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? →