Epilepsy: industry payments
Drug and device makers reported $10,234,813 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 460
- Received a payment
- 456 (99.1%)
- Total reported
- $10.2M
- Average, those paid
- $22,445
The average is computed only over providers who received something, because including the 4 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays epilepsy clinicians
Across 331 epilepsy clinicians who billed Original Medicare Part B in 2024, Medicare allowed $23,735,991 in total — an average of $71,710 each, of which $55,664 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| Ohio | 21 | $1,934,572 | $92,122 |
| Michigan | 30 | $1,453,222 | $48,441 |
| California | 46 | $1,402,636 | $30,492 |
| Florida | 23 | $1,075,121 | $46,744 |
| Texas | 36 | $746,854 | $20,746 |
| Massachusetts | 28 | $602,813 | $21,529 |
| District of Columbia | 5 | $498,479 | $99,696 |
| New York | 21 | $424,854 | $20,231 |
| Illinois | 24 | $368,619 | $15,359 |
| Missouri | 26 | $312,039 | $12,002 |
| Pennsylvania | 28 | $262,698 | $9,382 |
| Tennessee | 17 | $256,502 | $15,088 |
| Alabama | 2 | $252,698 | $126,349 |
| Minnesota | 18 | $223,812 | $12,434 |
| Colorado | 28 | $151,233 | $5,401 |
| Virginia | 4 | $45,832 | $11,458 |
| Kansas | 4 | $37,274 | $9,318 |
| Georgia | 10 | $35,973 | $3,597 |
| Arizona | 14 | $28,486 | $2,035 |
| New Jersey | 11 | $20,806 | $1,891 |
| Washington | 12 | $19,647 | $1,637 |
| Wisconsin | 2 | $15,450 | $7,725 |
| Utah | 5 | $15,208 | $3,042 |
| Connecticut | 10 | $9,725 | $972 |
| Oklahoma | 2 | $7,027 | $3,513 |
| Iowa | 9 | $6,533 | $726 |
| Louisiana | 4 | $5,887 | $1,472 |
| Maryland | 3 | $4,785 | $1,595 |
| South Carolina | 3 | $3,558 | $1,186 |
| Kentucky | 3 | $2,601 | $867 |
| Idaho | 1 | $2,342 | $2,342 |
| South Dakota | 1 | $2,299 | $2,299 |
| Arkansas | 2 | $1,614 | $807 |
| North Carolina | 1 | $1,556 | $1,556 |
| Hawaii | 1 | $1,490 | $1,490 |
| Oregon | 4 | $498 | $125 |
| Nevada | 1 | $67 | $67 |