Doctor of Osteopathy Program year 2023 Reported 2019–2023 Source: CMS Open Payments, 2026 publication

Trayton Mains

Rheumatology Lima, OH Doctor of Osteopathy

NPI 1720217383 CMS profile 896178

825 W Market St Ste 260, Lima, OH 45805

Open in the dashboard

General payments

$3,658

220 records reported · program years 2019–2023

Research payments

$0

Paid to them · None reported · program years 2019–2023

Ownership & investment interest

$0

None reported

Through program year 2023, Trayton Mains of Lima, OH is reported in the CMS Open Payments database as having received $3,658 across 220 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 56th percentile of Rheumatology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2023 General $501 26
2022 General $958 54
2021 General $828 56
2020 General $482 31
2019 General $888 53

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Trayton Mains
  • Rheumatology median
  • Middle half of Rheumatology
  • National median

In program year 2025, general payments to Trayton Mains were reported at $0. Among 4,454 Rheumatology profiles paid that year, the median was $903 and the middle half received between $171 and $2,775.

Show as a table
Year Trayton Mains Rheumatology median Middle half National median
2019 $888 $744 $153–$2,687 $163
2020 $482 $462 $98–$2,027 $114
2021 $828 $531 $101–$2,153 $132
2022 $958 $627 $125–$2,303 $149
2023 $501 $741 $145–$2,524 $160
2024 $0 $830 $166–$2,660 $164
2025 $0 $903 $171–$2,775 $169

Breakdown

Who paid General payments · program years 2019–2023
  1. AbbVie, Inc. $730 42 payments
  2. Amgen Inc. $510 28 payments
  3. Novartis Pharmaceuticals Corporation $332 14 payments
  4. Lilly USA, LLC $250 19 payments
  5. Collegium Pharmaceutical, Inc. $246 19 payments
  6. Janssen Biotech, Inc. $229 14 payments
  7. Pfizer Inc. $189 11 payments
  8. UCB, Inc. $186 12 payments
  9. E.R. Squibb & Sons, L.L.C. $165 10 payments
  10. Alexion Pharmaceuticals, Inc. $119 8 payments
  11. Other $701 43 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2023
  1. Food and Beverage $3,547 216 payments
  2. Education $111 4 payments
Products named General payments · program years 2019–2023
  1. RINVOQ $429 26 payments
  2. XTAMPZA $246 19 payments
  3. TALTZ $233 17 payments
  4. HUMIRA $218 11 payments
  5. Cimzia $186 12 payments
  6. SIMPONI ARIA $166 11 payments
  7. STELARA $166 11 payments
  8. ORENCIA $165 10 payments
  9. COSENTYX $160 10 payments
  10. XELJANZ $154 9 payments
  11. Other $2,408 148 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 · 33 drugs

Part D claims

2,888

Median for Rheumatology: 1,511

Drug cost

$1,377,207

Median for Rheumatology: $1,139,948

Branded share of claims

30%

Median for Rheumatology: 28.8%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Humira(Cf) Pen Adalimumab Brand 41 $292,875
Enbrel Sureclick Etanercept Brand 39 $287,198
Taltz Autoinjector Ixekizumab Brand 31 $203,290
Cosentyx Sensoready (2 Pens) Secukinumab Brand 25 $185,979
Cosentyx Unoready Pen Secukinumab Brand 21 $152,890
Cosentyx (2 Syringes) Secukinumab Brand 16 $109,505
Benlysta Belimumab Brand 12 $57,382
Mycophenolate Mofetil Generic 157 $28,282
Leflunomide Generic 373 $16,991
Methotrexate Methotrexate Sodium Brand 599 $10,422

The 10 drugs with the highest cost, of 33 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 5,224 Part D prescribers listed as Rheumatology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 17 billing codes

Paid by Medicare

$79,980

Of which drugs: $640

Medicare patients

437

Average age 72

Services billed

1,815

305 women, 132 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%
Ischemic heart disease 35%
Osteoporosis 30%
Diabetes 28%
Chronic kidney disease 28%
Depression 25%
COPD 23%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, methylprednisolone acetate, 1 mg J1010 Office 13 480 $50

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.

Records

220 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 Rheumatology in Ohio

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 2023

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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