Mohamad Azzam, MD
Pain Medicine · Webster, TXNPI 1144517467
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $31,825 of the $51,183 with a category attached, or 62.2%. Boston Scientific accounts for 88.0% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2022 at $14,733 and has fallen 97.0% since, to $439 in 2025. Among pain medicine clinicians in TX 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 309 payments — averaging $165.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$45K
- MML US, Inc.$2K
- Spinal Simplicity, LLC$2K
- Painteq LLC$869
- Nalu Medical, Inc.$488
- Saluda Medical Americas, Inc.$335
- plus $1K from 20 others
What the payments were for
- Consulting fees$5,21310%
- Speaking & faculty fees$31,82562%
- Travel & lodging$6,65413%
- Food & beverage$6,21312%
- Education$1,2792%
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 |
|---|---|---|
| Boston Scientific | 190 | $45,036 |
| MML US, Inc. | 10 | $1,777 |
| Spinal Simplicity, LLC | 2 | $1,647 |
| Painteq LLC | 33 | $869 |
| Nalu Medical, Inc. | 17 | $488 |
| Saluda Medical Americas, Inc. | 10 | $335 |
| Abbott | 20 | $286 |
| Vertos Medical, Inc. | 3 | $174 |
| Relievant Medsystems, Inc. | 1 | $95 |
| Vertex | 2 | $50 |
| Nevro Corp. | 2 | $45 |
| AbbVie | 2 | $42 |
| Fujifilm Sonosite, Inc. | 1 | $41 |
| Medtronic(2 entities) | 2 | $40 |
| Collegium Pharmaceutical, Inc. | 2 | $38 |
| Bioventus LLC | 2 | $35 |
| Lundbeck LLC | 1 | $24 |
| Averitas Pharma Inc. | 1 | $24 |
| Fisher & Paykel Healthcare Inc | 1 | $23 |
| Amgen | 1 | $18 |
| Zyla Life Sciences, Inc. | 1 | $18 |
| Foundation Fusion Solutions, LLC | 1 | $18 |
| Novartis | 1 | $17 |
| Biodelivery Sciences International, Inc. | 1 | $15 |
| Promius Pharma LLC | 1 | $14 |
| Assertio Therapeutics, Inc. | 1 | $14 |
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.
- SPECTRA WAVEWRITER$18,089
- GENERAL - THERAPIES$7,708
- WaveWriter Alpha Prime 16$6,461
- WAVEWRITER ALPHA$6,105
- GENERAL PAIN MANAGEMENT$3,684
- ReActiv8$1,682
- HA MINUTEMAN G3-R$1,647
- SUPERION$966
- PAINTEQ$399
- Nalu Neurostimulation System$250
- mild Device Kit$145
- Evoke SCS$109
How this compares
$51,183 in reported general payments places this provider in the 95th percentile of 583 pain medicine providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,004 | $12,814 |
| Buprenorphine | 26 | $7,686 |
| Pregabalin | 316 | $3,852 |
| Gabapentin | 542 | $3,141 |
| MovantikNaloxegol Oxalate | 12 | $3,086 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 266 | $2,499 |
| OxycontinOxycodone Hcl | 22 | $2,075 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 161 | $1,748 |
| Methocarbamol | 479 | $1,730 |
| Tramadol Hcl | 205 | $1,235 |
| Oxycodone Hcl | 186 | $976 |
| Fentanyl | 21 | $932 |
| Cyclobenzaprine Hcl | 111 | $633 |
| Tizanidine Hcl | 80 | $373 |
| Duloxetine Hcl | 22 | $363 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Webster
- Eduardo GarciaWebster$147K
- Steven CannellaWebster$28K
- Joseph Toothaker AlvarezWebster$23K
- Melissa MurphyGrapevine$653K
- Shiraz YazdaniLubbock$514K
- Aaron CalodneyTyler$296K
- Candice BurnetteSugar Land$265K
- Ashley Bailey-ClassenFort Worth$244K
- Grant ChenHouston$175K
- Gunjan PatelHouston$166K
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.