Krishnappa Prasad, MD
Pain Medicine · Little Rock, ARNPI 1619060589
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.7%), education and food and beverage — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Spinal Simplicity, LLC at 50.4% of the total. Reporting peaked in 2021 at $3,834 and has fallen 99.4% since, to $23 in 2024.
Across 53 payments — averaging $99.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Simplicity, LLC$3K
- Boston Scientific$1K
- Nevro Corp.$843
- Collegium Pharmaceutical, Inc.$87
- Sanofi-aventis U.S. LLC$73
- Neuronetics, Inc.$72
- plus $318 from 14 others
What the payments were for
- Travel & lodging$2,46847%
- Food & beverage$1,16122%
- Education$1,65431%
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 |
|---|---|---|
| Spinal Simplicity, LLC | 7 | $2,660 |
| Boston Scientific | 5 | $1,229 |
| Nevro Corp. | 8 | $843 |
| Collegium Pharmaceutical, Inc. | 5 | $87 |
| Sanofi-aventis U.S. LLC | 5 | $73 |
| Neuronetics, Inc. | 2 | $72 |
| Nalu Medical, Inc. | 2 | $45 |
| Pfizer | 3 | $40 |
| Pacira Therapeutics, Inc. | 2 | $38 |
| Baudax Bio Inc. | 2 | $36 |
| Zyla Life Sciences, Inc. | 2 | $26 |
| Assertio Therapeutics, Inc. | 2 | $26 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Elutia, Inc. | 1 | $17 |
| Medtronic | 1 | $13 |
| AbbVie | 1 | $12 |
| Amgen | 1 | $12 |
| Daiichi Sankyo Inc. | 1 | $12 |
| MDD US Operations, LLC | 1 | $12 |
| Scilex Pharmaceuticals Inc. | 1 | $11 |
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.
- HA MINUTEMAN G3-R$2,542
- SUPERION$1,179
- Senza Spinal Cord Stimulation System$658
How this compares
$5,283 in reported general payments places this provider in the 65th percentile of 53 pain medicine providers in Arkansas.
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 | 640 | $14,075 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 514 | $14,008 |
| Celecoxib | 234 | $5,741 |
| Gabapentin | 441 | $4,020 |
| Pregabalin | 180 | $2,241 |
| Diclofenac Sodium | 69 | $1,935 |
| Tizanidine Hcl | 342 | $1,772 |
| Oxycodone Hcl | 105 | $1,456 |
| Morphine Sulfate ErMorphine Sulfate | 33 | $764 |
| Etodolac | 19 | $744 |
| Methocarbamol | 81 | $697 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 32 | $571 |
| Tramadol Hcl | 104 | $535 |
| Baclofen | 36 | $430 |
| Morphine Sulfate | 19 | $326 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Little Rock
- Stephen PaulusLittle Rock$75K
- Julio OlayaLittle Rock$22K
- Christopher MocekLittle Rock$10K
- Ann IkonneLittle Rock$8K
- Saint AdeogbaLittle Rock$6K
- Andrew CainLittle Rock$5K
- Thomas HartLittle Rock$4K
- James CaldwellLittle Rock$4K
- Terry FletcherLittle Rock$3K
- Drew BeasleyLittle Rock$3K
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.