Lilia Vinarsky, MD
Interventional Pain Medicine · Melbourne, FLNPI 1518120344
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.5% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 10 manufacturers, the largest accounting for just 21.0% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for interventional pain medicine clinicians in FL, where the typical reported total is $4,625.
Across 13 payments — averaging $29.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$81
- Stimwave Technologies Incorporated$61
- Averitas Pharma Inc.$51
- Protega Pharmaceutials Inc$48
- Pacira Pharmaceuticals Incorporated$42
- Vertex$26
- plus $77 from 4 others
What the payments were for
- Food & beverage$36094%
- Education$256%
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 |
|---|---|---|
| Abbott | 2 | $81 |
| Stimwave Technologies Incorporated | 2 | $61 |
| Averitas Pharma Inc. | 1 | $51 |
| Protega Pharmaceutials Inc | 1 | $48 |
| Pacira Pharmaceuticals Incorporated | 2 | $42 |
| Vertex | 1 | $26 |
| Endo USA, Inc. | 1 | $24 |
| AbbVie | 1 | $19 |
| Metacel Pharmaceuticals LLC | 1 | $19 |
| Medtronic | 1 | $15 |
How this compares
$385 in reported general payments places this provider in the 10th percentile of 278 interventional pain medicine providers in Florida.
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 | 220 | $6,049 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 220 | $4,449 |
| Lidocaine | 15 | $1,782 |
| Pregabalin | 96 | $1,684 |
| Gabapentin | 163 | $1,407 |
| Oxycodone Hcl | 72 | $1,233 |
| Tizanidine Hcl | 120 | $1,058 |
| Tramadol Hcl | 181 | $1,058 |
| Morphine Sulfate ErMorphine Sulfate | 34 | $893 |
| Morphine Sulfate | 20 | $500 |
| Cyclobenzaprine Hcl | 78 | $440 |
| Diclofenac Sodium | 15 | $377 |
| Duloxetine Hcl | 18 | $358 |
| Methocarbamol | 27 | $272 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 24 | $256 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Melbourne
- Louis RasoJupiter$1.3M
- Ajay AntonyGainesville$1.1M
- Michael EspositoVero Beach$777K
- Nomen AzeemRiverview$650K
- Stanley GolovacMerritt Island$367K
- Sunil PanchalLutz$363K
- Robert BallPort Charlotte$246K
- Justin MannJacksonville$243K
- Giuseppe PaeseBoca Raton$180K
- Miguel de la GarzaNew Port Richey$138K
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.