Tim Leier, MD
Interventional Pain Medicine · Rancho Mirage, CANPI 1972777316
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $276,569 of the $449,014 with a category attached, or 61.6%. Boston Scientific accounts for 78.0% of it on its own, with 18 other manufacturers making up the rest. Among interventional pain medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,066 payments — averaging $421.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$350K
- Curonix LLC$49K
- Painteq LLC$24K
- Medtronic$17K
- Relievant Medsystems, Inc.$2K
- Vertiflex, Inc.$2K
- plus $6K from 13 others
Across 242 payments — averaging $1247.53 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boston Scientific$293K
- Curonix LLC$6K
- Nevro Corp.$2K
- Saluda Medical Americas, Inc.$16
What the payments were for
- Consulting fees$51,68812%
- Speaking & faculty fees$276,56962%
- Travel & lodging$72,70016%
- Food & beverage$30,7067%
- Education$17,1434%
- Entertainment$2100%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 700 | $350,030 |
| Curonix LLC | 75 | $48,651 |
| Painteq LLC | 79 | $23,766 |
| Medtronic(2 entities) | 101 | $17,249 |
| Relievant Medsystems, Inc. | 10 | $1,647 |
| Vertiflex, Inc. | 10 | $1,505 |
| Abbott | 22 | $1,326 |
| SPR Therapeutics, Inc | 10 | $1,243 |
| Spinal Simplicity, LLC | 6 | $1,036 |
| Nevro Corp. | 17 | $895 |
| Foundation Fusion Solutions, LLC | 7 | $456 |
| AbbVie(2 entities) | 16 | $325 |
| Si-bone, Inc. | 4 | $296 |
| Bioness Inc | 1 | $180 |
| Stryker | 3 | $136 |
| MML US, Inc. | 2 | $125 |
| Stimwave Technologies Incorporated | 1 | $93 |
| Globus Medical | 1 | $43 |
| Scilex Pharmaceuticals Inc. | 1 | $11 |
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.
- Superion Indirect Decompression System$77,607
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$46,879
- WaveWriter Alpha Prime 16$42,980
- GENERAL PAIN MANAGEMENT$41,639
- GENERAL - THERAPIES$29,176
- SPECTRA WAVEWRITER$27,796
- SUPERION$25,882
- PAINTEQ$21,714
- WAVEWRITER ALPHA$20,558
- INTELLIS ADAPTIVESTIM$13,777
- Intracept$6,492
- VERCISE$2,592
- INTELLIS$1,422
- Superion ISS$1,289
- SPRINT PNS System$1,060
- HA MINUTEMAN G3-R$954
- Proclaim Family of SCS IPGs$837
- Senza Spinal Cord Stimulation System$476
- Stimrouter for pain$180
- VANTA ADAPTIVESTIM$135
How this compares
$449,014 in reported general payments places this provider in the 95th percentile of 188 interventional pain medicine providers in California.
See all interventional pain medicine providers in California →
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $854 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $568 |
| Gabapentin | 42 | $358 |
| Naproxen | 29 | $325 |
| Baclofen | 39 | $256 |
| Oxycodone Hcl | 12 | $185 |
| Duloxetine Hcl | 16 | $164 |
| Cyclobenzaprine Hcl | 12 | $88 |
| Cephalexin | 18 | $51 |
| Meloxicam | 27 | $42 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Rancho Mirage
- Andrew GermanovichRancho Mirage$333K
- Yamin SallowmRancho Mirage$16K
- Michael Verdolinla Mesa$507K
- Jonathan GrossmanVisalia$404K
- Kasra MaasumiRancho Santa Margarita$388K
- David LeeYorba Linda$257K
- Standiford HelmOrange$254K
- Patrick BuchananCamarillo$219K
- Chau VuSanta Rosa$141K
- Phillip LimBuena Park$127K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.