David Arcella, MD
Anesthesiology · Charleston, SCNPI 1851652150
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.6%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Medtronic at 28.2% of the total. Reporting peaked in 2022 at $5,508 and has fallen 83.6% since, to $903 in 2025. Among anesthesiology clinicians in SC 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.
Across 267 payments — averaging $66.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- Abbott$5K
- Nevro Corp.$3K
- Spinal Simplicity, LLC$1K
- Biodelivery Sciences International, Inc.$1K
- MML US, Inc.$738
- plus $2K from 22 others
What the payments were for
- Speaking & faculty fees$3,36019%
- Travel & lodging$5,49331%
- Food & beverage$8,76650%
- Education$450%
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 |
|---|---|---|
| Medtronic(2 entities) | 68 | $4,990 |
| Abbott | 78 | $4,928 |
| Nevro Corp. | 10 | $2,899 |
| Spinal Simplicity, LLC | 17 | $1,402 |
| Biodelivery Sciences International, Inc. | 25 | $1,079 |
| MML US, Inc. | 9 | $738 |
| Globus Medical | 6 | $328 |
| Electronic Waveform Lab, Inc. | 4 | $187 |
| Boston Scientific | 11 | $186 |
| Saluda Medical Americas, Inc. | 4 | $156 |
| GRT US Holding, Inc. | 4 | $150 |
| Collegium Pharmaceutical, Inc. | 7 | $111 |
| Si-bone, Inc. | 3 | $102 |
| Curonix LLC | 3 | $72 |
| SPR Therapeutics, Inc | 2 | $42 |
| Painteq LLC | 2 | $40 |
| Assertio Therapeutics, Inc. | 2 | $38 |
| Vertos Medical, Inc. | 1 | $30 |
| Vertex | 1 | $27 |
| Kaleo, Inc. | 2 | $25 |
| Almatica Pharma LLC | 1 | $23 |
| Pacira Therapeutics, Inc. | 1 | $23 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Forte Bio-pharma LLC | 1 | $16 |
| Merck | 1 | $16 |
| Scilex Pharmaceuticals Inc. | 1 | $14 |
| Zyla Life Sciences, Inc. | 1 | $13 |
| AstraZeneca | 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.
- PROCLAIM$2,862
- Vyrsa V1$2,610
- HA MINUTEMAN G3-R$1,127
- INTELLIS$951
- OSTEOCOOL RF ABLATION$813
- BELBUCA$750
- KYPHON Balloon Kyphoplasty$504
- ETERNA$488
- ReActiv8$466
- Axium$305
- Senza$257
- Accurian$144
- SYNCHROMEDII$138
- INTELLIS ADAPTIVESTIM$119
How this compares
$17,665 in reported general payments places this provider in the 95th percentile of 609 anesthesiology providers in South Carolina.
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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 25 | $20,281 |
| Gabapentin | 78 | $786 |
| Cephalexin | 25 | $132 |
| Furosemide | 21 | $115 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca | $111 | $20,28125 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 95th percentile of 609 anesthesiology providers in South Carolina.
Other anesthesiology in Charleston
- Frank OverdykCharleston$131K
- Joseph RodrigoCharleston$54K
- Jeffrey FrohockCharleston$48K
- Metul ShahCharleston$11K
- Alexander GolovlevCharleston$10K
- Jeffery OllisCharleston$9K
- Rebecca DessoCharleston$5K
- Steven VranianCharleston$4K
- Toby SteinbergCharleston$3K
- Sylvia WilsonCharleston$3K
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.