Neil Segal, MD
Physical Medicine & Rehabilitation · Iowa City, IANPI 1407848880
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,105,414 of the $2,205,759 with a category attached, or 95.5%. Curvebeam LLC accounts for 95.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $2,118,901 and has fallen 98.5% since, to $31,783 in 2025. Among physical medicine & rehabilitation clinicians in IA 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 177 payments — averaging $12,462 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Curvebeam LLC$2.1M
- Pacira Pharmaceuticals Incorporated$83K
- Integra Lifesciences Corporation$11K
- Trice Medical, Inc.$4K
- Tenex Health Inc.$1K
- Derma Sciences, Inc.$755
- plus $180 from 4 others
Across 34 payments — averaging $14,959 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.
- Pacira Therapeutics, Inc.$181K
- Novartis$170K
- American Regent$51K
- Zimmer Biomet$45K
- Pacira Pharmaceuticals Incorporated$41K
- Integra Lifesciences Corporation$14K
- plus $6K from 1 others
What the payments were for
- Royalty or licence$2,105,41495%
- Consulting fees$59,0673%
- Speaking & faculty fees$23,0951%
- Travel & lodging$16,1531%
- Food & beverage$1,9560%
- Gifts$740%
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 |
|---|---|---|
| Curvebeam LLC | 5 | $2,105,414 |
| Pacira Pharmaceuticals Incorporated | 153 | $83,372 |
| Integra Lifesciences Corporation | 3 | $10,916 |
| Trice Medical, Inc. | 7 | $4,122 |
| Tenex Health Inc. | 1 | $1,000 |
| Derma Sciences, Inc. | 2 | $755 |
| Pfizer | 1 | $78 |
| Ipsen Biopharmaceuticals, Inc | 2 | $48 |
| Medtronic | 1 | $29 |
| Pacira Therapeutics, Inc. | 2 | $25 |
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.
- Iovera$71,416
- BIODRESTORE$11,548
- EXPAREL$6,897
- Zilretta$3,175
How this compares
$2,205,759 in reported general payments places this provider in the 95th percentile of 58 physical medicine & rehabilitation providers in Iowa.
See all physical medicine & rehabilitation providers in Iowa →
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 physical medicine & rehabilitation in Iowa City
- Ryan KruseIowa City$8K
- Steven ZehringIowa City$2K
- Rahul BijlaniIowa City$1K
- Than PhamIowa City$344
- Robert YangIowa City$104
- Brandon JohnsonIowa City$102
- Brett RosauerIowa City$99
- Eric AschenbrennerIowa City$0
- Ryan McLoughlinIowa City$0
- Kathleen VonderhaarIowa City$0
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.