Medical Doctor Program year 2025 Reported 2023–2025 Source: CMS Open Payments, 2026 publication

Christian Gulde

Interventional Pain Medicine Bedford, TX Medical Doctor

NPI 1679035638 CMS profile 11449733

2425 Highway 121, Bedford, TX 76021

Open in the dashboard

General payments

$26,308

163 records reported · program years 2023–2025

Research payments

$0

Paid to them · None reported · program years 2023–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Christian Gulde of Bedford, TX is reported in the CMS Open Payments database as having received $26,308 across 163 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 89th percentile of Interventional Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

3 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $2,466 29
2024 General $11,557 106
2023 General $12,285 28

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Christian Gulde
  • Interventional Pain Medicine median
  • Middle half of Interventional Pain Medicine
  • National median

In program year 2025, general payments to Christian Gulde were reported at $2,466. Among 1,891 Interventional Pain Medicine profiles paid that year, the median was $657 and the middle half received between $184 and $1,753.

Show as a table
Year Christian Gulde Interventional Pain Medicine median Middle half National median
2019 $0 $684 $216–$2,079 $163
2020 $0 $382 $122–$1,109 $114
2021 $0 $552 $167–$1,554 $132
2022 $0 $605 $187–$1,924 $149
2023 $12,285 $671 $195–$1,915 $160
2024 $11,557 $684 $206–$1,837 $164
2025 $2,466 $657 $184–$1,753 $169

Breakdown

Who paid General payments · program years 2023–2025
  1. Medtronic, Inc. $17,022 63 payments
  2. Boston Scientific Corporation $2,999 32 payments
  3. Spinal Simplicity, LLC $1,888 8 payments
  4. Abbott Laboratories $1,796 22 payments
  5. Nalu Medical, Inc. $747 12 payments
  6. Nevro Corp. $452 7 payments
  7. Foundation Fusion Solutions, LLC $291 2 payments
  8. Saluda Medical Americas, Inc. $265 3 payments
  9. SPR Therapeutics, Inc $227 2 payments
  10. Avanos Medical $160 2 payments
  11. Other $461 10 payments

Every payment, record by record

What the payments were for General payments · program years 2023–2025
  1. Grant $10,000 1 payment
  2. Travel and Lodging $8,480 41 payments
  3. Food and Beverage $7,681 120 payments
  4. Education $147 1 payment
Products named General payments · program years 2023–2025
  1. SYNCHROMEDII $10,174 3 payments
  2. INTELLIS ADAPTIVESTIM $4,816 46 payments
  3. HA MINUTEMAN G3-R $1,888 8 payments
  4. KYPHON EXPRESS II KYPHOPAK TRAY $1,659 10 payments
  5. PROCLAIM $942 9 payments
  6. Vercise $872 5 payments
  7. Nalu Neurostimulation System $747 12 payments
  8. LIBERTY SI $696 3 payments
  9. WaveWriter Alpha Prime 16 $501 10 payments
  10. INCEPTIV $373 4 payments
  11. Other $3,083 46 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 12 drugs

Part D claims

298

Median for Anesthesiology: 322

Drug cost

$15,758

Median for Anesthesiology: $8,738

Branded share of claims

22.5%

Median for Anesthesiology: 25.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Oxycontin Oxycodone Hcl Brand 12 $10,910
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 44 $1,140
Morphine Sulfate Er Morphine Sulfate Brand 11 $859
Gabapentin Generic 35 $525
Oxycodone Hcl Generic 35 $450
Baclofen Generic 14 $440
Tramadol Hcl Generic 26 $312
Buprenorphine Hcl Generic 23 $301
Pregabalin Generic 12 $300
Duloxetine Hcl Generic 16 $221

The 10 drugs with the highest cost, of 12 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,517 Part D prescribers listed as Anesthesiology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 34 billing codes

Paid by Medicare

$32,577

Medicare's payments for the services billed

Medicare patients

65

Average age 75

Services billed

319

38 women, 27 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Depression 40%
Ischemic heart disease 38%
Diabetes 37%
Chronic kidney disease 25%
Osteoporosis 22%
Atrial fibrillation 20%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

1 product · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
QULIPTA
  • AbbVie, Inc. $50
$50 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

163 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Interventional Pain Medicine in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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