Has Clayton Barhorst, MD received payments from drug or device companies?

Yes. Drug and device makers reported $3,438 in general payments to Clayton Barhorst, MD across 66 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 Clayton Barhorst, 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 Clayton Barhorst, 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.

Clayton Barhorst, MD

Pain Medicine · Shenandoah, TXNPI 1073873386

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (55.7%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Biohaven Pharmaceuticals, Inc. at 34.9% of the total. Reporting peaked in 2021 at $1,336 and has fallen 95.4% since, to $61 in 2025. That places this record below the midpoint for pain medicine clinicians in TX, where the typical reported total is $3,132.

$3,438in general payments, 2019–2025

Across 66 payments — averaging $52.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Biohaven Pharmaceuticals, Inc.$1K
Nevro Corp.$947
Si-bone, Inc.$519
Boston Scientific$257
Vertiflex, Inc.$149
Pacira Therapeutics, Inc.$142
plus $224 from 6 others

What the payments were for

Consulting fees$1,20035%
Travel & lodging$3239%
Food & beverage$1,91556%

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
Biohaven Pharmaceuticals, Inc.	1	$1,200
Nevro Corp.	35	$947
Si-bone, Inc.	5	$519
Boston Scientific	4	$257
Vertiflex, Inc.	9	$149
Pacira Therapeutics, Inc.	2	$142
Medtronic(2 entities)	3	$67
Globus Medical	2	$61
Tersera Therapeutics LLC	2	$52
AbbVie	1	$17
Vertos Medical, Inc.	1	$14
Johnson & Johnson	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.

NURTEC ODT$1,200
iFuse Implant$451
Senza Spinal Cord Stimulation System$274
Senza$130
Zilretta$122
WaveWriter Alpha Prime 16$121

How this compares

$3,438 in reported general payments places this provider in the 50th percentile of 583 pain medicine providers in Texas.

See all pain medicine providers in Texas →

Medicare billing

Part B allowed, 2024

$620,457

Medicare patients

454

Services billed

9,449

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	84	$74,849
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	1,030	$35,251
Fentanyl	152	$28,881
LyricaPregabalin	29	$21,643
Xtampza ErOxycodone Myristate	11	$10,953
Oxycodone Hcl	381	$9,600
Gabapentin	616	$9,142
Buprenorphine	38	$8,882
Pregabalin	306	$7,570
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	207	$7,170
Lidocaine	49	$5,316
Tizanidine Hcl	430	$5,064
Hydromorphone Hcl	170	$4,833
Morphine Sulfate ErMorphine Sulfate	157	$4,731
Baclofen	205	$2,879

Paid to pharmacies, not to this prescriber.

Other pain medicine in Shenandoah

Melissa MurphyGrapevine$653K
Shiraz YazdaniLubbock$514K
Aaron CalodneyTyler$296K
Candice BurnetteSugar Land$265K
Ashley Bailey-ClassenFort Worth$244K
Grant ChenHouston$175K
Gunjan PatelHouston$166K
Anthony BergRockwall$165K
Puneet SayalCorpus Christi$153K
Eduardo GarciaWebster$147K

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.

Is this you, or does something look wrong? →