Michael Esposito
Interventional Pain Medicine Vero Beach, FL Medical Doctor
NPI 1043521198 CMS profile 563621
777 37Th St Ste C101, Vero Beach, FL 32960
General payments
$776,576
Research payments
$0
Ownership & investment interest
$412,749
Research they led as principal investigator
$76,186
Through program year 2025, Michael Esposito of Vero Beach, FL is reported in the CMS Open Payments database as having received $776,576 across 1,530 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $76,186 in research payments, paid to institutions rather than to them. They also declared ownership or investment interests valued at $412,749 across 3 holdings.
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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 99th percentile of Interventional Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
10 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $76,325 | 160 | |
| 2024 | General | $75,172 | 167 | |
| 2023 | General | $111,265 | 182 | |
| 2022 | General | $124,159 | 304 | |
| 2021 | General | $196,419 | 290 | |
| 2020 | General | $87,232 | 176 | |
| 2019 | General | $106,004 | 251 | |
| 2025 | Ownership | $162,749 | 1 | |
| 2024 | Ownership | $125,000 | 1 | |
| 2023 | Ownership | $125,000 | 1 |
Beside peers
- Michael Esposito
- Interventional Pain Medicine median
- Middle half of Interventional Pain Medicine
- National median
In program year 2025, general payments to Michael Esposito were reported at $76,325. 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 | Michael Esposito | Interventional Pain Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $106,004 | $684 | $216–$2,079 | $163 |
| 2020 | $87,232 | $382 | $122–$1,109 | $114 |
| 2021 | $196,419 | $552 | $167–$1,554 | $132 |
| 2022 | $124,159 | $605 | $187–$1,924 | $149 |
| 2023 | $111,265 | $671 | $195–$1,915 | $160 |
| 2024 | $75,172 | $684 | $206–$1,837 | $164 |
| 2025 | $76,325 | $657 | $184–$1,753 | $169 |
Breakdown
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 · 46 drugsPart D claims
8,213
Drug cost
$295,040
Branded share of claims
35.7%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Xtampza Er Oxycodone Myristate | Brand | 70 | $38,522 | |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | Brand | 1,137 | $37,158 | |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 1,314 | $35,872 | |
| Lyrica Pregabalin | Brand | 19 | $23,960 | |
| Pregabalin | Generic | 662 | $20,848 | |
| Gabapentin | Generic | 852 | $16,956 | |
| Movantik Naloxegol Oxalate | Brand | 47 | $16,063 | |
| Oxycontin Oxycodone Hcl | Brand | 23 | $15,839 | |
| Duloxetine Hcl | Generic | 448 | $11,058 | |
| Buprenorphine | Generic | 26 | $8,960 |
The 10 drugs with the highest cost, of 46 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 1,476 Part D prescribers listed as Interventional Pain Management; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 98 billing codesPaid by Medicare
$991,219
Medicare patients
867
Services billed
19,191
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 75% | |
| Ischemic heart disease | 33% | |
| Depression | 33% | |
| Chronic kidney disease | 32% | |
| Diabetes | 31% | |
| COPD | 21% | |
| Osteoporosis | 21% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 | Office | 240 | 2,730 | $2,146 |
| Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966 | Office | 271 | 2,371 | $691 |
| Injection, dexamethasone sodium phosphate, 1 mg J1100 | Office | 368 | 6,036 | $540 |
| Injection, ketorolac tromethamine, per 15 mg J1885 | Office | 31 | 83 | $38 |
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
First 5 of 9 products · payments 2024Two 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.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| ZTLido |
|
$71 | — | — |
| BOTOX |
|
$67 | — | — |
| MOVANTIK |
|
$36 | 47 | — |
| QULIPTA |
|
$26 | — | — |
| TRINTELLIX |
|
$19 | — | — |
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.
See all 9 in the dashboard with a free accountRecords
1,530 reportedEvery 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.
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How to read this page
What each amount means, and what it does not mean.
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.