RxDoctor Payments Data

Babak Arvanaghi, MD

Pain Medicine · Bethesda, MDNPI 1417963307

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 78 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 21.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $721 and has fallen 97.7% since, to $16 in 2025.

$2,192in general payments, 2019–2025

Across 78 payments — averaging $28.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Si-bone, Inc.$467
  • Medtronic$315
  • Collegium Pharmaceutical, Inc.$267
  • Abbott$246
  • Scilex Pharmaceuticals Inc.$224
  • Boston Scientific$166
  • plus $508 from 14 others

What the payments were for

  • Food & beverage$2,192100%

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

$2,192 in reported general payments places this provider in the 60th percentile of 144 pain medicine providers in Maryland.

See all pain medicine providers in Maryland

Medicare billing

Part B allowed, 2024
$228,360
Medicare patients
573
Services billed
2,586

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
OxycontinOxycodone Hcl23$19,521
Lidocaine32$6,856
Gabapentin118$1,900
Pregabalin36$1,503
Oxycodone Hcl55$830
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen29$779
Morphine Sulfate ErMorphine Sulfate24$500
Morphine Sulfate18$483
Tramadol Hcl62$474
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen30$404
Tizanidine Hcl29$350
Hydromorphone Hcl16$312
Methadone Hcl12$266
Alprazolam58$66
Meloxicam21$31

Paid to pharmacies, not to this prescriber.

Other pain medicine in Bethesda

See the full list for Maryland

Where these figures come from

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