RxDoctor Payments Data

Ross Vogelgesang, MD

Pain Medicine · Olympia, WANPI 1518919505

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (42.0%), travel and lodging and other — rather than concentrated in one kind of arrangement. 39 manufacturers reported payments, led by Nevro Corp. at 48.7% of the total. Reporting peaked in 2020 at $7,353 and has fallen 92.6% since, to $548 in 2025. Among pain medicine clinicians in WA 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.

$20,648in general payments, 2019–2025

Across 376 payments — averaging $54.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nevro Corp.$10K
  • Medtronic$5K
  • Genesys Orthopedics Systems, L.L.C.$1K
  • Zyla Life Sciences, Inc.$797
  • Collegium Pharmaceutical, Inc.$632
  • AbbVie$344
  • plus $3K from 33 others

What the payments were for

  • Consulting fees$1,5758%
  • Travel & lodging$4,85123%
  • Food & beverage$8,67542%
  • Education$1,0105%
  • Gifts$110%
  • Other$4,52622%

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

$20,648 in reported general payments places this provider in the 90th percentile of 124 pain medicine providers in Washington.

See all pain medicine providers in Washington

Medicare billing

Part B allowed, 2024
$144,403
Medicare patients
392
Services billed
2,211

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
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl52$14,446
Pregabalin167$7,425
Duloxetine Hcl105$968
Gabapentin56$812
Baclofen45$753
Tramadol Hcl96$649
Cephalexin46$551
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen15$347
Tizanidine Hcl25$301
Oxycodone Hcl16$116
Hydromorphone Hcl17$109
Meloxicam21$100
Methocarbamol16$87

Paid to pharmacies, not to this prescriber.

Other pain medicine in Olympia

See the full list for Washington

Where these figures come from

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