RxDoctor Payments Data

Michael Fishell, MD

Interventional Pain Medicine · Henderson, NVNPI 1619045689

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.4% of the total across 246 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Abbott accounts for 93.3% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2021 at $1,083 and has fallen 85.4% since, to $158 in 2025.

$4,423in general payments, 2019–2025

Across 246 payments — averaging $17.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$4K
  • Boston Scientific$274
  • Biotronik NRO, Inc.$23
$320,740in research payments, 2019–2025

Across 114 payments — averaging $2813.51 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.

  • Abbott$321K

What the payments were for

  • Travel & lodging$2476%
  • Food & beverage$4,17594%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

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
Abbott234$4,125
Boston Scientific11$274
Biotronik NRO, Inc.1$23

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

$4,423 in reported general payments places this provider in the 55th percentile of 32 interventional pain medicine providers in Nevada.

See all interventional pain medicine providers in Nevada

Medicare billing

Part B allowed, 2024
$115,602
Medicare patients
170
Services billed
1,253

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

DrugClaimsCost to plans & patients
Xtampza ErOxycodone Myristate17$8,932
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen295$8,002
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen187$5,470
Oxycodone Hcl124$2,757
Fentanyl45$2,576
Hydromorphone Hcl101$1,954
Morphine Sulfate ErMorphine Sulfate57$1,196
Methadone Hcl92$938
Tramadol Hcl34$567
Cyclobenzaprine Hcl47$531
Armodafinil12$505
Methocarbamol14$268
Celecoxib13$198
Gabapentin32$135
Cephalexin22$121

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Henderson

See the full list for Nevada

Where these figures come from

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