RxDoctor Payments Data

Robert Spear, DO

Pain Medicine · Virginia Beach, VANPI 1497783153

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $2,293 of the $3,591 with a category attached, or 63.8%. 22 manufacturers reported payments, led by Abbott at 33.0% of the total. 2025 is the largest year on record at $1,752, 2.4 times the $723 reported in 2019.

$3,591in general payments, 2019–2025

Across 106 payments — averaging $33.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$1K
  • AbbVie$860
  • Medtronic$484
  • Lundbeck LLC$140
  • Globus Medical$119
  • Bioventus LLC$113
  • plus $691 from 16 others

What the payments were for

  • Travel & lodging$1,29836%
  • Food & beverage$2,29364%

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
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

$3,591 in reported general payments places this provider in the 65th percentile of 150 pain medicine providers in Virginia.

See all pain medicine providers in Virginia

Medicare billing

Part B allowed, 2024
$271,378
Medicare patients
437
Services billed
6,570

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/Acetaminophen94$1,590
Gabapentin79$1,500
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen47$1,136
Tramadol Hcl103$1,048
Levetiracetam35$618
Celecoxib16$588
Cyclobenzaprine Hcl41$415
Tizanidine Hcl32$395
Duloxetine Hcl20$377
Oxycodone Hcl23$332
Pregabalin15$326
Prednisone14$139
Meloxicam15$30

Paid to pharmacies, not to this prescriber.

Other pain medicine in Virginia Beach

See the full list for Virginia

Where these figures come from

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