Elisabeth Douklias, PA
Interventional Pain Medicine · Richmond, VANPI 1861130601
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Medtronic at 51.5% of the total. Reporting peaked in 2024 at $376 and has fallen 51.5% since, to $182 in 2025. That places this record below the midpoint for interventional pain medicine clinicians in VA, where the typical reported total is $4,360.
Across 12 payments — averaging $79.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$494
- Boston Scientific$180
- Si-bone, Inc.$88
- Joint Restoration Foundation, Inc.$83
- Orthofix Medical, Inc.$72
- Bioventus LLC$25
- plus $17 from 1 others
What the payments were for
- Food & beverage$959100%
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 |
|---|---|---|
| Medtronic | 5 | $494 |
| Boston Scientific | 2 | $180 |
| Si-bone, Inc. | 1 | $88 |
| Joint Restoration Foundation, Inc. | 1 | $83 |
| Orthofix Medical, Inc. | 1 | $72 |
| Bioventus LLC | 1 | $25 |
| Relievant Medsystems, Inc. | 1 | $17 |
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.
- INTELLIS ADAPTIVESTIM$277
- INCEPTIV$111
How this compares
$959 in reported general payments places this provider in the 20th percentile of 52 interventional pain medicine providers in Virginia.
See all interventional pain medicine providers in Virginia →
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 |
|---|---|---|
| Pregabalin | 117 | $2,159 |
| Gabapentin | 270 | $2,063 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $402 |
| Tramadol Hcl | 74 | $278 |
| Methylprednisolone | 40 | $193 |
| Methocarbamol | 41 | $176 |
| Cyclobenzaprine Hcl | 32 | $152 |
| Baclofen | 20 | $145 |
| Meloxicam | 34 | $119 |
| Diclofenac Sodium | 16 | $112 |
| Tizanidine Hcl | 13 | $50 |
| Diazepam | 26 | $19 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Richmond
- Benjamin SeemanRichmond$21K
- Yaoming GuRichmond$13K
- Daniel MartinRichmond$4K
- Ketan PatelHaymarket$133K
- Che TorryNewport News$48K
- Niteesh BhararaReston$25K
- Sassan HassassianManassas$24K
- Raj SurejaNewport News$23K
- Alok GopalWinchester$16K
- Jacob LeeWinchester$14K
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.