLC$627
  • plus $3K from 24 others

What the payments were for

  • Travel & lodging$2,73819%
  • Food & beverage$11,52081%

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

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

$14,258 in reported general payments places this provider in the 85th percentile of 840 pain medicine providers in California.

See all pain medicine providers in California

Medicare billing

Part B allowed, 2024
$226,772
Medicare patients
601
Services billed
3,252

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/Acetaminophen1,982$48,419
RelistorMethylnaltrexone Bromide18$43,338
Buprenorphine141$30,334
OxycontinOxycodone Hcl59$25,981
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen721$24,428
Nucynta ErTapentadol Hcl17$16,656
Fentanyl122$14,027
Xtampza ErOxycodone Myristate18$13,209
Morphine Sulfate ErMorphine Sulfate485$11,879
MovantikNaloxegol Oxalate22$11,592
Oxycodone Hcl330$7,474
Pregabalin200$5,145
Tramadol Hcl ErTramadol Hcl35$3,370
Gabapentin328$3,173
Cyclobenzaprine Hcl417$2,548

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor$131$43,33818 claims
Collegium Pharmaceutical, Inc.Nucynta Er, Xtampza Er$1,201$29,86635 claims
Redhill Biopharma Inc.Movantik$18$11,59222 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 840 pain medicine providers in California.

Other pain medicine in Bakersfield

See the full list for California

Where these figures come from

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