Medhat Mikhael
Pain Medicine · Long Beach, CANPI 1558397331
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $92,550 of the $138,613 with a category attached, or 66.8%. Boston Scientific accounts for 68.1% of it on its own, with 57 other manufacturers making up the rest. Reporting peaked in 2019 at $43,852 and has fallen 98.7% since, to $578 in 2025. Among pain medicine clinicians in CA 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 694 payments — averaging $199.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$94K
- AbbVie$24K
- Medtronic$9K
- MDD US Operations, LLC$2K
- Nevro Corp.$2K
- Abbott$2K
- plus $5K from 52 others
Across 40 payments — averaging $2468.66 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Seikagaku Corporation$79K
- Boston Scientific$20K
What the payments were for
- Consulting fees$15,92511%
- Speaking & faculty fees$92,55067%
- Travel & lodging$10,9508%
- Food & beverage$19,17114%
- Education$170%
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.
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.
- SPECTRA WAVEWRITER$41,177
- UBRELVY$21,742
- WAVEWRITER ALPHA$14,632
- GENERAL PAIN MANAGEMENT$13,745
- RESTORE$6,600
- WaveWriter Alpha Prime 16$5,223
- GENERAL - THERAPIES$4,156
- Lucemyra/Lofexidine$2,250
- Senza Spinal Cord Stimulation System$1,461
- QULIPTA$720
- Proclaim IPG$658
- VANTA ADAPTIVESTIM$624
- INTELLIS ADAPTIVESTIM$415
- Proclaim Family of SCS IPGs$323
- INTELLIS$273
- PROCLAIM$249
- Evoke$209
- Vanta$161
- Superion ISS$137
- DSUVIA$124
How this compares
$138,613 in reported general payments places this provider in the 95th percentile of 840 pain medicine providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ulticare Pen NeedlePen Needle, Diabetic | 12 | $712 |
| Gabapentin | 13 | $186 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Long Beach
- Jason PopeSanta Rosa$2.1M
- Ramana NaiduLarkspur$1.4M
- Foead GeulaStudio City$1.3M
- Krishnan ChakravarthyTemecula$1.3M
- Kasra AmirdelfanWalnut Creek$783K
- Eric GrigsbyNapa$499K
- Jacqueline WeisbeinNapa$494K
- Gerald SacksSanta Monica$389K
- Samir ShethRoseville$356K
- Einar OttestadStanford$352K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.