Feno Monaco, MD
Pain Medicine · Pittsburgh, PANPI 1104267830
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 167 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Abbott accounts for 78.2% of it on its own, with 15 other manufacturers making up the rest. Among pain medicine clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 167 payments — averaging $70.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$9K
- Medtronic$1K
- Si-bone, Inc.$499
- Tersera Therapeutics LLC$149
- Stryker$134
- Relievant Medsystems, Inc.$131
- plus $606 from 10 others
What the payments were for
- Food & beverage$11,765100%
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 | 105 | $9,200 |
| Medtronic(2 entities) | 16 | $1,047 |
| Si-bone, Inc. | 12 | $499 |
| Tersera Therapeutics LLC | 8 | $149 |
| Stryker | 1 | $134 |
| Relievant Medsystems, Inc. | 1 | $131 |
| Siemens Medical Solutions USA, Inc. | 2 | $122 |
| MML US, Inc. | 1 | $118 |
| Scilex Pharmaceuticals Inc. | 6 | $113 |
| Collegium Pharmaceutical, Inc. | 4 | $65 |
| Boston Scientific | 3 | $61 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $56 |
| Biodelivery Sciences International, Inc. | 2 | $28 |
| Zyla Life Sciences, Inc. | 1 | $17 |
| Pfizer | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
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$2,390
- Proclaim Family of SCS IPGs$2,079
- ETERNA$954
- Proclaim IPG$543
- PENTA$415
- Intracept$261
- INTELLIS ADAPTIVESTIM$240
- Proclaim XR IPG$240
- SYNCHROMEDII$186
- Octrode SCS Leads$156
- INTELLIS$143
- NT2000IX$137
- iFuse Implant$136
- SPINEJACK$134
- ReActiv8$118
- Axium INS DRG IPG$114
- SYNCHROMED$112
- Prodigy Family of SCS IPGs$108
- Cios Flow$108
How this compares
$11,765 in reported general payments places this provider in the 90th percentile of 294 pain medicine providers in Pennsylvania.
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 |
|---|---|---|
| Buprenorphine | 25 | $5,606 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 158 | $3,261 |
| Gabapentin | 163 | $2,978 |
| Oxycodone Hcl | 80 | $1,230 |
| Tramadol Hcl | 113 | $1,037 |
| Pregabalin | 35 | $865 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 46 | $842 |
| Duloxetine Hcl | 11 | $360 |
| Tizanidine Hcl | 49 | $291 |
| Morphine Sulfate ErMorphine Sulfate | 11 | $154 |
| Methocarbamol | 12 | $144 |
| Diclofenac Sodium | 15 | $138 |
| Baclofen | 17 | $110 |
| Meloxicam | 12 | $15 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Pittsburgh
- Ajay WasanPittsburgh$66K
- Abraham KabaziePittsburgh$18K
- Michael HurPittsburgh$12K
- Danielle ZhengPittsburgh$10K
- Richard GaoPittsburgh$7K
- Peter PryzbylkowskiPhiladelphia$506K
- Yeshvant NavalgundGreensburg$388K
- Jack SmithWilliamsport$324K
- Sanjay GuptaBala Cynwyd$241K
- Vwaire OrhurhuWilliamsport$191K
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.