Larry Zhou, MD
Interventional Pain Medicine · Louisville, KYNPI 1467441915
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,915 of the $2,176 with a category attached, or 88.0%. 15 manufacturers reported payments, led by Medtronic at 35.2% of the total. Reporting peaked in 2019 at $593 and has fallen 95.6% since, to $26 in 2025. That places this record below the midpoint for interventional pain medicine clinicians in KY, where the typical reported total is $3,169.
Across 81 payments — averaging $26.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$766
- AbbVie$375
- SPR Therapeutics, Inc$261
- Si-bone, Inc.$116
- Biohaven Pharmaceutical Holding Company Ltd.$102
- Flowonix Medical Incorporated$94
- plus $462 from 9 others
What the payments were for
- Travel & lodging$26112%
- Food & beverage$1,91588%
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 |
|---|---|---|
| Medtronic(2 entities) | 24 | $766 |
| AbbVie(2 entities) | 21 | $375 |
| SPR Therapeutics, Inc | 1 | $261 |
| Si-bone, Inc. | 1 | $116 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $102 |
| Flowonix Medical Incorporated | 2 | $94 |
| Collegium Pharmaceutical, Inc. | 7 | $91 |
| Lilly USA, LLC | 5 | $83 |
| Hikma Pharmaceuticals USA | 4 | $64 |
| Boston Scientific | 3 | $57 |
| Pfizer | 3 | $48 |
| Amgen | 2 | $46 |
| Nevro Corp. | 2 | $37 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| Ardelyx, Inc. | 1 | $16 |
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.
- SPRINT PNS System$261
- SYNCHROMED$122
- VECTRIS$106
How this compares
$2,176 in reported general payments places this provider in the 40th percentile of 55 interventional pain medicine providers in Kentucky.
See all interventional pain medicine providers in Kentucky →
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 | 1,479 | $40,696 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,662 | $31,925 |
| Gabapentin | 944 | $10,102 |
| Oxycodone Hcl | 292 | $9,596 |
| MovantikNaloxegol Oxalate | 15 | $9,235 |
| Pregabalin | 227 | $6,124 |
| Naloxone Hcl | 103 | $5,355 |
| Fentanyl | 18 | $3,150 |
| Lidocaine | 21 | $2,521 |
| Tramadol Hcl | 265 | $2,037 |
| Duloxetine Hcl | 118 | $1,451 |
| Methadone Hcl | 57 | $1,370 |
| Tizanidine Hcl | 167 | $1,316 |
| Diclofenac Sodium | 90 | $1,298 |
| Morphine Sulfate ErMorphine Sulfate | 34 | $950 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Louisville
- Nathan LambornLouisville$10K
- Brandon SuttonLouisville$9K
- Gary ReasorLouisville$9K
- Kristal WilsonLouisville$9K
- Blake FechtelLouisville$6K
- Konrad KijewskiLouisville$6K
- Lady Christine Ong SioLouisville$5K
- Jeffrey BergLouisville$3K
- Aaron ComptonLouisville$3K
- Daniel LynchLouisville$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.