RxDoctor Payments Data

Sushruth Shenava, MD

Pain Medicine · Flint, MINPI 1457640708

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 93.9% of the total across 128 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 23.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,456, 3.6 times the $405 reported in 2019.

$3,366in general payments, 2019–2025

Across 128 payments — averaging $26.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nalu Medical, Inc.$777
  • Boston Scientific$717
  • Amgen$583
  • Stryker$294
  • Globus Medical$194
  • Abbott$136
  • plus $665 from 14 others

What the payments were for

  • Travel & lodging$2066%
  • Food & beverage$3,16094%

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

$3,366 in reported general payments places this provider in the 60th percentile of 139 pain medicine providers in Michigan.

See all pain medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$51,270
Medicare patients
153
Services billed
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
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl63$15,870
Buprenorphine25$5,327
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen186$1,822
Gabapentin118$1,018
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen67$980
Tizanidine Hcl89$596
Cyclobenzaprine Hcl64$480
Pregabalin33$371
Acetaminophen-CodeineAcetaminophen With Codeine19$260
Baclofen11$216
Meloxicam87$189
Ibuprofen24$81

Paid to pharmacies, not to this prescriber.

Other pain medicine in Flint

See the full list for Michigan

Where these figures come from

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