RxDoctor Payments Data

John Paul Malayil, MD

Pain Medicine · Sun City West, AZNPI 1851554927

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $17,689 of the $22,985 with a category attached, or 77.0%. It is spread thinly across 46 manufacturers, the largest accounting for just 23.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $7,117 and has fallen 65.0% since, to $2,487 in 2025.

$22,985in general payments, 2019–2025

Across 607 payments — averaging $37.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biotronik NRO, Inc.$5K
  • Abbott$4K
  • Nevro Corp.$4K
  • Medtronic$2K
  • Nalu Medical, Inc.$2K
  • Boston Scientific$1K
  • plus $4K from 40 others

What the payments were for

  • Consulting fees$2,70012%
  • Speaking & faculty fees$1,8488%
  • Travel & lodging$7273%
  • Food & beverage$17,68977%
  • Education$210%

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

$22,985 in reported general payments places this provider in the 85th percentile of 180 pain medicine providers in Arizona.

See all pain medicine providers in Arizona

Medicare billing

Part B allowed, 2024
$2,038,582
Medicare patients
1,955
Services billed
84,241

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/Acetaminophen98$1,234
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen71$1,167
Gabapentin65$943
Methylprednisolone117$752
Oxycodone Hcl45$595
Nabumetone33$304
Acetaminophen-CodeineAcetaminophen With Codeine19$277
Cephalexin58$269
Hydromorphone Hcl11$253
Tramadol Hcl67$229
Tizanidine Hcl24$153
Clindamycin Hcl12$120
Meloxicam21$65
Baclofen12$38

Paid to pharmacies, not to this prescriber.

Other pain medicine in Sun City West

See the full list for Arizona

Where these figures come from

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