Girish Juneja, MD
Pain Medicine · Big Rapids, MINPI 1114904349
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,490 of the $11,203 with a category attached, or 66.9%. 26 manufacturers reported payments, led by Abbott at 53.8% of the total.
Across 221 payments — averaging $50.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$6K
- Medtronic$2K
- Boston Scientific$884
- Nevro Corp.$605
- Spinefrontier, Inc.$375
- Amgen$301
- plus $1K from 20 others
What the payments were for
- Travel & lodging$3,60732%
- Food & beverage$7,49067%
- Education$1051%
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 | 107 | $6,023 |
| Medtronic(2 entities) | 21 | $1,546 |
| Boston Scientific | 15 | $884 |
| Nevro Corp. | 22 | $605 |
| Spinefrontier, Inc. | 2 | $375 |
| Amgen | 3 | $301 |
| Spinal Simplicity, LLC | 16 | $268 |
| Vertiflex, Inc. | 3 | $251 |
| Curonix LLC | 5 | $241 |
| Stimwave Technologies Incorporated | 2 | $133 |
| AbbVie | 6 | $128 |
| Lilly USA, LLC | 1 | $109 |
| Nalu Medical, Inc. | 4 | $86 |
| Vertos Medical, Inc. | 2 | $45 |
| Si-bone, Inc. | 1 | $27 |
| Axonics, Inc. | 1 | $24 |
| Corium, LLC | 1 | $22 |
| Dexcom, Inc. | 1 | $20 |
| Saluda Medical Americas, Inc. | 1 | $18 |
| Antares Pharma, Inc. | 1 | $18 |
| Sun Pharmaceutical Industries Inc. | 1 | $17 |
| Avanos Medical | 1 | $15 |
| Collegium Pharmaceutical, Inc. | 1 | $14 |
| Bioventus LLC | 1 | $12 |
| Pfizer | 1 | $11 |
| Medline Industries LP | 1 | $11 |
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 Family of SCS IPGs$1,435
- PROCLAIM$1,321
- Neuromodulation Dspsbls and Accs$1,251
- INTELLIS ADAPTIVESTIM$510
- VANTA ADAPTIVESTIM$335
- InSpan$279
- SIJFuse$279
- FacetFuse$279
- NanoFuse$279
- GENERAL PAIN MANAGEMENT$254
- Proclaim IPG$160
- INTERSTIM$157
- INTELLIS$128
- Superion ISS$128
- AIMOVIG$125
- Senza Spinal Cord Stimulation System$123
- SlimTip lead DRG Lead$120
- SPECTRA WAVEWRITER$117
- Repatha$115
- MOUNJARO$109
How this compares
$11,203 in reported general payments places this provider in the 85th percentile of 139 pain medicine providers in Michigan.
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 | 479 | $9,791 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 83 | $1,850 |
| Gabapentin | 141 | $1,713 |
| Pregabalin | 64 | $1,469 |
| Tizanidine Hcl | 119 | $990 |
| Morphine Sulfate ErMorphine Sulfate | 46 | $854 |
| Diclofenac Sodium | 13 | $747 |
| Methocarbamol | 39 | $659 |
| Cyclobenzaprine Hcl | 88 | $508 |
| Tramadol Hcl | 58 | $438 |
| Methadone Hcl | 27 | $416 |
| Morphine Sulfate | 11 | $230 |
| Cefadroxil | 37 | $230 |
| Oxycodone Hcl | 16 | $214 |
| Celecoxib | 11 | $100 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Big Rapids
- Roman ZolotoyBig Rapids$8K
- Harry SukumaranRochester Hills$304K
- Nasir KhatriFlint$133K
- Yijia ChuGrand Rapids$88K
- Mark MounayerSouthfield$85K
- Jeffrey RosenbergCanton$44K
- Alexander TurfeWyandotte$41K
- Kendall GroseWyandotte$26K
- Craig HartrickRoyal Oak$26K
- Patrick ForrestAnn Arbor$23K
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.