RxDoctor Payments Data

Ashok Parmar, MD

Pain Medicine · Bakersfield, CANPI 1164419073

Payments from drug & device makers

$2,448in general payments, 2019–2025

Across 134 payments — averaging $18.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$1K
  • Scilex Pharmaceuticals Inc.$362
  • Abbott$170
  • Johnson & Johnson$167
  • Si-bone, Inc.$125
  • Painteq LLC$102
  • plus $302 from 10 others

What the payments were for

  • Food & beverage$2,42799%
  • Education$211%

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

$2,448 in reported general payments places this provider in the 50th percentile of 840 pain medicine providers in California.

See all pain medicine providers in California

Medicare billing

Part B allowed, 2024
$1,243,394
Medicare patients
1,795
Services billed
19,356

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/Acetaminophen3,679$78,903
ZtlidoLidocaine81$43,758
Lidocaine213$22,773
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen523$17,936
Buprenorphine64$12,194
Diclofenac Sodium208$9,591
Gabapentin747$6,237
MovantikNaloxegol Oxalate16$6,127
Naloxone Hcl80$5,375
Morphine Sulfate ErMorphine Sulfate332$5,129
Pregabalin313$3,623
Fentanyl43$3,346
Cyclobenzaprine Hcl453$3,008
Tizanidine Hcl605$2,378
Oxycodone Hcl163$2,298

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
Scilex Pharmaceuticals Inc.Ztlido$362$43,75881 claims
Hikma Pharmaceuticals USABuprenorphine, Morphine Sulfate$21$13,414130 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 50th 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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