David Hirsch, DO
Pain Medicine · San Antonio, TXNPI 1356340947
Payments from drug & device makers
Across 172 payments — averaging $17.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$420
- Nevro Corp.$380
- Scilex Pharmaceuticals Inc.$368
- Globus Medical$299
- Boston Scientific$255
- Amgen$220
- plus $1K from 17 others
What the payments were for
- Food & beverage$3,00399%
- Education$161%
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 |
|---|---|---|
| Abbott | 27 | $420 |
| Nevro Corp. | 21 | $380 |
| Scilex Pharmaceuticals Inc. | 22 | $368 |
| Globus Medical | 17 | $299 |
| Boston Scientific | 9 | $255 |
| Amgen(2 entities) | 17 | $220 |
| Pacira Therapeutics, Inc. | 16 | $204 |
| Si-bone, Inc. | 2 | $161 |
| AbbVie | 7 | $116 |
| Teva Pharmaceuticals USA, Inc. | 6 | $107 |
| Novartis | 5 | $93 |
| Medtronic(2 entities) | 4 | $69 |
| Vertex | 2 | $61 |
| IBSA Pharma Inc. | 3 | $36 |
| Radius Health, Inc. | 2 | $32 |
| Curonix LLC | 2 | $32 |
| Biodelivery Sciences International, Inc. | 2 | $30 |
| Pacira Pharmaceuticals Incorporated | 2 | $30 |
| Zyla Life Sciences, Inc. | 2 | $27 |
| Biohaven Pharmaceuticals, Inc. | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Fidia Pharma USA Inc. | 1 | $19 |
| Relievant Medsystems, Inc. | 1 | $16 |
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
$3,019 in reported general payments places this provider in the 45th percentile of 583 pain medicine providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 940 | $22,730 |
| Pregabalin | 108 | $4,493 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 244 | $4,425 |
| Etodolac | 131 | $3,787 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 25 | $2,808 |
| Gabapentin | 258 | $2,723 |
| Tramadol Hcl | 416 | $2,543 |
| Lidocaine | 24 | $2,487 |
| Buprenorphine Hcl | 13 | $1,253 |
| Celecoxib | 29 | $1,091 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 38 | $909 |
| Morphine Sulfate ErMorphine Sulfate | 26 | $799 |
| Tizanidine Hcl | 145 | $788 |
| Duloxetine Hcl | 67 | $782 |
| Diclofenac Sodium | 23 | $625 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in San Antonio
- Ellen LinSan Antonio$251K
- Theresia LeeSan Antonio$104K
- Prabhdeep GrewalSan Antonio$48K
- Roberto DiazSan Antonio$37K
- Charles BryantSan Antonio$28K
- Aaron CalodneyTyler$3M
- Mitchell EngleHouston$1.5M
- Melissa MurphyGrapevine$711K
- Shiraz YazdaniLubbock$632K
- Muhammad ZulqarnainDallas$556K
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.