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.
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
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 |
|---|---|---|
| Nevro Corp. | 10 | $547 |
| Abbott | 8 | $326 |
| Boston Scientific | 8 | $315 |
| AbbVie(2 entities) | 12 | $226 |
| Teva Pharmaceuticals USA, Inc. | 8 | $143 |
| Globus Medical | 5 | $137 |
| Saluda Medical Americas, Inc. | 1 | $125 |
| Pfizer | 6 | $123 |
| Collegium Pharmaceutical, Inc. | 6 | $113 |
| Medtronic(2 entities) | 4 | $80 |
| Assertio Therapeutics, Inc. | 5 | $80 |
| Novartis | 3 | $66 |
| Vertiflex, Inc. | 1 | $58 |
| Painteq LLC | 1 | $57 |
| Spinal Simplicity, LLC | 1 | $46 |
| Lilly USA, LLC | 3 | $43 |
| Supernus Pharmaceuticals, Inc. | 2 | $39 |
| Relievant Medsystems, Inc. | 2 | $37 |
| Hydrocision, Inc. | 1 | $35 |
| Vertical Pharmaceuticals, LLC | 2 | $26 |
| Amgen | 1 | $22 |
| SPR Therapeutics, Inc | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
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.
- Senza$264
- Proclaim IPG$145
- Evoke$125
- WaveWriter Alpha Prime 16$125
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
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 | 1,049 | $17,840 |
| Emgality SyringeGalcanezumab-Gnlm | 14 | $9,460 |
| Morphine Sulfate ErMorphine Sulfate | 193 | $4,763 |
| Gabapentin | 359 | $4,671 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 194 | $4,484 |
| Fentanyl | 48 | $4,325 |
| Baclofen | 148 | $2,350 |
| Pregabalin | 142 | $2,173 |
| Tizanidine Hcl | 224 | $2,023 |
| Tramadol Hcl | 148 | $1,503 |
| Oxycodone Hcl | 58 | $1,455 |
| Naloxone Hcl | 17 | $1,226 |
| Nabumetone | 33 | $777 |
| Duloxetine Hcl | 53 | $633 |
| Amitriptyline Hcl | 35 | $500 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Ionia
- Ryan PollinaSaint Clair Shores$144K
- Ariel MajjhooMonroe$124K
- Chad BrummettAnn Arbor$109K
- Anand ThakurClinton Township$102K
- Evan PeskinFlint$72K
- Richard FerroLansing$31K
- John ChatasAnn Arbor$29K
- Bryant IttiaraAllen Park$28K
- Fadi DellyWyandotte$25K
- Vincent RampersaudFlint$24K
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.