Justin Alfonso, MD
Interventional Pain Medicine · Jacksonville, FLNPI 1336502277
Payments from drug & device makers
What this record shows
This record is dominated by grants: $23,848 of the $32,691 with a category attached, or 72.9%. Medtronic accounts for 71.1% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2020 at $23,967 and has fallen 92.7% since, to $1,757 in 2025. Among interventional pain medicine clinicians in FL 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 222 payments — averaging $147.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$23K
- Abbott$5K
- Boston Scientific$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$509
- Amgen$368
- AbbVie$350
- plus $2K from 23 others
What the payments were for
- Consulting fees$5552%
- Grants$23,84873%
- Travel & lodging$1,9526%
- Food & beverage$6,17119%
- Education$1651%
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 |
|---|---|---|
| Medtronic(3 entities) | 23 | $23,230 |
| Abbott | 62 | $5,151 |
| Boston Scientific | 17 | $1,432 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 29 | $509 |
| Amgen(2 entities) | 15 | $368 |
| AbbVie(2 entities) | 18 | $350 |
| Relievant Medsystems, Inc. | 3 | $277 |
| Lundbeck LLC | 12 | $263 |
| Scilex Pharmaceuticals Inc. | 8 | $180 |
| Nevro Corp. | 2 | $142 |
| Painteq LLC | 2 | $138 |
| Radius Health, Inc. | 5 | $103 |
| Saluda Medical Americas, Inc. | 2 | $79 |
| Si-bone, Inc. | 2 | $76 |
| SPR Therapeutics, Inc | 3 | $54 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $51 |
| Curonix LLC | 2 | $36 |
| Kowa Pharmaceuticals America, Inc. | 2 | $32 |
| Vertos Medical, Inc. | 3 | $29 |
| Johnson & Johnson | 1 | $26 |
| Pfizer | 1 | $26 |
| Redhill Biopharma Inc. | 1 | $23 |
| Amneal Pharmaceuticals LLC | 1 | $22 |
| Galderma Laboratories, L.p. | 1 | $19 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Lilly USA, LLC | 1 | $15 |
| Stryker | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
| IBSA Pharma Inc. | 1 | $14 |
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.
- SYNCHROMED$21,575
- Deep Brain Stimulation$2,273
- KYPHON Balloon Kyphoplasty$770
- Proclaim IPG$656
- NA$555
- Proclaim DRG IPG$534
- Intracept$525
- WaveWriter Alpha Prime 16$402
- ETERNA$266
- PROCLAIM$261
- INTELLIS ADAPTIVESTIM$143
- Omnia$130
- RESTORE$124
- HeartWare HVAD$119
- PAINTEQ$115
How this compares
$32,691 in reported general payments places this provider in the 90th percentile of 278 interventional pain medicine providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 274 | $7,497 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 319 | $6,872 |
| Pregabalin | 348 | $5,973 |
| Duloxetine Hcl | 87 | $1,088 |
| Oxycodone Hcl | 80 | $908 |
| Tramadol Hcl | 143 | $751 |
| Gabapentin | 64 | $601 |
| Baclofen | 44 | $590 |
| Methocarbamol | 20 | $530 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 14 | $409 |
| Celecoxib | 26 | $277 |
| Tizanidine Hcl | 58 | $253 |
| Cyclobenzaprine Hcl | 38 | $226 |
| Amitriptyline Hcl | 11 | $223 |
| Diazepam | 192 | $189 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Jacksonville
- Justin MannJacksonville$243K
- Huber Matos-GarsaultJacksonville$48K
- Kenneth EaddyJacksonville$28K
- David SalekJacksonville$25K
- Maggie GarciaJacksonville$22K
- Alexis JimenezJacksonville$18K
- Beric BerliozJacksonville$17K
- Louis RasoJupiter$1.3M
- Ajay AntonyGainesville$1.1M
- Michael EspositoVero Beach$777K
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.