Kush Goyal, MD
Pain Medicine · Cleveland, OHNPI 1679777528
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $14,400 of the $21,882 with a category attached, or 65.8%. Si-bone, Inc. accounts for 81.9% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2023 at $12,682 and has fallen 85.4% since, to $1,846 in 2025. Among pain medicine clinicians in OH 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 106 payments — averaging $206.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$18K
- Boston Scientific$946
- SPR Therapeutics, Inc$465
- Nevro Corp.$380
- MML US, Inc.$360
- Radius Health, Inc.$241
- plus $2K from 15 others
What the payments were for
- Consulting fees$14,40066%
- Travel & lodging$2,50311%
- Food & beverage$4,97823%
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 |
|---|---|---|
| Si-bone, Inc. | 47 | $17,919 |
| Boston Scientific | 4 | $946 |
| SPR Therapeutics, Inc | 10 | $465 |
| Nevro Corp. | 3 | $380 |
| MML US, Inc. | 6 | $360 |
| Radius Health, Inc. | 2 | $241 |
| Stryker | 8 | $230 |
| Relievant Medsystems, Inc. | 4 | $202 |
| Avanos Medical | 3 | $191 |
| Globus Medical | 1 | $154 |
| Medtronic | 2 | $145 |
| Abbott | 1 | $135 |
| Janssen Scientific Affairs, LLC | 1 | $125 |
| UCB, Inc. | 1 | $106 |
| Xeris Pharmaceuticals, Inc. | 4 | $74 |
| Tonix Medicines, Inc. | 1 | $67 |
| Curonix LLC | 2 | $61 |
| Pfizer | 2 | $38 |
| Novo Nordisk | 1 | $16 |
| Sonex Health, Inc. | 2 | $15 |
| Dexcom, Inc. | 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.
- IFUSE IMPLANT SYSTEM$16,155
- SPECTRA WAVEWRITER$291
- ReActiv8$284
- Senza$265
- Tymlos$241
- SI-LOK$154
- Excelsius - GPS$154
- PROCLAIM$135
- SPRINT PNS System$131
- STELARA$125
- Omnia$115
- GENERAL PAIN MANAGEMENT$110
- Intracept$108
- INTELLIS ADAPTIVESTIM$101
How this compares
$21,882 in reported general payments places this provider in the 90th percentile of 245 pain medicine providers in Ohio.
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 |
|---|---|---|
| Gabapentin | 118 | $1,516 |
| Pregabalin | 45 | $954 |
| Celecoxib | 22 | $694 |
| Diclofenac Sodium | 20 | $389 |
| Lidocaine | 11 | $350 |
| Meloxicam | 74 | $348 |
| Tizanidine Hcl | 42 | $306 |
| Baclofen | 30 | $262 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 25 | $138 |
| Tramadol Hcl | 24 | $122 |
| Cyclobenzaprine Hcl | 28 | $52 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Cleveland
- Nagy MekhailCleveland$511K
- Robert BolashCleveland$154K
- Aman UpadhyayCleveland$40K
- Salim HayekCleveland$34K
- Trishul KapoorCleveland$33K
- Edward CovingtonCleveland$25K
- Jianguo ChengCleveland$23K
- Jacob EzellCleveland$12K
- Jijun XuCleveland$10K
- Riad LahamCleveland$7K
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.