RxDoctor Payments Data

Ian Malburg, MD

Pain Medicine · Manhattan, KSNPI 1821384975

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 19.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,059 and has fallen 67.3% since, to $346 in 2025. That places this record below the midpoint for pain medicine clinicians in KS, where the typical reported total is $2,519.

$2,121in general payments, 2019–2025

Across 40 payments — averaging $53.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nevro Corp.$422
  • Saluda Medical Americas, Inc.$415
  • Boston Scientific$329
  • Nalu Medical, Inc.$320
  • Spinal Simplicity, LLC$144
  • SPR Therapeutics, Inc$136
  • plus $355 from 6 others

What the payments were for

  • Food & beverage$2,121100%

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

19
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

$2,121 in reported general payments places this provider in the 45th percentile of 64 pain medicine providers in Kansas.

See all pain medicine providers in Kansas

Medicare billing

Part B allowed, 2024
$104,254
Medicare patients
279
Services billed
1,108

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen43$2,009
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen67$1,831
Gabapentin86$971
Fentanyl13$964
Pregabalin40$687
Morphine Sulfate11$352
Morphine Sulfate ErMorphine Sulfate12$290
Tramadol Hcl45$276
Tizanidine Hcl56$205
Baclofen13$130
Diazepam15$9

Paid to pharmacies, not to this prescriber.

Other pain medicine in Manhattan

See the full list for Kansas

Where these figures come from

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