Who Paid My Doc
Tristan Lai
Interventional Pain Medicine Spring Branch, TX Medical Doctor
NPI 1699976217 CMS profile 303521
19750 State Highway 46 W Ste 104, Ste 104, Spring Branch, TX 78070
General payments
$23,966
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Tristan Lai of Spring Branch, TX is reported in the CMS Open Payments database as having received $23,966 across 440 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 88th percentile of Interventional 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 | $8,672 | 53 | |
| 2024 | General | $3,885 | 67 | |
| 2023 | General | $2,343 | 50 | |
| 2022 | General | $4,405 | 119 | |
| 2021 | General | $2,230 | 68 | |
| 2020 | General | $1,337 | 48 | |
| 2019 | General | $1,096 | 35 |
Beside peers
- Tristan Lai
- Interventional Pain Medicine median
- Middle half of Interventional Pain Medicine
- National median
In program year 2025, general payments to Tristan Lai were reported at $8,672. 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 | Tristan Lai | Interventional Pain Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $1,096 | $684 | $216–$2,079 | $163 |
| 2020 | $1,337 | $382 | $122–$1,109 | $114 |
| 2021 | $2,230 | $552 | $167–$1,554 | $132 |
| 2022 | $4,405 | $605 | $187–$1,924 | $149 |
| 2023 | $2,343 | $671 | $195–$1,915 | $160 |
| 2024 | $3,885 | $684 | $206–$1,837 | $164 |
| 2025 | $8,672 | $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 · 29 drugsPart D claims
2,909
Drug cost
$147,854
Branded share of claims
40.8%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Xtampza Er Oxycodone Myristate | Brand | 55 | $32,154 | |
| Buprenorphine | Generic | 108 | $27,839 | |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 834 | $27,421 | |
| Oxycontin Oxycodone Hcl | Brand | 17 | $9,292 | |
| Celecoxib | Generic | 219 | $9,156 | |
| Hysingla Er Hydrocodone Bitartrate | Brand | 17 | $5,663 | |
| Tizanidine Hcl | Generic | 243 | $5,401 | |
| Gabapentin | Generic | 257 | $4,291 | |
| Lidocaine | Generic | 28 | $3,372 | |
| Pregabalin | Generic | 111 | $3,233 |
The 10 drugs with the highest cost, of 29 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 · 70 billing codesPaid by Medicare
$282,459
Medicare patients
325
Services billed
12,480
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Arthritis | 75% | |
| High blood pressure | 73% | |
| Depression | 29% | |
| Ischemic heart disease | 28% | |
| Diabetes | 25% | |
| Chronic kidney disease | 22% | |
| Atrial fibrillation | 17% | |
| COPD | 16% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966 | Office | 102 | 6,039 | $1,720 |
| Injection, methylprednisolone sodium succinate, 5 mg J2919 | Office | 44 | 1,211 | $272 |
| Injection, methylprednisolone sodium succinate, up to 125 mg J2930 | Office | 27 | 27 | $120 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 | Office | 30 | 162 | $114 |
| Injection, dexamethasone sodium phosphate, 1 mg J1100 | Office | 48 | 641 | $58 |
| Injection, midazolam hydrochloride, per 1 mg J2250 | Office | 25 | 143 | $15 |
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 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 |
|
$62 | — | — |
| BELBUCA |
|
$33 | — | — |
| XTAMPZA |
|
$29 | 55 | — |
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
440 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.
Other Interventional Pain Medicine in Texas
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Brian Rich
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Related records
Interventional Pain Medicine in Texas
Practitioners in the same specialty and state, ranked by reported value.
All Interventional Pain Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Texas
Every practitioner in the state with a reported payment.
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.