Michael Bottros, MD
Anesthesiology · Los Angeles, CANPI 1467661272
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $136,121 of the $182,064 with a category attached, or 74.8%. 13 manufacturers reported payments, led by Averitas Pharma Inc. at 49.8% of the total. 2025 is the largest year on record at $108,704, more than ten times the $442 reported in 2019. Among anesthesiology 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 292 payments — averaging $623.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Averitas Pharma Inc.$91K
- Vertex$57K
- Avanos Medical$22K
- Boston Scientific$9K
- Vertos Medical, Inc.$1K
- SPR Therapeutics, Inc$577
- plus $1K from 7 others
What the payments were for
- Consulting fees$18,56310%
- Speaking & faculty fees$136,12175%
- Travel & lodging$16,9979%
- Food & beverage$10,3846%
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 |
|---|---|---|
| Averitas Pharma Inc. | 71 | $90,578 |
| Vertex | 81 | $56,745 |
| Avanos Medical | 25 | $22,141 |
| Boston Scientific | 73 | $9,362 |
| Vertos Medical, Inc. | 6 | $1,190 |
| SPR Therapeutics, Inc | 12 | $577 |
| Abbott | 5 | $402 |
| GRT US Holding, Inc. | 3 | $284 |
| Stryker | 4 | $252 |
| Saluda Medical Americas, Inc. | 1 | $227 |
| Nalu Medical, Inc. | 3 | $189 |
| Medtronic(2 entities) | 7 | $99 |
| Baudax Bio Inc. | 1 | $19 |
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.
- Qutenza$90,047
- JOURNAVX$54,693
- COOLED RFA$14,107
- COOLIEF* COOLED RADIOFREQUENCY$6,457
- WaveWriter Alpha Prime 16$5,718
- mild Device Kit$1,211
- GENERATOR$1,198
- GENERAL PAIN MANAGEMENT$347
- SPRINT PNS System$271
- Evoke$227
- Proclaim Family of SCS IPGs$136
- Nalu Neurostimulation System$134
- SPECTRA WAVEWRITER$108
- Intracept$107
How this compares
$182,064 in reported general payments places this provider in the 95th percentile of 5,717 anesthesiology providers in California.
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 |
|---|---|---|
| Pregabalin | 77 | $1,660 |
| Methocarbamol | 36 | $897 |
| Gabapentin | 54 | $626 |
| Duloxetine Hcl | 29 | $370 |
| Tramadol Hcl | 49 | $274 |
| Baclofen | 16 | $92 |
| Celecoxib | 11 | $51 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Los Angeles
- Maxime CannessonLos Angeles$336K
- Moody MakarLos Angeles$252K
- Jonathan JahrLos Angeles$223K
- David BoldtLos Angeles$153K
- Natale NaimLos Angeles$66K
- Anahat DhillonLos Angeles$63K
- Bita FarrellLos Angeles$58K
- Dane SaksaLos Angeles$52K
- Emily MethangkoolLos Angeles$45K
- Andrew GhobrialLos Angeles$44K
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.