Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Ramon Espinal

Pain Medicine Covington, GA Medical Doctor

NPI 1851390363 CMS profile 310646

5303 Adams St Ne, Ste C, Covington, GA 30014

Open in the dashboard

General payments

$5,523

156 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Ramon Espinal of Covington, GA is reported in the CMS Open Payments database as having received $5,523 across 156 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 68th percentile of Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $222 10
2024 General $798 18
2023 General $137 5
2022 General $990 16
2021 General $707 27
2020 General $468 15
2019 General $2,202 65

Beside peers

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

In program year 2025, general payments to Ramon Espinal were reported at $222. Among 2,779 Pain Medicine profiles paid that year, the median was $458 and the middle half received between $124 and $1,401.

Show as a table
Year Ramon Espinal Pain Medicine median Middle half National median
2019 $2,202 $498 $126–$1,682 $163
2020 $468 $284 $80–$910 $114
2021 $707 $399 $112–$1,219 $132
2022 $990 $455 $137–$1,484 $149
2023 $137 $484 $128–$1,495 $160
2024 $798 $498 $131–$1,540 $164
2025 $222 $458 $124–$1,401 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Nevro Corp. $1,045 17 payments
  2. Abbott Laboratories $926 11 payments
  3. Boston Scientific Corporation $525 11 payments
  4. SI-BONE, Inc. $436 5 payments
  5. Medtronic, Inc. $387 4 payments
  6. Stimwave Technologies Incorporated $290 8 payments
  7. Forte Bio-Pharma LLC $283 14 payments
  8. Collegium Pharmaceutical, Inc. $270 15 payments
  9. Medtronic USA, Inc. $197 18 payments
  10. Vertiflex, Inc. $173 7 payments
  11. Other $991 46 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $4,677 149 payments
  2. Travel and Lodging $794 4 payments
  3. Education $52 3 payments
Products named General payments · program years 2019–2025
  1. Proclaim Family of SCS IPGs $898 9 payments
  2. Omnia $649 7 payments
  3. IFUSE IMPLANT $436 5 payments
  4. Senza Spinal Cord Stimulation System $396 10 payments
  5. INTELLIS ADAPTIVESTIM $387 4 payments
  6. PROLATE Pain $283 14 payments
  7. PROLATE Pain $283 14 payments
  8. PROLATE Pain $283 14 payments
  9. NALOCET $283 14 payments
  10. XTAMPZA $235 13 payments
  11. Other $3,605 142 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 · 36 drugs

Part D claims

5,073

Median for Pain Management: 951

Drug cost

$425,011

Median for Pain Management: $26,034

Branded share of claims

49.7%

Median for Pain Management: 29.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Belbuca Buprenorphine Hcl Brand 134 $101,703
Relistor Methylnaltrexone Bromide Brand 41 $101,267
Buprenorphine Generic 221 $57,338
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 1,122 $53,103
Xtampza Er Oxycodone Myristate Brand 49 $22,315
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 858 $20,601
Movantik Naloxegol Oxalate Brand 31 $12,668
Oxycontin Oxycodone Hcl Brand 28 $9,267
Pregabalin Generic 387 $7,386
Oxycodone Hcl Generic 348 $5,877

The 10 drugs with the highest cost, of 36 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 2,732 Part D prescribers listed as Pain Management; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 48 billing codes

Paid by Medicare

$119,010

Medicare's payments for the services billed

Medicare patients

629

Average age 70

Services billed

1,484

391 women, 238 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 35%
Diabetes 34%
Ischemic heart disease 31%
Chronic kidney disease 25%
COPD 25%
Heart failure 18%

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

3 products · 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
PROLATE
  • Forte Bio-Pharma LLC $80
$80 — —
RELISTOR
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC $23
$23 41 —
NALOCET
  • Forte Bio-Pharma LLC $20
$20 — —

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

156 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 Pain Medicine in Georgia

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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