Nessa McCollum-Flaxman, MD
Anesthesiology · Little Rock, ARNPI 1073509956
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Spinefrontier, Inc. at 54.1% of the total. 2025 is the largest year on record at $1,072, 8.6 times the $125 reported in 2019. Among anesthesiology clinicians in AR 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.
Across 19 payments — averaging $99.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinefrontier, Inc.$1K
- Silk Road Medical, Inc.$146
- Johnson & Johnson$125
- Livanova USA, Inc.$125
- Abbott$120
- Curonix LLC$98
- plus $250 from 6 others
What the payments were for
- Travel & lodging$90348%
- Food & beverage$94350%
- Education$352%
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 |
|---|---|---|
| Spinefrontier, Inc. | 3 | $1,018 |
| Silk Road Medical, Inc. | 2 | $146 |
| Johnson & Johnson | 1 | $125 |
| Livanova USA, Inc. | 1 | $125 |
| Abbott | 1 | $120 |
| Curonix LLC | 1 | $98 |
| Abiomed | 2 | $60 |
| AbbVie | 2 | $54 |
| Galderma Laboratories, L.p. | 1 | $47 |
| Merck | 2 | $35 |
| Atricure, Inc. | 2 | $33 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
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
$1,881 in reported general payments places this provider in the 90th percentile of 300 anesthesiology providers in Arkansas.
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 | 265 | $6,160 |
| Clonidine | 36 | $2,420 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 94 | $1,996 |
| Pregabalin | 69 | $1,297 |
| Fentanyl | 12 | $1,198 |
| Gabapentin | 89 | $705 |
| Tramadol Hcl | 51 | $364 |
| Oxycodone Hcl | 32 | $340 |
| Amitriptyline Hcl | 36 | $300 |
| Tizanidine Hcl | 38 | $276 |
| Meloxicam | 62 | $232 |
| Cyclobenzaprine Hcl | 14 | $218 |
| Propranolol Hcl | 11 | $132 |
| Prednisone | 42 | $122 |
| Diazepam | 12 | $42 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Little Rock
- Johnathan GoreeLittle Rock$513K
- Julius BaloghLittle Rock$245K
- Gregory SmithLittle Rock$55K
- Brian MalkiLittle Rock$29K
- Aparna JindalLittle Rock$10K
- Jarna ShahLittle Rock$10K
- Brian JansenLittle Rock$8K
- Jaleesa JacksonLittle Rock$4K
- Juan RomanLittle Rock$4K
- Felipe MedeirosLittle Rock$3K
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.