RxDoctor Payments Data

Robert Nesbitt, MD

Pain Medicine · Vestavia Hills, ALNPI 1891770855

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 93.2% of the total across 403 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Boston Scientific accounts for 60.1% of it on its own, with 18 other manufacturers making up the rest.

$7,457in general payments, 2019–2025

Across 403 payments — averaging $18.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$4K
  • Relievant Medsystems, Inc.$728
  • Baxter Healthcare$692
  • Vertos Medical, Inc.$456
  • Abbott$313
  • Avanos Medical$176
  • plus $613 from 13 others

What the payments were for

  • Travel & lodging$5067%
  • Food & beverage$6,95293%

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

19
20
21
22
23
24
25

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.

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

$7,457 in reported general payments places this provider in the 85th percentile of 77 pain medicine providers in Alabama.

See all pain medicine providers in Alabama

Medicare billing

Part B allowed, 2024
$371,829
Medicare patients
528
Services billed
4,744

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen981$23,171
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen603$17,620
OxycontinOxycodone Hcl29$14,442
Gabapentin808$8,183
Pregabalin145$4,581
Duloxetine Hcl113$2,160
Oxycodone Hcl82$2,100
Tizanidine Hcl186$1,472
Tramadol Hcl168$1,004
Methylprednisolone97$756
Methocarbamol55$617
Morphine Sulfate ErMorphine Sulfate11$352
Cyclobenzaprine Hcl29$284
Ibuprofen12$195
Meloxicam26$106

Paid to pharmacies, not to this prescriber.

Other pain medicine in Vestavia Hills

See the full list for Alabama

Where these figures come from

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