Has Brian Rich, MD received payments from drug or device companies?

Yes. Drug and device makers reported $245,151 in general payments to Brian Rich, MD across 211 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 Brian Rich, 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 Brian Rich, 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.

Brian Rich, MD

Interventional Pain Medicine · Decatur, TXNPI 1063436947

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $219,641 of the $245,151 with a category attached, or 89.6%. Southern Spine, LLC accounts for 65.6% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2022 at $118,589 and has fallen 100.0% since, to $43 in 2025. Among interventional pain medicine clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$245,151in general payments, 2019–2025

Across 211 payments — averaging $1161.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Southern Spine, LLC$161K
Stimwave Technologies Incorporated$45K
Curonix LLC$13K
Medtronic$11K
Genesys Orthopedics Systems, L.L.C.$7K
Interventional Pain Technologies Inc.$5K
plus $5K from 17 others

What the payments were for

Consulting fees$219,64190%
Speaking & faculty fees$2,6001%
Travel & lodging$12,0085%
Food & beverage$8,7414%
Education$2,1321%
Gifts$300%

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
Southern Spine, LLC	5	$160,773
Stimwave Technologies Incorporated	65	$44,976
Curonix LLC	12	$12,908
Medtronic(3 entities)	73	$10,568
Genesys Orthopedics Systems, L.L.C.	9	$6,681
Interventional Pain Technologies Inc.	7	$4,661
Omnia Medical, LLC	1	$1,200
Spinefrontier, Inc.	4	$954
Camber Spine Technologies LLC	3	$796
Abbott	6	$391
Stratus Medical, LLC	1	$324
Vertiflex, Inc.	6	$241
Life Spine, Inc.	2	$200
Si-bone, Inc.	4	$134
Nevro Corp.	3	$130
Vertos Medical, Inc.	1	$55
Stryker	2	$40
Spinal Simplicity, LLC	2	$37
Tandem Diabetes Care, Inc.	1	$20
Sanofi Pasteur Inc.	1	$19
Forte Bio-pharma LLC	1	$18
Scilex Pharmaceuticals Inc.	1	$13
Novo Nordisk	1	$13

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.

StimQ Receiver Stimulator Kit Channel A US w Receiver$28,069
StimQ Freedom 8A Receiver Kit Channel A US w Receiver$28,069
Freedom 4A Receiver Kit Channel A US w Receiver$28,069
Freedom 8A Receiver Kit Channel A US w Receiver$28,069
StimQ Freedom-4A Receiver Kit Channel A US w/ Receiver$27,759
PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$12,768
SACROILIAC JOINT FUSION SYSTEM$12,163
SCS FreedonSpinal Cord Stimulator$2,666
StimQ Peripheral Nerve StimulatorSystem$2,375
SYNCHROMED$1,090
InSpan$921
Sacrix$921
INTELLIS$801
Vyrsa Fix$500
SI Joint$402
Nimbus$324
StimQ Freedom 4A Receiver Kit Channel A US Receiver$310
CFNS StimQ Peripheral Nerve StimulatorSystem$291
INTELLIS ADAPTIVESTIM$257
Vanta$145

How this compares

$245,151 in reported general payments places this provider in the 95th percentile of 287 interventional pain medicine providers in Texas.

See all interventional pain medicine providers in Texas →

Medicare billing

Part B allowed, 2024

$905,380

Medicare patients

272

Services billed

6,137

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
Orphenadrine Citrate ErOrphenadrine Citrate	47	$1,291
Clindamycin Hcl	104	$424
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	46	$365
Methylprednisolone	30	$212
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	11	$197
Oxycodone Hcl	12	$133
Diazepam	70	$54
Tramadol Hcl	16	$34

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Decatur

Gabor RaczLubbock$3M
Pankaj MehtaKilleen$2.1M
Chad StephensSouthlake$1M
Ankur KhoslaShenandoah$277K
Brian BruelHouston$219K
Bolkar SahinlerLubbock$188K
Timothy RatinoFort Worth$139K
Genaro GutierrezAustin$125K
Thomas WhiteShenandoah$118K
Alan SilberbergKyle$112K

See the full list for Texas →

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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