Ralf Gebhard, MD
Anesthesiology · Miami, FLNPI 1356306112
Payments from drug & device makers
What this record shows
The money is spread across several categories — ownership interests (51.4%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Milestone Scientific Inc. accounts for 97.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2024 at $49,971 and has fallen 50.0% since, to $24,973 in 2025. Among anesthesiology clinicians in FL 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 18 payments — averaging $9194.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Milestone Scientific Inc.$161K
- Pacira Pharmaceuticals Incorporated$4K
- Heron Therapeutics, Inc.$127
- GE HealthCare$120
- Siemens Medical Solutions USA, Inc.$42
- Baudax Bio Inc.$22
Across 45 payments — averaging $2942.31 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.
- Purdue Pharma L.p.$62K
- Hikma Pharmaceuticals USA$44K
- Mallinckrodt LLC$15K
- Pfizer$10K
- Avanos Medical$1K
Across 4 payments — averaging $23,718 each. An ownership or investment interest held by the physician or an immediate family member.
- Milestone Scientific Inc.$95K
What the payments were for
- Consulting fees$4,0002%
- Speaking & faculty fees$74,89745%
- Food & beverage$4200%
- Education$1,2001%
- Ownership interest$84,98751%
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 |
|---|---|---|
| Milestone Scientific Inc. | 11 | $161,085 |
| Pacira Pharmaceuticals Incorporated | 2 | $4,109 |
| Heron Therapeutics, Inc. | 2 | $127 |
| GE HealthCare | 1 | $120 |
| Siemens Medical Solutions USA, Inc. | 1 | $42 |
| Baudax Bio Inc. | 1 | $22 |
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.
- COMPUFLO EPIDURAL$161,085
- EXPAREL$4,109
How this compares
$165,504 in reported general payments places this provider in the 95th percentile of 2,767 anesthesiology providers in Florida.
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 anesthesiology in Miami
- Samantha NiekampMiami$82K
- Roman DudarykMiami$57K
- Keith CandiottiMiami$36K
- Michael VigodaMiami$25K
- Andres MissairMiami$13K
- Michael FabbroMiami$12K
- Dilip KamathMiami$10K
- Sean McIntyreMiami$9K
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
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.