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.
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
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 |
|---|---|---|
| Si-bone, Inc. | 4 | $467 |
| Medtronic | 5 | $315 |
| Collegium Pharmaceutical, Inc. | 16 | $267 |
| Abbott | 6 | $246 |
| Scilex Pharmaceuticals Inc. | 12 | $224 |
| Boston Scientific | 6 | $166 |
| Biodelivery Sciences International, Inc. | 7 | $90 |
| Nevro Corp. | 2 | $63 |
| Pfizer | 3 | $50 |
| Pacira Pharmaceuticals Incorporated | 2 | $40 |
| Pacira Therapeutics, Inc. | 2 | $39 |
| Arbor Pharmaceuticals, Inc. | 2 | $36 |
| AbbVie | 2 | $34 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $30 |
| SPR Therapeutics, Inc | 1 | $26 |
| Lilly USA, LLC | 2 | $25 |
| IBSA Pharma Inc. | 1 | $22 |
| Vertex | 1 | $20 |
| Sentynl Therapeutics, Inc. | 1 | $18 |
| Stimwave Technologies Incorporated | 1 | $15 |
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.
- iFuse Implant$413
- INTELLIS$141
- Proclaim IPG$114
How this compares
$2,192 in reported general payments places this provider in the 60th percentile of 144 pain medicine providers in Maryland.
Medicare billing
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 |
|---|---|---|
| OxycontinOxycodone Hcl | 23 | $19,521 |
| Lidocaine | 32 | $6,856 |
| Gabapentin | 118 | $1,900 |
| Pregabalin | 36 | $1,503 |
| Oxycodone Hcl | 55 | $830 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 29 | $779 |
| Morphine Sulfate ErMorphine Sulfate | 24 | $500 |
| Morphine Sulfate | 18 | $483 |
| Tramadol Hcl | 62 | $474 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $404 |
| Tizanidine Hcl | 29 | $350 |
| Hydromorphone Hcl | 16 | $312 |
| Methadone Hcl | 12 | $266 |
| Alprazolam | 58 | $66 |
| Meloxicam | 21 | $31 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Bethesda
- Ali TurabiBethesda$47K
- Ankush JainBethesda$26K
- Michael JacobsBethesda$11K
- Edward DolomisiewiczBethesda$2K
- Frank LeeBethesda$2K
- Vipul MangalOxon Hill$764K
- Randy DavisBaltimore$169K
- Paul ChristoBaltimore$137K
- Kunal SoodGermantown$70K
- Behnam JafarpourBaltimore$45K
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.