Michael Jacobs
Pain Medicine · Bethesda, MDNPI 1447239793
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,875 of the $10,625 with a category attached, or 83.5%. 33 manufacturers reported payments, led by Medtronic at 47.0% of the total. Reporting peaked in 2024 at $2,734 and has fallen 55.6% since, to $1,214 in 2025.
Across 221 payments — averaging $48.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- AbbVie$677
- Relievant Medsystems, Inc.$569
- Vertos Medical, Inc.$559
- Nevro Corp.$493
- Boston Scientific$377
- plus $3K from 27 others
What the payments were for
- Travel & lodging$1,75016%
- Food & beverage$8,87584%
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
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 |
|---|---|---|
| Medtronic(2 entities) | 74 | $4,990 |
| AbbVie | 24 | $677 |
| Relievant Medsystems, Inc. | 8 | $569 |
| Vertos Medical, Inc. | 8 | $559 |
| Nevro Corp. | 11 | $493 |
| Boston Scientific | 9 | $377 |
| Abbott | 5 | $357 |
| GRT US Holding, Inc. | 4 | $301 |
| Lundbeck LLC | 10 | $232 |
| Collegium Pharmaceutical, Inc. | 15 | $226 |
| Bioventus LLC | 2 | $206 |
| Foundation Fusion Solutions, LLC | 1 | $192 |
| Johnson & Johnson(2 entities) | 3 | $181 |
| Lilly USA, LLC | 7 | $171 |
| Providence Medical Technology, Inc. | 1 | $160 |
| SPR Therapeutics, Inc | 2 | $116 |
| Biotronik NRO, Inc. | 5 | $106 |
| Spinal Simplicity, LLC | 1 | $89 |
| Impel Pharmaceuticals Inc. | 4 | $87 |
| Pacira Pharmaceuticals Incorporated | 4 | $86 |
| Pfizer | 3 | $67 |
| Fidia Pharma USA Inc. | 3 | $62 |
| Idorsia Pharmaceuticals US Inc | 4 | $62 |
| Vertex | 2 | $44 |
| Averitas Pharma Inc. | 2 | $40 |
| Cumberland Pharmaceuticals, Inc. | 1 | $30 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $26 |
| Almatica Pharma LLC | 2 | $25 |
| Curonix LLC | 1 | $22 |
| Si-bone, Inc. | 1 | $21 |
| Impel Pharmaceuticals LLC | 1 | $21 |
| Sunovion Pharmaceuticals Inc. | 1 | $16 |
| Avanos Medical | 1 | $16 |
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.
- Intracept$1,553
- SYNCHROMEDII$940
- INTELLIS ADAPTIVESTIM$898
- KYPHON Balloon Kyphoplasty$546
- INCEPTIV$387
- mild Device Kit$310
- INTELLIS$286
- Qutenza$217
- Durolane$178
- Proclaim Family of SCS IPGs$174
- MYSTIM$164
- ATTUNE$137
- Senza Spinal Cord Stimulation System$137
- WaveWriter Alpha Prime 16$130
- PROCLAIM$103
- SPRINT PNS System$103
How this compares
$10,625 in reported general payments places this provider in the 80th percentile of 144 pain medicine providers in Maryland.
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 |
|---|---|---|
| Lidocaine | 25 | $1,575 |
| Gabapentin | 107 | $1,512 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 60 | $1,155 |
| Tramadol Hcl ErTramadol Hcl | 13 | $662 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $567 |
| Pregabalin | 31 | $545 |
| Tramadol Hcl | 75 | $531 |
| Baclofen | 26 | $418 |
| Celecoxib | 17 | $412 |
| Tizanidine Hcl | 24 | $262 |
| Oxycodone Hcl | 32 | $242 |
| Morphine Sulfate ErMorphine Sulfate | 12 | $197 |
| Methocarbamol | 17 | $197 |
| Methylprednisolone | 18 | $128 |
| Meloxicam | 38 | $97 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Bethesda
- Ali TurabiBethesda$47K
- Ankush JainBethesda$26K
- Edward DolomisiewiczBethesda$2K
- Babak ArvanaghiBethesda$2K
- Frank LeeBethesda$2K
- Vipul MangalOxon Hill$764K
- Randy DavisBaltimore$169K
- Paul ChristoBaltimore$137K
- Kunal SoodGermantown$70K
- Behnam JafarpourBaltimore$45K
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.