Jessen Mukalel, MD
Interventional Pain Medicine · Conroe, TXNPI 1336397280
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (56.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Genesys Orthopedics Systems, L.L.C. accounts for 87.0% of it on its own, with 30 other manufacturers making up the rest. Among interventional pain medicine clinicians in TX 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 393 payments — averaging $178.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genesys Orthopedics Systems, L.L.C.$61K
- Abbott$5K
- Relievant Medsystems, Inc.$859
- Teva Pharmaceuticals USA, Inc.$658
- Biodelivery Sciences International, Inc.$429
- Painteq LLC$369
- plus $2K from 25 others
What the payments were for
- Royalty or licence$39,41456%
- Consulting fees$19,00027%
- Travel & lodging$1,8233%
- Food & beverage$9,90714%
- Gifts$450%
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 |
|---|---|---|
| Genesys Orthopedics Systems, L.L.C. | 21 | $61,092 |
| Abbott | 232 | $5,071 |
| Relievant Medsystems, Inc. | 8 | $859 |
| Teva Pharmaceuticals USA, Inc. | 38 | $658 |
| Biodelivery Sciences International, Inc. | 15 | $429 |
| Painteq LLC | 4 | $369 |
| AbbVie(2 entities) | 21 | $296 |
| Amgen(2 entities) | 13 | $222 |
| Boston Scientific | 5 | $157 |
| Medtronic(2 entities) | 3 | $149 |
| Averitas Pharma Inc. | 1 | $137 |
| UCB, Inc. | 1 | $125 |
| Daiichi Sankyo Inc. | 4 | $72 |
| Medinc Of Texas | 2 | $71 |
| Vivus LLC | 4 | $70 |
| Scilex Pharmaceuticals Inc. | 4 | $63 |
| Almatica Pharma LLC | 3 | $51 |
| Fujifilm Sonosite, Inc. | 1 | $39 |
| Nevro Corp. | 1 | $34 |
| Pacira Pharmaceuticals Incorporated | 1 | $28 |
| Avanos Medical | 1 | $26 |
| Vertex | 1 | $25 |
| Impel Pharmaceuticals Inc. | 1 | $24 |
| MML US, Inc. | 1 | $23 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| USWM, LLC | 1 | $16 |
| Johnson & Johnson | 1 | $15 |
| Novo Nordisk | 1 | $15 |
| Lundbeck LLC | 1 | $15 |
| Lilly USA, LLC | 1 | $13 |
| Stimwave Technologies Incorporated | 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.
- SACROILIAC JOINT FUSION SYSTEM$64,752
- PROCLAIM$866
- Intracept$655
- Axium INS DRG IPG$404
- Proclaim Family of SCS IPGs$332
- Proclaim IPG$177
- PAINTEQ$173
- OCTRODE$147
- Qutenza$137
- AJOVY$129
- BELBUCA$127
How this compares
$70,189 in reported general payments places this provider in the 90th percentile of 287 interventional pain medicine providers in Texas.
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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 28 | $19,443 |
| Lidocaine | 47 | $3,269 |
| Pregabalin | 79 | $1,202 |
| Naproxen | 129 | $807 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $520 |
| Amitriptyline Hcl | 84 | $511 |
| Tizanidine Hcl | 46 | $172 |
| Gabapentin | 19 | $151 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 33 | $146 |
| Ibuprofen | 12 | $111 |
| Oxycodone Hcl | 18 | $94 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 48 | $78 |
| Methylprednisolone | 14 | $63 |
| Tramadol Hcl | 13 | $48 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Conroe
- Gabor RaczLubbock$3M
- Pankaj MehtaKilleen$2.1M
- Chad StephensSouthlake$1M
- Ankur KhoslaShenandoah$277K
- Brian RichDecatur$245K
- Brian BruelHouston$219K
- Bolkar SahinlerLubbock$188K
- Timothy RatinoFort Worth$139K
- Genaro GutierrezAustin$125K
- Thomas WhiteShenandoah$118K
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.