Loel Warsch, MD
Anesthesiology · Port St Lucie, FLNPI 1477971802
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (37.9%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Nevro Corp. at 44.2% of the total. 2025 is the largest year on record at $11,868, 4.3 times the $2,757 reported in 2019. Among anesthesiology clinicians in FL 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 356 payments — averaging $87.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$14K
- Globus Medical$11K
- Abbott$2K
- AbbVie$863
- SPR Therapeutics, Inc$656
- Collegium Pharmaceutical, Inc.$577
- plus $3K from 25 others
What the payments were for
- Consulting fees$8,10026%
- Speaking & faculty fees$7,83825%
- Travel & lodging$3,40111%
- Food & beverage$11,81838%
- Education$320%
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 |
|---|---|---|
| Nevro Corp. | 74 | $13,771 |
| Globus Medical | 37 | $10,842 |
| Abbott | 52 | $1,876 |
| AbbVie(2 entities) | 50 | $863 |
| SPR Therapeutics, Inc | 30 | $656 |
| Collegium Pharmaceutical, Inc. | 38 | $577 |
| Stimwave Technologies Incorporated | 8 | $478 |
| Forte Bio-pharma LLC | 6 | $477 |
| Vertos Medical, Inc. | 4 | $192 |
| Boston Scientific | 7 | $162 |
| Stryker | 1 | $159 |
| Almatica Pharma LLC | 8 | $158 |
| Si-bone, Inc. | 1 | $154 |
| Biodelivery Sciences International, Inc. | 7 | $112 |
| Medtronic(2 entities) | 4 | $109 |
| Averitas Pharma Inc. | 3 | $81 |
| GRT US Holding, Inc. | 3 | $60 |
| Curonix LLC | 2 | $57 |
| Scilex Pharmaceuticals Inc. | 2 | $49 |
| Hikma Pharmaceuticals USA | 3 | $43 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $37 |
| Spinal Simplicity, LLC | 2 | $37 |
| Orexo US, Inc. | 2 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $35 |
| Vertex | 1 | $29 |
| Arbor Pharmaceuticals, Inc. | 2 | $29 |
| Electronic Waveform Lab, Inc. | 1 | $28 |
| Redhill Biopharma Inc. | 1 | $25 |
| Biotronik NRO, Inc. | 1 | $24 |
| Pacira Therapeutics, Inc. | 1 | $18 |
| Pfizer | 1 | $15 |
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.
- Senza$20,127
- Senza Spinal Cord Stimulation System$1,918
- Prolate$1,677
- Omnia$641
- ETERNA$449
- Nalocet$419
- INBONE$159
- INFINITY ADAPTIS$159
- PROCLAIM$157
- mild Device Kit$132
- StimQ Receiver Stimulator Kit Channel A US w Receiver$128
- StimQ Freedom-4A Receiver Kit Channel A US w/ Receiver$128
- StimQ Freedom 8A Receiver Kit Channel A US w Receiver$128
- Freedom 4A Receiver Kit Channel A US w Receiver$128
- Freedom 8A Receiver Kit Channel A US w Receiver$128
- Proclaim IPG$115
- SPRINT PNS System$111
How this compares
$31,189 in reported general payments places this provider in the 95th percentile of 2,767 anesthesiology 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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 224 | $121,196 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 2,085 | $85,255 |
| OxycontinOxycodone Hcl | 65 | $50,914 |
| Buprenorphine | 164 | $44,686 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,118 | $28,538 |
| BelbucaBuprenorphine Hcl | 27 | $24,340 |
| Morphine Sulfate ErMorphine Sulfate | 613 | $19,021 |
| Fentanyl | 178 | $16,529 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 87 | $14,300 |
| NucyntaTapentadol Hcl | 11 | $12,549 |
| Pregabalin | 501 | $9,549 |
| Morphine Sulfate | 302 | $8,618 |
| ZubsolvBuprenorphine Hcl/Naloxone Hcl | 11 | $7,605 |
| ButransBuprenorphine | 11 | $5,942 |
| Tramadol Hcl ErTramadol Hcl | 46 | $3,274 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er, Belbuca, Nucynta | $577 | $158,084262 claims |
| Hikma Pharmaceuticals USABuprenorphine, Buprenorphine-Naloxone, Morphine Sulfate, Buprenorphine Hcl | $43 | $68,718593 claims |
| Orexo US, Inc.Zubsolv | $37 | $7,60511 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 2,767 anesthesiology providers in Florida.
Other anesthesiology in Port St Lucie
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
- Darren WredeLargo$211K
- Ralf GebhardMiami$166K
- Adam BlombergHollywood$120K
- Andre BoezaartGainesville$119K
- Samantha NiekampMiami$82K
- Jackson WagonerGainesville$70K
- Sorin BrullJacksonville$66K
- Roman DudarykMiami$57K
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.