RxDoctor Payments Data

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.

$138,613in general payments, 2019–2025

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
$98,746in research payments, 2019–2025

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Boston Scientific191$94,410
AbbVie(2 entities)151$23,790
Medtronic(2 entities)59$9,120
MDD US Operations, LLC8$2,346
Nevro Corp.22$2,171
Abbott55$2,134
Amgen12$278
Pfizer21$275
Collegium Pharmaceutical, Inc.17$271
Vertiflex, Inc.5$266
Scilex Pharmaceuticals Inc.14$258
Saluda Medical Americas, Inc.1$209
West Therapeutics Development, LLC11$209
Biodelivery Sciences International, Inc.18$204
Pacira Therapeutics, Inc.8$195
Stimwave Technologies Incorporated1$180
Almatica Pharma LLC7$150
Acelrx Pharmaceuticals, Inc.3$144
Stryker3$130
Nalu Medical, Inc.2$115
GRT US Holding, Inc.5$115
Mallinckrodt Enterprises LLC4$111
Lilly USA, LLC7$99
Painteq LLC3$98
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC2$97
Piramal Critical Care4$90
Spinal Simplicity, LLC3$81
Fidia Pharma USA Inc.5$81
Novartis4$79
Biohaven Pharmaceutical Holding Company Ltd.4$75
Relievant Medsystems, Inc.2$74
Biohaven Pharmaceuticals, Inc.3$61
Curonix LLC3$59
Johnson & Johnson2$48
Teva Pharmaceuticals USA, Inc.2$47
Arbor Pharmaceuticals, Inc.3$43
Redhill Biopharma Inc.2$39
USWM, LLC2$36
Tersera Therapeutics LLC2$36
IBSA Pharma Inc.2$34
Forte Bio-pharma LLC3$33
Trevena, Inc.2$31
Biomarin Pharmaceutical Inc.1$27
Averitas Pharma Inc.1$24
Baxter Healthcare1$22
Sun Pharmaceutical Industries Inc.1$21
Kaleo, Inc.1$21
Xeris Pharmaceuticals, Inc.1$20
Si-bone, Inc.1$20
Pacira Pharmaceuticals Incorporated1$19
Vertos Medical, Inc.1$19
Daiichi Sankyo Inc.1$17
Hikma Pharmaceuticals USA1$16
Avanos Medical1$14
Zyla Life Sciences, Inc.1$14
SPR Therapeutics, Inc1$13
Assertio Therapeutics, Inc.1$12
AstraZeneca1$11

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.

How this compares

$138,613 in reported general payments places this provider in the 95th percentile of 840 pain medicine providers in California.

See all pain medicine providers in California →

Most prescribed under Part D

DrugClaimsCost to plans & patients
Ulticare Pen NeedlePen Needle, Diabetic12$712
Gabapentin13$186

Paid to pharmacies, not to this prescriber.

Other pain medicine in Long Beach

See the full list for California →

Where these figures come from

Is this you, or does something look wrong? →