Lance Larsen, MD
Pain Medicine · Fresno, CANPI 1821013962
Payments from drug & device makers
Across 1,019 payments — averaging $34.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Painteq LLC$9K
- Boston Scientific$9K
- Nevro Corp.$4K
- Abbott$4K
- Biotronik NRO, Inc.$2K
- Medtronic$1K
- plus $5K from 17 others
What the payments were for
- Consulting fees$1,7005%
- Travel & lodging$1,2153%
- Food & beverage$31,52091%
- Education$790%
- Entertainment$2341%
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 |
|---|---|---|
| Painteq LLC | 212 | $9,497 |
| Boston Scientific | 356 | $9,120 |
| Nevro Corp. | 112 | $4,493 |
| Abbott | 100 | $3,529 |
| Biotronik NRO, Inc. | 61 | $1,626 |
| Medtronic(2 entities) | 35 | $1,278 |
| Globus Medical | 31 | $1,159 |
| SPR Therapeutics, Inc | 18 | $941 |
| Nalu Medical, Inc. | 41 | $912 |
| Saluda Medical Americas, Inc. | 14 | $544 |
| Si-bone, Inc. | 7 | $502 |
| Vertos Medical, Inc. | 14 | $458 |
| Bioness Inc | 1 | $234 |
| Relievant Medsystems, Inc. | 1 | $110 |
| Vertex | 4 | $68 |
| Stryker | 3 | $62 |
| Avanos Medical | 2 | $53 |
| MML US, Inc. | 1 | $45 |
| Curonix LLC | 2 | $35 |
| Foundation Fusion Solutions, LLC | 1 | $25 |
| Merz Pharmaceuticals, LLC | 1 | $24 |
| Scilex Pharmaceuticals Inc. | 1 | $20 |
| Axonics, 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.
- PAINTEQ$2,356
- WaveWriter Alpha Prime 16$1,313
- Omnia$1,043
- PROCLAIM$1,037
- Senza$991
- SPRINT PNS System$666
- Intracept$599
- Vyrsa V1$392
- GENERAL PAIN MANAGEMENT$348
- Senza Spinal Cord Stimulation System$288
- INTELLIS ADAPTIVESTIM$265
- mild Device Kit$263
- Prospera$262
- Proclaim Family of SCS IPGs$247
- Stimrouter for pain$234
- KYPHON Balloon Kyphoplasty$157
- OSTEOCOOL RF ABLATION$142
- LINEAR$133
- Infinion 16$127
- INFINION$125
How this compares
$34,749 in reported general payments places this provider in the 90th percentile of 840 pain medicine providers in California.
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 |
|---|---|---|
| Celecoxib | 305 | $5,257 |
| Gabapentin | 158 | $1,375 |
| Duloxetine Hcl | 28 | $500 |
| Cyclobenzaprine Hcl | 68 | $247 |
| Pregabalin | 21 | $243 |
| Ibuprofen | 25 | $190 |
| Meloxicam | 42 | $166 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Fresno
- Rasheed AmirehFresno$164K
- Eric GrigsbyNapa$3.2M
- Jason PopeSanta Rosa$2.8M
- Javid GhandehariSanta Monica$2.7M
- Alexander HerselThousand Oaks$2.1M
- Krishnan ChakravarthyTemecula$1.9M
- Kasra AmirdelfanWalnut Creek$1.7M
- Ramana NaiduLarkspur$1.6M
- Foead GeulaStudio City$1.3M
- Xiang QianRedwood City$941K
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.