RxDoctor Payments Data

Thomas Cestare, MD

Interventional Pain Medicine · Brandywine, MDNPI 1013303320

Payments from drug & device makers

What this record shows

Medtronic accounts for 61.6% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $1,144 and has fallen 75.6% since, to $279 in 2022. That places this record below the midpoint for interventional pain medicine clinicians in MD, where the typical reported total is $3,506.

$1,745in general payments, 2019–2025

Across 17 payments — averaging $102.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$1K
  • Nevro Corp.$266
  • Abbott$178
  • Avanos Medical$113
  • GRT US Holding, Inc.$101
  • SPR Therapeutics, Inc$13

What the payments were for

  • Travel & lodging$72141%
  • Food & beverage$1,02459%

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

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.

CompanyPaymentsTotal
Medtronic(2 entities)9$1,074
Nevro Corp.2$266
Abbott1$178
Avanos Medical3$113
GRT US Holding, Inc.1$101
SPR Therapeutics, Inc1$13

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

$1,745 in reported general payments places this provider in the 25th percentile of 56 interventional pain medicine providers in Maryland.

See all interventional pain medicine providers in Maryland

Medicare billing

Part B allowed, 2024
$144,556
Medicare patients
333
Services billed
1,107

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
Lidocaine18$2,267
Gabapentin146$1,943
Pregabalin71$1,816
Diclofenac Sodium20$587
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen25$357
Baclofen11$262
Duloxetine Hcl11$221
Meloxicam21$133
Cyclobenzaprine Hcl22$110
Tramadol Hcl31$102
Tizanidine Hcl18$42

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Brandywine

See the full list for Maryland

Where these figures come from

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