Leonel Vance, MD
Interventional Pain Medicine · Madison, MSNPI 1669507943
Payments from drug & device makers
What this record shows
This record is dominated by gifts: $13,931 of the $21,071 with a category attached, or 66.1%. AbbVie accounts for 66.1% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2019 at $15,278 and has fallen 85.9% since, to $2,160 in 2025. Among interventional pain medicine clinicians in MS with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 188 payments — averaging $112.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$14K
- Abbott$3K
- Spinal Simplicity, LLC$1K
- Medtronic$683
- Stryker$480
- Collegium Pharmaceutical, Inc.$358
- plus $2K from 20 others
What the payments were for
- Travel & lodging$1,1796%
- Food & beverage$5,91928%
- Education$420%
- Gifts$13,93166%
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 |
|---|---|---|
| AbbVie | 1 | $13,931 |
| Abbott | 66 | $2,989 |
| Spinal Simplicity, LLC | 14 | $1,072 |
| Medtronic | 18 | $683 |
| Stryker | 2 | $480 |
| Collegium Pharmaceutical, Inc. | 23 | $358 |
| Biotronik NRO, Inc. | 5 | $333 |
| Si-bone, Inc. | 2 | $252 |
| Avanir Pharmaceuticals, Inc. | 1 | $125 |
| GRT US Holding, Inc. | 2 | $110 |
| Arbor Pharmaceuticals, Inc. | 6 | $100 |
| Daiichi Sankyo Inc. | 5 | $86 |
| Biodelivery Sciences International, Inc. | 6 | $82 |
| Teva Pharmaceuticals USA, Inc. | 5 | $80 |
| Hikma Pharmaceuticals USA | 4 | $73 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $56 |
| Shionogi Inc | 3 | $46 |
| Pfizer | 3 | $44 |
| Biohaven Pharmaceuticals, Inc. | 2 | $37 |
| Assertio Therapeutics, Inc. | 2 | $28 |
| AstraZeneca | 2 | $26 |
| Amgen | 1 | $22 |
| Kowa Pharmaceuticals America, Inc. | 1 | $17 |
| Nalu Medical, Inc. | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
| Lilly USA, LLC | 1 | $12 |
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$870
- INTELLIS ADAPTIVESTIM$566
- mild Device Kit$442
- PROCLAIM$368
- Proclaim Family of SCS IPGs$314
- Prospera$228
- NUEDEXTA$125
- Proclaim IPG$108
How this compares
$21,071 in reported general payments places this provider in the 95th percentile of 24 interventional pain medicine providers in Mississippi.
See all interventional pain medicine providers in Mississippi →
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 |
|---|---|---|
| Methadone Hcl | 116 | $7,070 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Madison
- Madelyn CraigMadison$5K
- Eric PearsonMeridian$19K
- Charles MartinMeridian$18K
- Matthew BlanchardGulfport$10K
- Kenneth StaggsMeridian$5K
- John LutzJackson$5K
- Michael SteuerSouthaven$4K
- Kelly ColemanVancleave$4K
- Carol HarrisMeridian$4K
- Thomas YearwoodPascagoula$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.