RxDoctor Payments Data

Emad Mikhail, MD

Interventional Pain Medicine · Willoughby Hills, OHNPI 1790757375

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (49.8%), travel and lodging and grants — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Boston Scientific at 57.4% of the total. Reporting peaked in 2019 at $2,150 and has fallen 82.3% since, to $380 in 2025. That places this record below the midpoint for interventional pain medicine clinicians in OH, where the typical reported total is $5,193.

$3,449in general payments, 2019–2025

Across 24 payments — averaging $143.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$2K
  • Medtronic$387
  • Globus Medical$350
  • Nevro Corp.$272
  • Si-bone, Inc.$103
  • Abbott$94
  • plus $263 from 5 others

What the payments were for

  • Grants$1625%
  • Travel & lodging$1,55545%
  • Food & beverage$1,71950%
  • Education$120%

General payments by program year

19
20
21
22
23
24
25

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.

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

$3,449 in reported general payments places this provider in the 40th percentile of 67 interventional pain medicine providers in Ohio.

See all interventional pain medicine providers in Ohio

Medicare billing

Part B allowed, 2024
$288,598
Medicare patients
230
Services billed
11,587

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

DrugClaimsCost to plans & patients
Xtampza ErOxycodone Myristate71$19,937
Pregabalin312$9,979
Gabapentin692$7,334
OxycontinOxycodone Hcl38$6,989
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen495$3,798
Hydromorphone ErHydromorphone Hcl18$3,679
Fentanyl34$2,863
Lidocaine27$1,991
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen193$1,702
Buprenorphine12$1,359
Methocarbamol95$1,219
Duloxetine Hcl95$932
Tramadol Hcl279$883
Cyclobenzaprine Hcl117$800
Tizanidine Hcl124$764

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Willoughby Hills

See the full list for Ohio

Where these figures come from

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