RxDoctor Payments Data

John Birgiolas, MD

Interventional Pain Medicine · Ionia, MINPI 1639309388

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 92 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 23 manufacturers, the largest accounting for just 20.5% — the pattern of someone who eats at a lot of different presentations.

$2,671in general payments, 2019–2025

Across 92 payments — averaging $29.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nevro Corp.$547
  • Abbott$326
  • Boston Scientific$315
  • AbbVie$226
  • Teva Pharmaceuticals USA, Inc.$143
  • Globus Medical$137
  • plus $977 from 17 others

What the payments were for

  • Food & beverage$2,671100%

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
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

$2,671 in reported general payments places this provider in the 55th percentile of 88 interventional pain medicine providers in Michigan.

See all interventional pain medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$173,205
Medicare patients
226
Services billed
4,714

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1,049$17,840
Emgality SyringeGalcanezumab-Gnlm14$9,460
Morphine Sulfate ErMorphine Sulfate193$4,763
Gabapentin359$4,671
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen194$4,484
Fentanyl48$4,325
Baclofen148$2,350
Pregabalin142$2,173
Tizanidine Hcl224$2,023
Tramadol Hcl148$1,503
Oxycodone Hcl58$1,455
Naloxone Hcl17$1,226
Nabumetone33$777
Duloxetine Hcl53$633
Amitriptyline Hcl35$500

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Ionia

See the full list for Michigan

Where these figures come from

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