Nagy Mekhail, MD
Pain Medicine · Cleveland, OHNPI 1306936489
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $378,460 of the $510,506 with a category attached, or 74.1%. 12 manufacturers reported payments, led by Saluda Medical Americas, Inc. at 46.5% of the total. Reporting peaked in 2023 at $144,330 and has fallen 89.3% since, to $15,474 in 2025. Among pain medicine clinicians in OH 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 207 payments — averaging $2466.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$237K
- MML US, Inc.$115K
- Nevro Corp.$79K
- Relievant Medsystems, Inc.$43K
- Vertos Medical, Inc.$29K
- Abbott$7K
- plus $939 from 6 others
Across 73 payments — averaging $7356.25 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.
- Relievant Medsystems, Inc.$176K
- Vertos Medical, Inc.$140K
- Saluda Medical Americas, Inc.$127K
- MML US, Inc.$73K
- Nevro Corp.$20K
What the payments were for
- Consulting fees$378,46074%
- Speaking & faculty fees$75,51315%
- Travel & lodging$48,57410%
- Food & beverage$7,9602%
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 |
|---|---|---|
| Saluda Medical Americas, Inc. | 73 | $237,281 |
| MML US, Inc. | 72 | $114,615 |
| Nevro Corp. | 22 | $79,092 |
| Relievant Medsystems, Inc. | 9 | $42,631 |
| Vertos Medical, Inc. | 15 | $28,717 |
| Abbott | 7 | $7,231 |
| Boston Scientific | 4 | $372 |
| Spinal Simplicity, LLC | 1 | $180 |
| Avanos Medical | 1 | $176 |
| Stryker | 1 | $170 |
| Medtronic | 1 | $27 |
| Siemens Medical Solutions USA, Inc. | 1 | $13 |
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.
- Evoke SCS$169,203
- ReActiv8$113,836
- Senza Spinal Cord Stimulation System$76,250
- Evoke$67,292
- Intracept$42,687
- mild Device Kit$28,709
- Neuromodulation Dspsbls and Accs$6,900
- Senza$1,588
- Omnia$1,000
- HA MINUTEMAN G3-R$180
- COOLIEF* COOLED RADIOFREQUENCY$176
- PROCLAIM$162
- GENERAL PAIN MANAGEMENT$104
How this compares
$510,506 in reported general payments places this provider in the 95th percentile of 245 pain medicine providers in Ohio.
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.
Other pain medicine in Cleveland
- Robert BolashCleveland$154K
- Aman UpadhyayCleveland$40K
- Salim HayekCleveland$34K
- Trishul KapoorCleveland$33K
- Edward CovingtonCleveland$25K
- Jianguo ChengCleveland$23K
- Kush GoyalCleveland$22K
- Jacob EzellCleveland$12K
- Jijun XuCleveland$10K
- Riad LahamCleveland$7K
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.