Nicolas Maxymiv
Anesthesiology · Richmond, VANPI 1487074654
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.9%), food and beverage and grants — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Medtronic at 55.9% of the total. Reporting peaked in 2019 at $5,485 and has fallen 95.4% since, to $254 in 2025. Among anesthesiology clinicians in VA 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 74 payments — averaging $115.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- Boston Scientific$2K
- Abbott$1K
- Stryker$161
- Bioventus LLC$134
- Comsort, Inc$100
- plus $254 from 9 others
What the payments were for
- Consulting fees$1001%
- Grants$2,00023%
- Travel & lodging$3,33539%
- Food & beverage$3,14437%
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 |
|---|---|---|
| Medtronic(2 entities) | 31 | $4,793 |
| Boston Scientific | 18 | $1,775 |
| Abbott | 13 | $1,361 |
| Stryker | 1 | $161 |
| Bioventus LLC | 1 | $134 |
| Comsort, Inc | 1 | $100 |
| Relievant Medsystems, Inc. | 1 | $94 |
| Merz North America, Inc. | 1 | $41 |
| Ipsen Biopharmaceuticals, Inc | 1 | $24 |
| Arbor Pharmaceuticals, Inc. | 1 | $20 |
| Scilex Pharmaceuticals Inc. | 1 | $19 |
| Biodelivery Sciences International, Inc. | 1 | $17 |
| Avanir Pharmaceuticals, Inc. | 1 | $14 |
| Nevro Corp. | 1 | $13 |
| Amgen | 1 | $12 |
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.
- SYNCHROMED$2,000
- KYPHON Balloon Kyphoplasty$1,123
- Proclaim Family of SCS IPGs$1,109
- Intracept$630
- INTELLIS$586
- OSTEOCOOL RF ABLATION SYSTEM$209
- IVS - IVAS$161
- INTELLIS ADAPTIVESTIM$154
- WaveWriter Alpha Prime 16$147
- Stimrouter Implantable Kit$134
- WAVEWRITER ALPHA$127
- GENERAL PAIN MANAGEMENT$122
- SPECTRA WAVEWRITER$119
- AUTOFILL$108
- BRIDION$100
How this compares
$8,579 in reported general payments places this provider in the 95th percentile of 1,065 anesthesiology providers in Virginia.
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 |
|---|---|---|
| Buprenorphine | 105 | $34,818 |
| BelbucaBuprenorphine Hcl | 22 | $9,395 |
| Pregabalin | 242 | $6,450 |
| Lidocaine | 32 | $4,256 |
| Gabapentin | 268 | $3,075 |
| Duloxetine Hcl | 215 | $3,061 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 142 | $1,922 |
| Tizanidine Hcl | 142 | $1,340 |
| Methocarbamol | 100 | $840 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 22 | $644 |
| Tramadol Hcl | 98 | $629 |
| Diclofenac Sodium | 39 | $491 |
| Nortriptyline Hcl | 41 | $409 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $364 |
| Oxycodone Hcl | 45 | $356 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Richmond
- Jeffrey GreenRichmond$81K
- John BoothRichmond$8K
- David PalomboRichmond$6K
- Jeannette KierceRichmond$5K
- Marianne MatthewsRichmond$5K
- Peter BumanisRichmond$4K
- Andy LiaoRichmond$3K
- Jack CravenRichmond$3K
- David KimRichmond$2K
- Joseph SmithLeesburg$111K
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.