Michael Esposito, MD
Interventional Pain Medicine · Vero Beach, FLNPI 1043521198
Payments from drug & device makers
Across 1,590 payments — averaging $638.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$568K
- Orthofundamentals, LLC$172K
- Abbott$126K
- Nevro Corp.$41K
- Medtronic$30K
- Vertiflex, Inc.$29K
- plus $49K from 44 others
What the payments were for
- Consulting fees$189,24224%
- Speaking & faculty fees$475,47461%
- Travel & lodging$65,7388%
- Food & beverage$45,6246%
- Education$3210%
- Entertainment$1770%
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.
- Superion Indirect Decompression System$98,243
- SUPERION$93,709
- WaveWriter Alpha Prime 16$76,892
- Neuromodulation Dspsbls and Accs$54,128
- GENERAL PAIN MANAGEMENT$31,704
- SPECTRA WAVEWRITER$31,155
- GENERAL - THERAPIES$27,824
- Superion ISS$27,760
- VERIFLEX$25,075
- WAVEWRITER ALPHA$24,643
- Proclaim Family of SCS IPGs$21,783
- Senza Spinal Cord Stimulation System$17,832
- Omnia$16,373
- StimQ Receiver Stimulator Kit Channel A US w Receiver$16,034
- StimQ Freedom-4A Receiver Kit Channel A US w/ Receiver$16,034
- StimQ Freedom 8A Receiver Kit Channel A US w Receiver$16,034
- Freedom 4A Receiver Kit Channel A US w Receiver$16,034
- Freedom 8A Receiver Kit Channel A US w Receiver$16,034
- PROCLAIM$15,534
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$14,232
How this compares
$1,015,510 in reported general payments places this provider in the 95th percentile of 278 interventional pain medicine 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 | 70 | $38,522 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 1,137 | $37,158 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,314 | $35,872 |
| LyricaPregabalin | 19 | $23,960 |
| Pregabalin | 662 | $20,848 |
| Gabapentin | 852 | $16,956 |
| MovantikNaloxegol Oxalate | 47 | $16,063 |
| OxycontinOxycodone Hcl | 23 | $15,839 |
| Duloxetine Hcl | 448 | $11,058 |
| Buprenorphine | 26 | $8,960 |
| Diclofenac Sodium | 320 | $7,565 |
| Tramadol Hcl | 643 | $6,460 |
| Fentanyl | 59 | $6,405 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 39 | $5,072 |
| Oxycodone Hcl | 228 | $4,896 |
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 | $188 | $38,52270 claims |
| PfizerLyrica | $31 | $23,96019 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 278 interventional pain medicine providers in Florida.
Other interventional pain medicine in Vero Beach
- Eliezer SotoVero Beach$74K
- Ajay AntonyGainesville$1.9M
- Louis RasoJupiter$1.6M
- Gilbert MbeoOrlando$1.4M
- George BesongOrange City$1.2M
- Gary KaoMiddleburg$1.1M
- Neil EllisTampa$1.1M
- Alexis RentaBoynton Beach$1.1M
- Jose RiveraTampa$993K
- Nomen AzeemRiverview$691K
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.