RxDoctor Payments Data

Mitchell Miglis, MD

Clinical Neurophysiology · Stanford, CANPI 1972779411

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $32,622 of the $51,186 with a category attached, or 63.7%. Jazz Pharmaceuticals Inc. accounts for 90.5% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $21,981, more than ten times the $41 reported in 2019. Among clinical neurophysiology clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$51,186in general payments, 2019–2025

Across 77 payments — averaging $664.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Jazz Pharmaceuticals Inc.$46K
  • Lundbeck LLC$3K
  • Argenx US, Inc.$696
  • Pfizer$550
  • Harmony Biosciences LLC$356
  • Alnylam Pharmaceuticals Inc.$41
$774,566in research payments, 2019–2025

Across 351 payments — averaging $2206.74 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.

  • Argenx US, Inc.$599K
  • Regeneron$118K
  • Biohaven Pharmaceuticals, Inc.$35K
  • Biohaven Pharmaceutical Holding Company Ltd.$22K

What the payments were for

  • Consulting fees$32,62264%
  • Speaking & faculty fees$12,44024%
  • Travel & lodging$2,1824%
  • Food & beverage$3,9428%

General payments by program year

19
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.

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

$51,186 in reported general payments places this provider in the 90th percentile of 49 clinical neurophysiology providers in California.

See all clinical neurophysiology providers in California

Medicare billing

Part B allowed, 2024
$80,530
Medicare patients
395
Services billed
675

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
XywavSodium,calcium,mag,pot Oxybate22$263,877
Sodium Oxybate12$223,329
Droxidopa83$169,359
Gamunex-CImmune Globul G/Gly/Iga Avg 4622$68,123
BelsomraSuvorexant35$18,142
NeuproRotigotine18$16,169
Midodrine Hcl80$7,655
Cromolyn Sodium20$5,342
Modafinil70$2,845
Pyridostigmine Bromide45$2,742
Gabapentin114$1,846
Carbidopa-LevodopaCarbidopa/Levodopa23$1,475
Atomoxetine Hcl23$1,218
Fludrocortisone Acetate39$977
Carbamazepine26$802

Paid to pharmacies, not to this prescriber.

Other clinical neurophysiology in Stanford

See the full list for California

Where these figures come from

Is this you, or does something look wrong? →